Get The Facts

Ask your doctor about more frequent home hemodialysis compared to in-center 3-times-weekly hemodialysis

Fact 1:

Performing more frequent and home nocturnal hemodialysis may improve survival.1,2

Fact 2:

More frequent home hemodialysis, including nocturnal, may offer health and quality of life benefits such as:2

Click on the links above to see additional information and their references.

Fact 3:

More doctors would choose home hemodialysis.

In a recent survey, more than 90% of nephrologists said they would choose a home therapy for themselves if faced with dialysis, with home hemodialysis as the preferred option.3

What can you do?

Ask Your Doctor:

  • What are the benefits of more frequent home hemodialysis?
  • How can I learn more about home dialysis as a possible treatment?
  • What are the requirements for more frequent home hemodialysis?
  • What are the risks associated with more frequent home hemodialysis?
  • What dialysis therapy would you choose if faced with kidney failure?

What you should know about more frequent home hemodialysis

As a dialysis patient, it is important that you understand your disease, the treatment modality you are currently using, and other treatment options that may be right for you.

Conventional in-center hemodialysis

  • Dialysis center staff performs treatment
  • 3 days per week
  • 3-4 hour treatments
  • Dialysis time scheduled by clinic

More frequent home hemodialysis

  • Trained patient and/or care partner performs treatment
  • 5-6 days per week
  • 2.5-3 hour treatments
  • Dialysis time scheduled around your life

More frequent hemodialysis keeps the amount of toxin and water build-up to a minimum, which makes the treatment shorter and may reduce or eliminate many side effects patients experience. Doing dialysis more often is closer to how healthy kidneys work.

Many patients report and various studies confirm that compared to three-times-weekly in-center hemodialysis, more frequent home hemodialysis may offer many health and quality of life benefits (references available in free information kit).

Despite the health benefits that more frequent home hemodialysis may provide to those with chronic kidney disease, this form of therapy is not for everyone. Home hemodialysis with the NxStage System One requires a patient and partner who are committed to being trained on and following the guidelines for proper system operation.

The reported benefits of home hemodialysis may not be experienced by all patients.

The NxStage System One is a prescription device and, like all medical devices, involves some risks. The risks associated with hemodialysis treatments in any environment include, but are not limited to, high blood pressure, fluid overload, low blood pressure, heart-related issues, and vascular access complications. The medical devices used in hemodialysis therapies may add additional risks including air entering the bloodstream, and blood loss due to clotting or accidental disconnection of the blood tubing set. Patients should consult with their doctor to understand the risks and responsibilities of home and/or more frequent hemodialysis using the NxStage System One.

Certain risks are unique to the home. Treatments at home are done without the presence of medical personnel and on-site technical support. Patients and their partners must be trained on what to do and how to get medical or technical help if needed.

Certain risks associated with hemodialysis treatment are increased when performing nocturnal therapy due to the length of treatment time and because therapy is performed while the patient and care partner are sleeping. These risks include, but are not limited to, blood access disconnects and blood loss during sleep, blood clotting due to slower blood flow or increased treatment time or both, and delayed response to alarms when waking from sleep. Patients should consult with their physician to understand the risks and responsibilities associated with home nocturnal hemodialysis using the NxStage System One.

  1. Pauly RP, Gill JS, Rose CL, Asad RA, Chery A, Pierratos A, Chan CT. Survival among nocturnal home haemodialysis patients compared to kidney transplant recipients. Nephrol Dial Transplant. 2009;24:2915-2919. (Nocturnal)
  2. Weinhandl, E et al. Survival in Daily Home Hemodialysis and Matched Thrice-Weekly In-Center Hemodialysis Patients. JASN Feb 23, 2012 ASN.2011080761; published ahead of print.
  3. Merighi JR, Schatell DR, Bragg-Gresham JL, Witten B, Mehrotra R. Insights into nephrologist training, clinical practice, and dialysis choice. Hemodial Int. 2012;16(2):242-251.
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