One of the kidney's functions is to help regulate blood pressure by managing the amount of fluid inside the body and blood vessels. Extra fluid that builds up between dialysis sessions can increase blood pressure. In fact, most dialysis patients have high blood pressure and need to take several medications to control it.
Here's how more frequent home hemodialysis may help:
Doing dialysis more often allows for more frequent removal of fluid from the body. NxStage's FREEDOM study is a large, groundbreaking study designed to compare the health and economic benefits of daily home hemodialysis with conventional in-center, three-times-weekly hemodialysis. FREEDOM study patients experienced a nearly 50% reduction in the number of blood pressure medications prescribed after switching to daily home hemodialysis, plus a significant increase in the number of patients using no blood pressure medications at all. Fewer medications mean fewer side effects – and fewer out-of-pocket costs.
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. The reported benefits of more frequent home hemodialysis may not be experienced by all patients. 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. 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 care partners must be trained on what to do and how to get medical or technical help if needed.
To learn more about the responsibilities and risks of more frequent home hemodialysis, please click on Responsibilities & Risks of More Frequent Home Hemodialysis, and talk to your doctor to see if more frequent home hemodialysis with NxStage is right for you.
- NxStage Summary of Literature: Benefits of Daily Dialysis booklet – Section Two: Hypertension.
- Chan C. Cardiovascular Effects of Home Intensive Hemodialysis. Adv Chronic Kidney Dis. Vol 16, No. 3, 2009;173-178.
- Kraus M, et al. A comparison of center-based vs. home-based daily hemodialysis for patients with end-stage renal disease. Hemodialysis International 2007;11:468-77.
- Jaber BL, et al. Daily hemodialysis (DHD) reduces the need for anti-hypertensive medications. Abstract presentation at the American Society of Nephrology 2009 Annual Congress.