Home Hemodialysis (HHD) & Peritoneal Dialysis (PD)

What is Home Hemodialysis? What is Peritoneal Dialysis?

Live Healthier and Better

Patients report and studies show numerous clinical and lifestyle benefits associated with more frequent home dialysis when compared to conventional, three times per week, in-center hemodialysis.
Less Stress on the Heart
Less Stress on the Heart
12% Reduction in LVH1,2 (thickening of the heart)
20% Fewer low blood pressure episodes1
Improved 5-Year Survival
Improved 5-Year Survival
40% - 3 times per week (traditional ICHD)3
58% - 5-6 times per week (more frequent HHD)4
Fewer Medications
Fewer Medications
36% Less blood pressure medication5
More Energy & Vitality
More Energy & Vitality
More energy to do the things you love6
Improved Appetite
Improved Appetite
Fewer fluid and dietary restrictions8
Increased Likelihood to be on the<br> Kidney Transplant List
Increased Likelihood to be on the
Kidney Transplant List
35.0% HHD versus 14.2% in-center7
Improved Post-Dialysis Recovery Time
Improved Post-Dialysis Recovery Time
87% Improvement in time to recovery11
5% Reduction in mortality for each hour that recovery time is reduced12
Improved Sleep Quality
Improved Sleep Quality
26% Reduction in restless leg syndrome13
15%-17% Reduction in sleep problems13
Ability To Work And Go To School
Ability To Work And Go To School
Continue working, go back to work, or seek higher education9,10
Better Preservation Of Residual Renal Function<sup>1-2</sup>
Better Preservation Of Residual Renal Function1-2
Residual renal function is associated with better overall health and well-being of dialysis patients
More Likely To Receive A Transplant<sup>4,5</sup>
More Likely To Receive A Transplant4,5
Compared to 3x/week in-center hemodialysis
Increased Early (2-year) Survival<sup>3</sup>
Increased Early (2-year) Survival3
PD - 80.2%
HD - 68.6%
Greater Quality Of Life<sup>7</sup>
Greater Quality Of Life7
PD patients have higher self-reported Quality of Life scores than standard in-center dialysis patients
Increased Control<sup>6</sup>
Increased Control6
Greater sense of ownership over your treatments and therapy
Schedule Flexibility
Schedule Flexibility
Plan your therapy around your schedule and avoid driving to and from your dialysis clinic
Ability To Travel
Ability To Travel
PD equipment is portable and allows you to travel while still maintaining your treatment schedule

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  1. The FHN Trial Group. In-center hemodialysis six times per week versus three times per week. N Engl J Med. 2010;363(24):2287-2300.
  2. Rocco MV, Lockridge RS, Beck GJ, et al. The effects of frequent nocturnal home hemodialysis: the Frequent Hemodialysis Network Nocturnal Trial. Kidney Int.
  3. U.S. Renal Data System, USRDS 2015 Annual Data Report: Table 6.3.
  4. U.S. Renal Data System, USRDS 2015 Annual Data Report: Table 6.3. and matched NxStage patient data on file.
  5. Bakris, G.L., Burkart, J.M., Weinhandl, E.D., McCullough, P.A., and Kraus, M.A. Intensive hemodialysis, blood pressure, and antihypertensive medication use. Am J Kidney Dis. 2016; 68: S15–S23.
  6. Finkelstein FO, Schiller B, Daoui R, et al. At-home short daily hemodialysis improves the long-term health-related quality of life. Kidney Int. 2012;82(5): 561-569.
  7. Weinhandl ED, Liu J, Gilbertson DT, Arneson TJ, Collins AJ. Survival in daily home hemodialysis and matched thrice-weekly in-center hemodialysis patients. JASN. 2012;23(5):895-904.
  8. Lerma EV, Weir MR. Henrich's Principles and Practice of Dialysis. Chapter 8: Long and Daily Hemodialysis, 2017. Print.
  9. Purnell TS, Auguste P, Crews DC, et al. Comparison of Life Participation Activities Among Adults Treated by Hemodialysis, Peritoneal Dialysis, and Kidney Transplantation: A Systematic Review. Am J Kidney Dis. 2013;62(5):953-973.
  10. Walker RC, Howard K, Morton RL. Home hemodialysis: a comprehensive review of patient-centered and economic considerations. Clinicoecon Outcomes Res. 2017;9:149-161.
  11. Jaber BL, Lee Y, Collins AJ, et al. Effect of daily hemodialysis on depressive symptoms and post-dialysis recovery time: interim report from the FREEDOM (Following Rehabilitation, Economics and Everyday-Dialysis Outcome Measurements) Study. Am J Kidney Dis. 2010;56(3):531-539.
  12. Rayner HC, Zepel L, Fuller DS, et al. Recovery time, quality of life, and mortality in hemodialysis patients: the Dialysis Outcomes and Practice Patterns Study (DOPPS). Am J Kidney Dis. 2014;64(1):86-94.
  13. Jaber, B.L., Schiller, B., Burkart, J.M. et al, Impact of short daily hemodialysis on restless legs symptoms and sleep disturbances. Clin J Am Soc Nephrol. 2011;(6):1049–1056.