CURRENT STATUS OF ALTERNATIVE HEMODIALYSIS REGIMENS
Home Hemodialysis in Australia and New Zealand: How and Why it has been Successful
Version of Record online: 22 NOV 2011
© 2011 Wiley Periodicals, Inc.
Seminars in Dialysis
Volume 24, Issue 6, pages 658–663, November/December 2011
How to Cite
Agar, J. W. M., Hawley, C. M. and Kerr, P. G. (2011), Home Hemodialysis in Australia and New Zealand: How and Why it has been Successful. Seminars in Dialysis, 24: 658–663. doi: 10.1111/j.1525-139X.2011.00992.x
- Issue online: 8 DEC 2011
- Version of Record online: 22 NOV 2011
After early strong support, home hemodialysis (HHD) has all but disappeared as a viable modality in most western countries––except in Australia and New Zealand (ANZ), where a mean 12.9% of all HD (June 2010) is home-based. The reasons for this unique difference are neither demographic nor geographic; rather, they result from a strong belief held by ANZ nephrologists, nurses, and funding agencies in the clinical outcome and economic benefits of HHD. This “hemodialysis is best at home” approach has permitted ANZ programs to take full advantage of a renewed interest in extended hour and higher frequency dialysis. This article explores the reasons for the success of HHD in this region.