Abstract: SA-PO1069
Profiles of Dialysis Recovery Time in Incident Home and In-Center Hemodialysis
Session Information
- Home Hemodialysis
November 09, 2019 | Location: Exhibit Hall, Walter E. Washington Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 702 Dialysis: Home Hemodialysis
Authors
- Danziger, John, Harvard Medical School, Brookline, Massachusetts, United States
- Larkin, John W., Fresenius Medical Care North America, Waltham, Massachusetts, United States
- Jiao, Yue, Fresenius Medical Care North America, Waltham, Massachusetts, United States
- Reviriego-Mendoza, Marta, Fresenius Medical Care North America, Waltham, Massachusetts, United States
- Chaudhuri, Sheetal, Fresenius Medical Care North America, Waltham, Massachusetts, United States
- Long, Andrew, Fresenius Medical Care North America, Waltham, Massachusetts, United States
- Willetts, Joanna, Fresenius Medical Care North America, Waltham, Massachusetts, United States
- Maddux, Dugan, Fresenius Medical Care North America, Waltham, Massachusetts, United States
- Hymes, Jeffrey L., Fresenius Medical Care North America, Waltham, Massachusetts, United States
- Usvyat, Len A., Fresenius Medical Care North America, Waltham, Massachusetts, United States
- Thadhani, Ravi I., Cedars-Sinai, Los Angeles, California, United States
- Maddux, Franklin W., Fresenius Medical Care, Waltham, Massachusetts, United States
Background
Home hemodialysis (HHD) includes frequent treatments typically 4-6 times per week and yields a higher adequacy and fluid removal. HHD associates to reductions in dialysis recovery time (DRT) compared to in-center HD (ICHD) in prevalent patients who switch to the modality. DRT is a measure of the perceived time after HD a patient feels they can return to performing normal daily activities. We characterized the profiles of DRT in incident patients treated with HHD and ICHD.
Methods
We used data from adult incident HD patients treated at a large dialysis provider who completed a DRT survey ≤180 days from the first date of dialysis (FDD) during 2014 to 2017. DRT survey is administered with the annual KDQOL questionnaire and asks: “How long does it take you to be able to return to your normal activities after your dialysis treatment?” Categorical answers include: <0.5, 0.5-1, 1-2, 2-4, >4 hours. We calculated the percentage of patients in DRT categories for the HHD and ICHD groups.
Results
We analyzed data from 1091 HHD and 98616 ICHD patients who completed the DRT survey ≤180 days from FDD. A lower proportion of HHD patients reported DRT >1 hour compared to ICHD (Figure 1). About half of HHD patients (53.9%) and a quarter (25.2%) of ICHD patients reported a DRT <0.5 hour.
Conclusion
Incident HD patients treated by HHD appear to experience a shorter DRT compared to ICHD. These findings show consistent signals with the Frequent Hemodialysis Network trial results in prevalent HD (Garg Kidney Int. 2017). Patients who chose HHD modality may be younger and have distinct clinical presentations and adjusted analysis are needed to substantiate these findings.
Funding
- Commercial Support –