Kidney Week

Abstract: FR-PO0535

Reasons for Home Hemodialysis Discontinuation in a Canadian Province

Session Information

• Home Dialysis: Clinical Epidemiology
  November 07, 2025 | Location: Exhibit Hall, Convention Center
  Abstract Time: 10:00 AM - 12:00 PM

Category: Dialysis

• 802 Dialysis: Home Dialysis and Peritoneal Dialysis

Authors

• Hager, Drew, University of Manitoba, Winnipeg, Manitoba, Canada

Drew Hager, MD

• Whitlock, Reid, Chronic Disease Innovation Centre, Winnipeg, Manitoba, Canada

Reid Whitlock, MSc

• Bohm, Clara, University of Manitoba, Winnipeg, Manitoba, Canada

Clara Bohm, MD, MPH

• Komenda, Paul, University of Manitoba, Winnipeg, Manitoba, Canada

Paul Komenda, MD, MBA, FASN

• Harris, Claire, The University of British Columbia, Vancouver, British Columbia, Canada

Claire Harris, MD

• Hingwala, Jay P., University of Manitoba, Winnipeg, Manitoba, Canada

Jay P. Hingwala, MD, MSc

Background

Home hemodialysis (HHD) utilization is greater than 8% in Manitoba, Canada. Despite this, many patients stop HHD within the first several years. The present study aims to identify local rates of HHD discontinuation and the associated reasons, including potentially modifiable causes of technique failure.

Methods

The target population includes adults in Manitoba, Canada with kidney failure who began HHD between January 1^st, 2017 and December 31^st, 2023. Data was collected retrospectively from an electronic health record and chart review. HHD discontinuation was defined as stopping for greater than sixty days.

Results

During the study period, 266 patients completed HHD training. In total, 142 patients discontinued HHD with a mean time of 751 days (range 24 to 2225 days). The rates of discontinuation and technique failure at 12 and 36 months are reported in Table 1. A qualitative description of the psychosocial reasons for technique failure are outlined in Figure 1.

Conclusion

Rates of HHD discontinuation in Manitoba, Canada are similar to previous published administrative database and program reviews. Our findings should encourage leaders in HHD to standardize technique failure as a key performance indicator, develop local initiatives to support patients with modifiable psychosocial reasons for technique failure, and encourage providers to discuss end of life goals of care when stopping HHD.

Digital Object Identifier (DOI)

• doi: 10.1681/ASN.2025xdedbvp8