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2.
G Ital Nefrol ; 33(4)2016.
Artículo en Italiano | MEDLINE | ID: mdl-27545636

RESUMEN

The home extracorporeal hemodialysis, which aroused a great interest in the past, has not kept its promises due to the complexity and expectations for family involvement in treatment management. In the United States NxStage One portable system was proposed and designed for home use. In this work we describe, starting from the history of home hemodialysis, the method with NxStage system by comparing it with the conventional HD in 5 patients. The dialysis efficiency was similar between the two treatments, even if home hemodialysis showed a reduction in serum urea, creatinine and phosphorus. At the same time phosphate binders use decreased with an increase in serum calcium while hemoglobin increased reducing doses of erythropoietin. The method was successful in the training of the patients and their partners during hospital training and at home. Patients have shown great enthusiasm at the beginning and during the therapy, which is developed around the users personal needs, being able to decide at its own times during 24 hours according to personal needs, in addition to faster recovery after the dialysis. This method certainly improved the patients' wellness and increased their autonomy.


Asunto(s)
Hemodiálisis en el Domicilio , Diseño de Equipo , Femenino , Hemodiálisis en el Domicilio/historia , Hemodiálisis en el Domicilio/instrumentación , Hemodiálisis en el Domicilio/estadística & datos numéricos , Historia del Siglo XX , Humanos , Masculino , Persona de Mediana Edad , Registros , Diálisis Renal
3.
Artif Organs ; 39(9): 736-40, 2015 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-25920990

RESUMEN

Multiple observational studies along with a limited number of randomized clinical trials suggest that intensive hemodialysis (IHD) not only improves outcomes for uremic patients undergoing chronic dialysis but does so with a more favorable cost/benefit ratio compared with conventional hemodialysis. As a result of this, there has been a rapid increase in the interest in home hemodialysis (HHD) as HHD represents the easiest means of implementing IHD. While HHD has generated increased interest given its association with better outcomes/reduced hospitalizations, there are very few randomized controlled trials comparing HHD with other hemodialysis methods. Reported HHD-associated increased survival benefits compared with in-center hemodialysis are from uncontrolled studies, which raise patient selection bias as underlying the differences found. Thus, while HHD draws increasing attention, studies that pay careful attention to the psychosocial, demographic, and clinical factors associated with patients selected to undergo HHD will be needed to ultimately demonstrate its benefits, clarify the clinical applications, and determine the limits of IHD use in dialysis patients.


Asunto(s)
Hemodiálisis en el Domicilio/métodos , Fallo Renal Crónico/terapia , Ensayos Clínicos como Asunto , Europa (Continente) , Hemodiálisis en el Domicilio/efectos adversos , Hemodiálisis en el Domicilio/historia , Hemodiálisis en el Domicilio/instrumentación , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Factores Socioeconómicos , Estados Unidos
7.
Bol Asoc Med P R ; 103(3): 63-9, 2011.
Artículo en Español | MEDLINE | ID: mdl-23210337

RESUMEN

The invention of Dr. Willem Kolff revolutionized the treatment of the patients with end-stage renal disease in the sixties. This milestone coincided with the beginning of nephrology as a medical subspecialty. A group of professionals that included physicians, technicians and nurses took the task of initiating the first dialysis programs in the hospitals of Puerto Rico. The Veterans Hospital served as a research and training center during the first years of hemodialysis in the island. This article summarizes the challenges and genuine efforts of the professionals that built the foundation of what we know today as renal replacement therapy.


Asunto(s)
Diálisis Renal/historia , Diálisis Renal/instrumentación , Hemodiálisis en el Domicilio/historia , Historia del Siglo XX , Hospitales de Veteranos , Humanos , Puerto Rico
8.
Nephrol Nurs J ; 36(2): 181-91, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19397174

RESUMEN

Findings of this study of the role and functions of nurses working with renal dialysis and transplant teams between 1915 and 1970 suggest that many of the activities of dialysis and transplant nurses were assistive and technical in nature. However, further analysis of the characteristics of direct nursing care demonstrates that early nephrology nurses incorporated family support, interpersonal communication, and patient teaching as essential components in order to assist patients and their families in coping with the stresses of receiving these new experimental treatments.


Asunto(s)
Fallo Renal Crónico/historia , Trasplante de Riñón/historia , Nefrología/historia , Rol de la Enfermera/historia , Diálisis Renal/historia , Especialidades de Enfermería/historia , Hemodiálisis en el Domicilio/historia , Historia del Siglo XX , Humanos , Educación del Paciente como Asunto/historia , Diálisis Peritoneal/historia
10.
Nephrol Dial Transplant ; 21(12): 3610-1, 2006 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-16877487
12.
Nephrology (Carlton) ; 10(3): 206-14, 2005 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-15958031

RESUMEN

Home haemodialysis was first developed 40 years ago as a means of treating more patients with the limited funds then available. It soon became obvious that the treatment worked well and subsequent studies and experience have confirmed that it improves both mortality and morbidity and provides the best quality of life and other benefits for dialysis patients. The present review describes the history of the development of home haemodialysis in Seattle and elsewhere and the lessons learned about its benefits in the early days, which are just as relevant today. The advantages and disadvantages are discussed, as are the issues of which patients are candidates for this treatment and what is required of a home haemodialysis training and support programme. The decline in use of home haemodialysis in the USA and elsewhere is described and the actions that may already be beginning to reverse this trend. The role of home haemodialysis in giving the opportunity for longer hours of dialysis three times a week or on alternate nights is important. There is discussion of the relationship of home haemodialysis and peritoneal dialysis and its important future role as the means to enable treatment with more frequent short daily and long nightly haemodialysis.


Asunto(s)
Hemodiálisis en el Domicilio/historia , Fallo Renal Crónico/historia , Canadá , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Fallo Renal Crónico/terapia , Estados Unidos
13.
Nephrology (Carlton) ; 10(3): 215-21, 2005 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-15958032

RESUMEN

Australia has had an active and slowly expanding home haemodialysis programme; however, this has failed to expand as rapidly as some other methods of treatment of end-stage kidney disease. The technique in Australia has always been a derivative from overseas experience, rather than innovative. It received some minor initial support from the report issued in 1968 by an ad-hoc Committee of the National Health and Medical Research Council on Rationalization of Facilities for Organ Transplantation and Renal Dialysis, but was ultimately disadvantaged because the report promoted transplantation over dialysis to an extent that proved markedly disproportionate to the number of patients who, in succeeding decades, would need maintenance dialysis treatment rather than transplantation. Nevertheless, each state in Australia established home haemodialysis facilities, but major interstate variations occurred in the uptake of the modality. The subsequent development of continuous ambulatory peritoneal dialysis and limited care dialysis centres appeared to have an important negative impact on home haemodialysis, although the recent introduction of daily dialysis is likely to have a positive influence in the future.


Asunto(s)
Hemodiálisis en el Domicilio/historia , Fallo Renal Crónico/historia , Australia , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Fallo Renal Crónico/terapia
15.
16.
ASAIO J ; 50(4): 291-3, 2004.
Artículo en Inglés | MEDLINE | ID: mdl-15307535

RESUMEN

The official history of the Kuratorium fuer Heimdialyse (KfH) states that it was created in October 1969. Today it is the leading provider of end-stage renal replacement therapy in Germany and responsible for more than 16,000 patients in several hundred centers throughout the Federal Republic of Germany. How KfH was created is curiously omitted from its official web site, and the purpose of this article is to describe how this organization was started in 1969.


Asunto(s)
Hemodiálisis en el Domicilio/historia , Alemania Occidental , Historia del Siglo XX , Humanos
17.
J Nephrol ; 17(2): 316-7, 2004.
Artículo en Inglés | MEDLINE | ID: mdl-15293536
18.
Semin Dial ; 17(4): 321; author reply 321-2, 2004.
Artículo en Inglés | MEDLINE | ID: mdl-15250929
20.
Adv Ren Replace Ther ; 3(2): 124-32, 1996 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-8814918

RESUMEN

Despite that routine home hemodialysis, performed with thrice weekly frequency, had provided the best clinical results of any dialysis modality, it has been losing competition to center hemodialysis and home peritoneal dialysis. The main reason for this paradox is a lack of suitable equipment for home hemodialysis. Contrary to peritoneal dialysis, which is easy to learn and perform without need for a helper, home hemodialysis is difficult because the kidney machines are not designed for home therapy. Daily hemodialysis provides even better results than routine home hemodialysis. Several studies showed excellent intradialytic and interdialytic tolerance. In spite of these results the method is used only in a few centers. There are two major reasons for this incongruity: time requirement for the patient and the cost for the provider. With more frequent dialysis, more time is spent on machine setup, tear down, and cleaning. If supplies are not reused, the cost of dialysis increases substantially with increased frequency of dialysis. Daily home hemodialysis may become practical with a new machine. Three components seem crucial for this device: a built-in water treatment system; a simple, small, positive pressure, single pass, batch dialysate system; and a reusable extracorporeal circuit, automatically cleaned and disinfected daily. Daily home hemodialysis performed with the new artificial kidney system may be considered as a hybrid of hemodialysis and peritoneal dialysis. High efficiency is taken from hemodialysis; simplicity is taken from peritoneal dialysis.


Asunto(s)
Hemodiálisis en el Domicilio/métodos , Diálisis Peritoneal/métodos , Costos y Análisis de Costo , Hemodiálisis en el Domicilio/economía , Hemodiálisis en el Domicilio/historia , Historia del Siglo XX , Diálisis Peritoneal/economía , Diálisis Peritoneal/historia , Factores de Tiempo
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