International Home Dialysis Consortium: Declaration Advocating for the Promotion of Home Dialysis Globally
The use of home dialysis (peritoneal dialysis [PD] and home hemodialysis [HHD]) is variable in high-income countries despite its known lifestyle benefits and lower costs, and is unavailable or underused in many lower-income countries, where PD could increase access to dialysis. The International Hom...
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| Published in | Kidney international reports Vol. 10; no. 6; pp. 1633 - 1642 |
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| Main Authors | , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
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United States
Elsevier Inc
01.06.2025
Elsevier |
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| Abstract | The use of home dialysis (peritoneal dialysis [PD] and home hemodialysis [HHD]) is variable in high-income countries despite its known lifestyle benefits and lower costs, and is unavailable or underused in many lower-income countries, where PD could increase access to dialysis. The International Home Dialysis Consortium (IHDC) is a joint project of the ISN and the International Society for Peritoneal Dialysis (ISPD). The consortium has been established to address the challenges and barriers to and improve the adoption of home dialysis globally. A launch meeting was held at the World Congress of Nephrology 2024 in Buenos Aires, Argentina, focusing on 4 areas—empowering people needing dialysis, nephrology workforce education, developing workforce and resources, and integrating care and payment policies. The key statements from each group were then amalgamated to produce a manifesto that advocates for the global promotion of home dialysis (PD and HHD) to enhance patient experience, quality, and equity in kidney failure care. This manifesto will be presented to professional kidney-related societies (medical, nursing, patients, and technical) to adopt the declaration as a practical roadmap to increase home dialysis awareness and, consequently, modality selection. |
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| AbstractList | The use of home dialysis (peritoneal dialysis [PD] and home hemodialysis [HHD]) is variable in high-income countries despite its known lifestyle benefits and lower costs, and is unavailable or underused in many lower-income countries, where PD could increase access to dialysis. The International Home Dialysis Consortium (IHDC) is a joint project of the ISN and the International Society for Peritoneal Dialysis (ISPD). The consortium has been established to address the challenges and barriers to and improve the adoption of home dialysis globally. A launch meeting was held at the World Congress of Nephrology 2024 in Buenos Aires, Argentina, focusing on 4 areas—empowering people needing dialysis, nephrology workforce education, developing workforce and resources, and integrating care and payment policies. The key statements from each group were then amalgamated to produce a manifesto that advocates for the global promotion of home dialysis (PD and HHD) to enhance patient experience, quality, and equity in kidney failure care. This manifesto will be presented to professional kidney-related societies (medical, nursing, patients, and technical) to adopt the declaration as a practical roadmap to increase home dialysis awareness and, consequently, modality selection. The use of home dialysis (peritoneal dialysis [PD] and home hemodialysis [HHD]) is variable in high-income countries despite its known lifestyle benefits and lower costs, and is unavailable or underused in many lower-income countries, where PD could increase access to dialysis. The International Home Dialysis Consortium (IHDC) is a joint project of the ISN and the International Society for Peritoneal Dialysis (ISPD). The consortium has been established to address the challenges and barriers to and improve the adoption of home dialysis globally. A launch meeting was held at the World Congress of Nephrology 2024 in Buenos Aires, Argentina, focusing on 4 areas-empowering people needing dialysis, nephrology workforce education, developing workforce and resources, and integrating care and payment policies. The key statements from each group were then amalgamated to produce a manifesto that advocates for the global promotion of home dialysis (PD and HHD) to enhance patient experience, quality, and equity in kidney failure care. This manifesto will be presented to professional kidney-related societies (medical, nursing, patients, and technical) to adopt the declaration as a practical roadmap to increase home dialysis awareness and, consequently, modality selection.The use of home dialysis (peritoneal dialysis [PD] and home hemodialysis [HHD]) is variable in high-income countries despite its known lifestyle benefits and lower costs, and is unavailable or underused in many lower-income countries, where PD could increase access to dialysis. The International Home Dialysis Consortium (IHDC) is a joint project of the ISN and the International Society for Peritoneal Dialysis (ISPD). The consortium has been established to address the challenges and barriers to and improve the adoption of home dialysis globally. A launch meeting was held at the World Congress of Nephrology 2024 in Buenos Aires, Argentina, focusing on 4 areas-empowering people needing dialysis, nephrology workforce education, developing workforce and resources, and integrating care and payment policies. The key statements from each group were then amalgamated to produce a manifesto that advocates for the global promotion of home dialysis (PD and HHD) to enhance patient experience, quality, and equity in kidney failure care. This manifesto will be presented to professional kidney-related societies (medical, nursing, patients, and technical) to adopt the declaration as a practical roadmap to increase home dialysis awareness and, consequently, modality selection. |
| Author | Schmitt, Claus Peter Niang, Abdou Rutherford, Peter Figueirido, Ana Bavanandan, Sunita Tang, Sydney C.W. Madero, Magdalena Jha, Vivekanand Schiller, Brigitte Saxena, Anjali Chan, Christopher T. Brown, Edwina A. Mitra, Sandip Tchokhonelidze, Irma Davies, Simon Liew, Adrian Mehrotra, Rajnish |
| Author_xml | – sequence: 1 givenname: Edwina A. orcidid: 0000-0002-4453-6486 surname: Brown fullname: Brown, Edwina A. email: e.a.brown@imperial.ac.uk organization: Renal Department, Imperial College Healthcare NHS Trust, London, UK – sequence: 2 givenname: Vivekanand orcidid: 0000-0002-8015-9470 surname: Jha fullname: Jha, Vivekanand organization: George Institute for Global Health India, New Delhi, India – sequence: 3 givenname: Sunita orcidid: 0000-0001-5521-6480 surname: Bavanandan fullname: Bavanandan, Sunita organization: Department of Nephrology, Hospital Kuala Lumpur, Malaysia – sequence: 4 givenname: Christopher T. surname: Chan fullname: Chan, Christopher T. organization: Division of Nephrology, University Health Network, University of Toronto, Toronto, Ontario, Canada – sequence: 5 givenname: Simon surname: Davies fullname: Davies, Simon organization: Faculty of Medicine and Health Sciences, School of Medicine, Keele University, UK – sequence: 6 givenname: Ana surname: Figueirido fullname: Figueirido, Ana organization: School of Health and Life Sciences, ECSV, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil – sequence: 7 givenname: Adrian surname: Liew fullname: Liew, Adrian organization: Mount Elizabeth Novena Hospital, Singapore – sequence: 8 givenname: Magdalena surname: Madero fullname: Madero, Magdalena organization: Nephrology Division, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico – sequence: 9 givenname: Abdou surname: Niang fullname: Niang, Abdou organization: Cheikh Anta Diop University, Dakar, Senegal – sequence: 10 givenname: Rajnish surname: Mehrotra fullname: Mehrotra, Rajnish organization: Division of Nephrology, Kidney Research Institute, Department of Medicine, University of Washington, Seattle, Washington, USA – sequence: 11 givenname: Sandip surname: Mitra fullname: Mitra, Sandip organization: Manchester Academy of Health Sciences Center, University of Manchester, Manchester University Hospitals, Manchester, UK – sequence: 12 givenname: Peter surname: Rutherford fullname: Rutherford, Peter organization: Global Medical Affairs, Vantive Healthcare, Zurich, Switzerland – sequence: 13 givenname: Anjali surname: Saxena fullname: Saxena, Anjali organization: Division of Nephrology, Stanford University, Stanford, California, USA – sequence: 14 givenname: Brigitte surname: Schiller fullname: Schiller, Brigitte organization: Global Medical Office, Fresenius Medical Care, Waltham, Massachusetts, USA – sequence: 15 givenname: Claus Peter surname: Schmitt fullname: Schmitt, Claus Peter organization: Medical Faculty Heidelberg, University of Heidelberg, Center for Pediatric and Adolescent Medicine, Clinic 1, Pediatric Nephrology, Heidelberg, Germany – sequence: 16 givenname: Sydney C.W. surname: Tang fullname: Tang, Sydney C.W. organization: Division of Nephrology, Department of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong, China – sequence: 17 givenname: Irma surname: Tchokhonelidze fullname: Tchokhonelidze, Irma organization: Nephrology Department, Tbilisi State Medical University, Tbilisi, Georgia |
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