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MINERVA UROLOGICA E NEFROLOGICA

A Journal on Nephrology and Urology


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Minerva Urologica e Nefrologica 2010 March;62(1):103-10

language: English

Nocturnal home hemodialysis: implementation, quality assurance and future challenges

Rioux J.-P., Faratro R., Chan C. T.

Division of Nephrology, Department of Medicine, University Health Network, Toronto, ON, Canada


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Nocturnal home hemodialysis (NHHD) has been associated with several clinical benefits compared to conventional thrice-weekly in-center hemodialysis. However, the prevalence of NHHD remains low. To date, few studies have focused on the importance of training and education of a complex medical procedure such as NHHD. In the present review, we will describe guidelines for implementation of a NHHD program by focusing on 1) patients’ selection, assessment and training; 2) challenges of adult education; 3) prescription and 4) barriers to adoption of home hemodialysis. Future challenges in research, the importance of quality assurance and innovations in clinical care delivery in NHHD will also be discussed.

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christopher.chan@uhn.on.ca