|WikiProject Medicine / Nephrology||(Rated B-class, Mid-importance)|
I'd like to propose the following changes. In the "Disadvantages of nocturnal home hemodialysis" section. Adding one word to the first bullet. "Training is usually done during business hours, as often as five times a week. Training can take from 2 to 8 weeks at which time one is dialyzed incenter, often in a separate home hemodialysis training unit."
Also, under the "Equipment" section. I would like to change the first sentence to read "Currently, three hemodialysis machines are used for home hemodialysis in the United States.
This page is obviously a labour of love, but I've made a few changes, as I think that the general slant of the piece is very positive about home hemo, whilst not really addressing the reason why it plays such a small role in the provision of RRT to the ESRF population, namely that the patients need to be alert and better physical condition than those on unit hemo-ie those that should be transplanted- and transplantation is cheaper and better. I also changed alot of the abbreviations to make the section detailing the differences in the schedules easier to read, and changed a few of the lines in the advantages section, as well as removing the line about it improving fertility-births on hemo are rare but well documented, so a case report doesn't demonstrate improved fertility, and 've seen no trials. I hope it reads a little better now, what do you reckon?Felix-felix 18:40, 13 August 2006 (UTC)
Remove Clinics Section?
I am thinking of removing it, I'm not sure that it adds anything. Generally you work with your nephrologist or clinic to set up an at home site, its something almost all of them would consider, its just so few people qualify the list of places doing it is small, this list of places is not going to ever be complete or up to date. --Theblog 00:05, 9 February 2007 (UTC)
A self-cannulation section?
One of the barriers to home hemodialysis is self cannulation or cannulation by ones helper (usually a spouse or other relative). This barrier can be overcome. One helpful approach is to use the buttonhole method - here is my own video showing how I do it 4.5 minute google video there are other good citations cannulation camp from a renal network could be the basis for some guidance. Should there be a separate article on hemodialysis cannulation since self-cannulation is also a good strategy incenter. BillpSea 04:34, 27 September 2007 (UTC)
- Personally, I don't have an objection but you ought to keep in mind Wikipedia is not a how-to-guide or manual-- see WP:NOT. The fact that self-cannulation is a barrier is ref'ed (ref #17 --> PMID 12552500). If you have better ref or a study that objectively looks at the issue feel free to expand on what is in the article-- just remember the audience and what WP is not. Nephron T|C 07:18, 27 September 2007 (UTC)
Short Daily gaining in popularity
"Most of this article focuses on nocturnal dialysis, as it has become the most popular type of HHD." I'm not sure this true in the United States any longer. NxStage financial reports stated they have over 1,600 people on the System One on 6/30/07, the vast majority of these dialyzors are using short daily HD - 5 to 7 days/week; 2 - 4 hours. The issue is about to get further complicated because I will start doing nocturnal treatments on Friday and Saturday nights and short daily during the week. Professor Agar has stated on Home Dialysis Central forums that he thinks a mixed schedule may prove to be best. Cheers,BillpSea 16:38, 27 September 2007 (UTC)
I think the equipment section is incorrect. I believe the Baby K is no longer being marketed because their was a problem with FMC's FDA paperwork, I will try to find a citation. In addition I think the B Braun Dialog is approved for home use, again I'll look for citation.BillpSea (talk) 05:03, 27 December 2007 (UTC)
Most of the article deals with a US perspective on this. The US content about Medicare funding changes etc. is all useful, but could be moved to a US section, and additional sections could then be added for other countries. Dai Pritchard (talk) 22:14, 18 October 2014 (UTC)
Scope, title change?
I believe that the title needs to change from Home hemodialysis to Home dialysis - this would allow the inclusion ambulatory peritoneal dialysis, which, while being very different technically, has many of the same issues. Any good reason why not? - Snori (talk) 09:08, 12 September 2017 (UTC)