Journal ArticleDOI
Hemodialysis: Comparison of Treatment in the Medical Center, Community Hospital, and Home
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TLDR
The incidence of complications severe enough to require hospital admission was highest in patients at community hospitals and lowest in the group treated at home, and this report compares costs, medical and vocational rehabilitation, and incidence of complication in the three groups.Abstract:
During the past 51/2 years, several approaches have been used at the Mayo Clinic to provide treatment for patients with terminal uremia. Of 43 patients treated with hemodialysis for more than two months, 22 were treated in our medical center; 7, in community hospitals; and 16, at home (2 were treated in the medical center and at home). This report compares costs, medical and vocational rehabilitation, and incidence of complications in the three groups. The incidence of complications severe enough to require hospital admission was highest in patients at community hospitals and lowest in the group treated at home.read more
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Journal ArticleDOI
Analysis and outcome of 1063 patients trained for home hemodialysis
TL;DR: These survival results are comparable with those reported for other modes of dialysis and transplantation and indicate that home dialysis is an acceptable form of therapy for a variety of patients.
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Survival and rehabilitation of patients on home hemodialysis. Five years' experience.
TL;DR: In this article, the survival and rehabilitation of home hemodialysis patients was studied. But, despite the wide acceptance of home dialysis as an effective therapeutic modality, there is little information about the survival of substantial numbers of patients undergoing this treatment.
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Predicting emotional adjustment in home dialysis patients and their relatives.
TL;DR: It is suggested that in selecting patients for inclusion in a home dialysis training program, in many cases the program will have to make a decision about which is more valued; ‘quantity’ of life (sheer length of physical survival), or ‘quality of life’ (emotional adjustment while alive).
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Transplantation and home hemodialysis: their cost-effectiveness.
TL;DR: It is suggested that transplantation is the most cost-effective way to treat end stage renal failure, at least for the subgroup of patients equally eligible for either transplantation or home dialysis.
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Effects of dialysate calcium and fluoride on bone disease during regular hemodialysis
TL;DR: Bone biopsy specimens from the iliac crest were studied at the beginning and end of 2 to 9 months treatment using dialysate with low calcium concentrations in 7 patients and high concentrations in 5 additional patients to assess any effect of long-term treatment with high fluoride Dialysate.