T/NBPIA 010-2023 Home Hemodialysis Clinical Practice Guidelines

Scope

Main technical content: Uremia is the final outcome of various chronic kidney diseases. Some patients with acute kidney diseases or acute kidney injury cannot fully recover their renal function, directly entering uremia and requiring renal replacement therapy or leaving with chronic kidney disease, which will eventually progress to uremia. Kidney transplantation, hemodialysis, and peritoneal dialysis are successful renal replacement therapies, allowing uremia patients to survive long-term with renal replacement therapy. Due to the shortage of donor kidneys, uremia patients rely on hemodialysis or peritoneal dialysis while waiting for suitable donor kidneys, or rely on hemodialysis or peritoneal dialysis for long-term survival if their condition is unsuitable for kidney transplantation. Peritoneal dialysis is a typical home-based blood purification therapy mode, where patients only regularly visit blood purification rooms or peritoneal dialysis follow-up points at scheduled times to evaluate their condition and adjust their peritoneal dialysis regimen, thus having plenty of free time. However, due to the high technical requirements, most hemodialysis patients worldwide currently receive treatment in blood purification rooms, with only a few patients receiving home-based treatment. Like home-based peritoneal dialysis, home-based hemodialysis patients can enjoy more free time and have a higher social reintegration rate than patients treated in blood purification rooms; large-scale home-based hemodialysis can also significantly save medical resources and human resources; home-based hemodialysis is more conducive to achieving better blood purification modes such as low-efficiency and long-time treatment than treatment in blood purification rooms; during infectious disease outbreaks, home-based treatment can reduce outings and reduce the risk of infection. Currently, there are already a large number of guidelines issued by industry associations for home-based peritoneal d

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