What are clinical benefits of home hemodialysis?
There are randomized and nonrandomized trials that have shown several benefits to more frequent hemodialysis.
Daily hemodialysis has been shown to improve cardiovascular parameters such as a reduction in left ventricular (LV) mass, a decrease in systolic blood pressure, and mean arterial pressure.
Other surrogate markers of clinical improvement attributed to daily hemodialysis include a reduction in antihypertensive medication use, improved adequacy of dialysis, improved serum phosphate control, and improved quality of life.
Some key limitations to these studies deal with the selection bias of home dialysis patients.
Patients performing their own dialysis treatments at home tend to have greater social support, financial resources, greater health literacy, motivation, and might be overall healthier than their in-center dialysis counterparts.