Abstract
Uraemia therapy has been remarkably successful in forestalling otherwise certain death for approximately a quarter of a million patients throughout the world whose kidneys have failed. Whereas in 1960 the only available treatment for renal failure was institutionally based maintenance haemodialysis (except for those rare patients with a monozygotic twin willing to serve as a kidney donor), in 1983, patient and physician may select from a potentially confusing ‘menu’ of options (figure 1). Of these, home haemodialysis and live donor kidney transplantation have been generally regarded as optimal therapies. Home haemodialysis, despite its established advantages, however, is declining in popularity. The reasons for this deselection are many and form the substance of the present study.
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References
Blagg, C.R., Anderson, M., Shaddle, C., Bilden, G. and Beer, S. (1973). Rehabilitation of patients treated by dailysis or transplantation. Proc.clin.Dialysis Transplant Forum, 3, 181–183.
Blagg, C.R. and Scribner, B.H. (1980). Medicare end stage renal disease program: more than a billion dollar question. Ann.intern.Med., 93, 501–502.
Brynger, H., Brunner, F.R., Chantler, C., Donkerwolcke, R.A., Jacobs, C., Kramer, P., Selwood, N.H. and Wing, A.J. (1980). Combined report on regular dialysis and transplantation in Europe X, 1979. Proc.Eur.Dialysis Transplant.Ass., 17, 2–86.
Cestero, R.V.M., Jacobs, M.O. and Freeman, R.R. (1980). A regional end stage renal program: twelve years experience. Ann.intern. Med., 93, 494–498.
Delano, B.G., Feinroth, M.V., Feinroth, M. and Friedman, E.A. (1981). Home and medical center hemodialysis. Dollar comparison and payback period. J.Am.med.Ass., 246, 230–232.
Friedman, E.A. and Delano, B.G. (1981). Can the world afford uremia therapy? Proc.8th Int.Cong.Nephrol., Karger, Athens, pp.577–583.
Friedman, E.A., Hutchisson, J.T. and Galonsky, R.S. (1983). The portable attache case kidney machine. Contemp.Dialysis, 4, 13–32.
Gutman, R.A. (1983). Characteristics of long term (14 years) survivors of maintenance dialysis. Nephron, 33, 111–115.
Gutman, R.A., Stead, M.D. and Robinson, R.R. (1981). Physical activity and employment status of patients on maintenance dialysis. New.Engl.J.Med., 304, 309–313.
Jacobs, C., Broyer, M., Brunner, F.P., Brynger, H., Donckerwolcke, R.A., Kramer, P., Selwood, N.H., Wing, A.J. and Blake, P.H. (1981). Combined report of regular dialysis and transplantation in Europe XI 1980. Proc.Eur.Dialysis Transplant.Ass., 18, 4–58.
Khanna, R., Oreopoulos, D.G. and Dombros, N. (1981). CAPD after three years: still a promising therapy. Peritoneal Dialysis Bull., 1, 24–34.
Kolata, G.B. (1980). Dialysis after nearly a decade. Science, 208, 473–476.
Kramer, P., Broyer, M., Brunner, F.P., Brynger, H., Donckerwolcke, R.A., Jacobs, C., Selwood, N.H. and Wing, A.J. (1982). Combined report on regular dialysis and transplantation in Europe, XII, 1981. Part 1: Statistical Reports. Proc.Eur. Dialysis Transplant.Ass., 19, 4–91.
Kries, H. (1978). Selection of hemodialysis versus cadaveric transplantation. Kidney int., 8, S91.
Mion, C. (1981). A review of 7 years home peritoneal dialysis. Proc.Eur.Dialysis Transplant.Ass., 18, 91–107.
Moorhead, J.F., Baillod, R.A., Hopewell, J.P., Knight, A.H., Crockett, R.E., Fernando, O.W. and Varghese, Z. (1970). Survival rates of patients treated by home and hospital hemodialysis and cadaveric renal transplantation. Br.med.J., 4, 83–85.
Naish, P. (1979). Dialysis and transplantation and the quality of life. Br.med.J., 1, 122–123.
Nolph, K.D., Boen, S.T., Farrell, P.C. and Pyle, K.W. (1983). CAPD in Australia, Europe and the United States: 1981. Kidney int., 23, 3–8.
Oreopoulos, D.G. (1982). Should we let them die? The moral dilemmas of economic restraints on life support treatment. Peritoneal Dialysis Bull., 2, 1–3.
Porter, G.A. (1983). ESRD and pro-competition health care delivery. Am.J.Kidney Dis., 2, 397–398.
Roberts, S.D., Maxwell, D.R., Gross, T.L. (1980). Cost effective care of end-stage renal disease. A billion dollar question. Ann.intern.Med., 92, 243–248.
Rubin, J., Barnes, T., Burn, P., Ray, R., Teal, N., Nellems, E. and Bower, J. (1983). Comparison of home hemodialysis to continuous ambulatory peritoneal dialysis. Kidney int., 23, 51–56.
Slingeneyer, A., Mion, C., Mourad, G., Canaud, B., Faller, B. and Beraud, J.J. (1983). Progressive sclerosing peritonitis: a late and severe complication of maintenance peritoneal dialysis. Trans.Am.Soc.artif.Organs, 29, 633–638.
U.S. Dept. of Health and Human Services HCFA (1981). ESRD program medical information system. Facility survey tables 1981, Bureau of Support Services.
U.S. National Institutes of Health CAPD Patient Registry (1982). Jul 1, 1981-Dec 31, 1981. Jan 4, 1982. NO1-AM-9–2208.
Wing, A.J., Brunner, F.R., Burck, H.C., Gurland, H.J., Parsons, F.M. and Scharer, K. (1975). Dialysis and transplantation in Europe. Clin.Nephrol., 3, 123–128.
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© 1984 Bioengineering Unit, University of Strathclyde
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Delano, B.G., Friedman, E.A. (1984). Declining Utility Of Home Haemodialysis For Uraemia. In: Paul, J.P., Gaylor, J.D.S., Courtney, J.M., Gilchrist, T. (eds) Biomaterials in Artificial Organs. Strathclyde Bioengineering Seminars. Palgrave Macmillan, London. https://doi.org/10.1007/978-1-349-07283-5_7
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