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Titolo | Increasing home based dialysis therapies to tackle dialysis burden around the world: A Position Statement on Dialysis Economics from the 2nd Congress of the International Society for Hemodialysis |
Autore | Philip Kam-Tao LI, Wai Lun CHEUNG, Sing Leung LUI, Christopher BLAGG, Alan CASS, Lai Seong HOOI, Ho Yung LEE, Francesco LOCATELLI, Tao WANG, Chih-Wei YANG, Bernard CANAUD, Yuk Lun CHENG, Hui Lin CHOONG, Angel L De FRANCISCO, Victor GURA, Kazo KAIZU, Peter G KERR, Un I KUOK, Chi Bon LEUNG, Wai-Kei LO, Madhukar MISRA, Cheuk Chun SZETO, Kwok Lung TONG, Kriang TUNGSANGA, Robert WALKER, Andrew Kui-Man WONG, Alex Wai-Yin YU |
Referenza | Nephrology 2010; doi: 10.1111/j.1440.2010.01418 |
Contenuto | Position Statements on tackling the dialysis burden 1-The global increase in end stage renal failure patients poses significant stresses on healthcare systems around the world. 2-The current world wide provision of the majority of renal replacement therapy via in-centre hemodialysis (HD) is costly. The provision of home based therapies, as either Home HD or peritoneal dialysis (PD), is less costly than in-centre HD, in most parts of the world. 3-Home therapies provide a level of empowerment to patients that impact positively on their patient outcome and quality of life. 4-Proactive pre-dialysis patient education on the availability of dialysis modalities including in-centre hemodialysis, home based hemodialysis, and home based peritoneal dialysis programmes (CAPD and Automated PD) should be enhanced in order to improve patient choice regarding their dialysis regimen. 5-The dialysis community should engage with local governments and Health Authorities to discuss the planning and provision of dialysis modalities with a view to providing the most cost effective therapies. 6-Local governments and Health Authorities should actively plan the increase use of home dialysis modalites in order to maximize health care resources for treating end stage renal disease patients. |
Data | 08.11.2010 |
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