Home Dialysis for Kidney Disease Patients Alexandria VA

People with kidney disease may do just as well receiving treatment at home as undergoing a kidney transplant from a deceased donor, new research has found. Researchers in Canada performed a 12-year follow-up study of 1,239 patients who had either received a kidney transplant from a deceased donor or who received night home hemodialysis.

Mechanicsville Dialysis Center
(804) 569-6083
8400 Northrun Medical Drive
Mechanicsville, VA
Treatment Offered
CAPD,CCPD/APD

Renal CarePartners Arlington/Alexandria
(703) 892-0250
2445 Army Navy Dr Suite 200
Arlington, VA
Treatment Offered
CAPD,CCPD/APD

Fresenius Medical Care (FMC) - Southeast Washington
(866) 434-2597
1350 Southern Ave SE
Washington, DC
Treatment Offered
Nocturnal Home Hemo

DaVita - N Street
(800) 244-0582
1920 N Street
Washington, DC
Treatment Offered
CAPD,CCPD/APD

Fresenius Medical Care (FMC) - Dupont Circle Dialysis
(866) 434-2597
11 Dupont Cir NW Ste L1-100
Washington, DC
Treatment Offered
Nocturnal Home Hemo

Inova Fairfax Hospital for Children
(703) 970-2600 x 4
Pediatric Kidney Center 8505 Arlington Boulevard #100
Fairfax, VA
Treatment Offered
CAPD,CCPD/APD

FMCNA - Ft. Belvoir
(703) 360-4552
8796 P Sacramento Drive
Alexandria, VA
Treatment Offered
CAPD,CCPD/APD

DaVita - Georgetown at Home
(202) 333-5211
3223 K Street NW Suite 110
Washington, DC
Treatment Offered
CAPD,CCPD/APD,Conventional Home Hemo,Daily Home Hemo,Nocturnal Home Hemo

DaVita - K Street Dialysis
(202) 223-8453
2131 K St NW
Washington, DC
Treatment Offered
CAPD,CCPD/APD,In-center Nocturnal Hemo

DaVita Dialysis - Union Plaza
(800) 244-0582
810 1st Street NE
Washington, DC
Treatment Offered
CAPD,CCPD/APD

Home Dialysis for Kidney Disease Patients

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THURSDAY, Aug. 27 (HealthDay News) -- People with kidney disease may do just as well receiving treatment at home as undergoing a kidney transplant from a deceased donor, new research has found.

Researchers in Canada performed a 12-year follow-up study of 1,239 patients who had either received a kidney transplant from a deceased donor or who received night home hemodialysis.

The study found that patients who received the home treatment had survival rates similar to those who had transplants.

In night home hemodialysis, patients' blood is cleared of toxins that would normally be removed by the kidneys during sleep. Treatments last six-to-eight hours, longer than in a conventional dialysis center, up to seven nights a week.

Survival rates for those who received a transplant from a living kidney donor was better than for both the home dialysis and deceased donor recipients, according to the study published in the September issue of Nephrology Dialysis Transplantation.

Night home hemodialysis may be a "bridge to transplant" or a "suitable alternative" to transplant if a patient is at too high of a risk for a transplant or unable to find a suitable donor due to ongoing organ shortages, the study authors noted in a news release from University Health Network.

"This study allows me to actually answer what my patients have been asking me for over a decade: 'What does night home hemodialysis mean for my life span?' I can now tell them that this specific dialysis option is as good as getting a transplant from a deceased donor," Dr. Christopher Chan, medical director of home hemodialysis at Toronto General Hospital and an associate professor at University of Toronto, stated in the news release.

In the study, the researchers took into account age, race, diabetic status and duration of treatment with conventional in-center dialysis using data from the U.S. Renal Data System.

Over the course of 12 years, 14.7 percent of night home hemodialysis patients died, compared with 14.3 percent for patients with transplants from deceased donors and 8.5 percent for patients who'd received living donor transplants, the study found.

While previous research has shown that patients who received transplants have better survival rates than those on dialysis, these findings show that the long, frequent dialysis provided by nocturnal treatments may have an advantage over conventional dialysis, Chan said.

After trying conventional dialysis, Florence Tewogbade, 27, switched to home hemodialysis in April 2008. "It has changed my life," Tewogbade said in the news release. "I can now work, go to school, look forward to a future and be self-reliant."

Canada has among the lowest organ donation rates of any developed nation, according to the study. Of the 4,195 Canadians on a waiting list for a transplant, 71 percent needed a kidney.

About 2 percent of people on the waiting list die while waiting for a donor, according to the study.

More information

The U.S. National Kidney Foundation has more on night home hemodialysis.

SOURCE: University Health Network, news release, Aug. 20, 2009

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