> Patients And Caregivers > Therapies > Renal > Home Dialysis

Dialysis Treatment Options

Attributes of Treatment	Types of Treatment
	PD		Home Hemodialysis*			In Center Hemodialysis
	APD	CAPD	Nocturnal	Short Daily	Conventional	In Center Hemodialysis
Clinical
Has survival outcomes closer to that of kidney transplant¹			√	√
Has less fatigue with fewer energy peaks and valleys^2,§	√	√	√	√
May improve heart structure and function^3,4,5	√	√	√	√
Requires fewer phosphate lowering medications^3,4,§	√	√	√	√
Requires fewer blood pressure lowering medications^3,4			√	√
Has less limitations on fluid intake6			√	√
Has less limitations on diet⁶			√
Can provide continuous therapy	√	√
Has nurses and technicians present in case of emergency						√
May lead to weight gain or larger waistline	√	√
Requires permanent vascular access typically in the arm			√	√	√	√
Requires permanent catheter typically in the abdomen	√	√
Runs some risk of infection	√	√	√	√	√	√
Lifestyle
Requires less frequent visit to the clinic	√	√	√	√	√
Can travel with dialysis equipment (portable equipment)	√	√	√	√	√
More able to keep regular work schedule while on therapy	√	√	√	√	√
Allows patients to be involved in own care	√	√	√	√	√	√
Can regularly have each daytime free	√		√
Can do nocturnal therapy at home	√		√
Can regularly have at least a day off per week			√		√	√
Has nurses and technicians performing treatment						√
Allows regular contact with other dialysis patients						√
Requires clinic visits three times a week on fixed schedule						√
Allows dialysis in the privacy of own home	√	√	√	√	√
May require partner to help set up treatment	√	√	√	√	√
May require home modification (electrical, plumbing)			√	√	√
Requires training on how to perform dialysis treatment	√	√	√	√	√
Requires device at home, and storage space for supplies	√	√	√	√	√

PD - Peritoneal Dialysis APD - Automated Peritoneal Dialysis CAPD - Continuous Ambulatory Peritoneal Dialysis

*Nocturnal and Short Daily treatments can also be done in-center; however this is not commonly practiced at dialysis clinics

^{1 Gill JS, Rose CL, Asad RA, et al. Surviving among nocturnal home hemodialysis patients compared to kidney transplant recipients. Nephrol Dial Transplant. 2009 Sep; 24(9):2915-9. Epub 2009 Jul 7.}
^{2 Heidenheim AP, Muirhead N, Moist L, et al. Patient quality of life on quotidian hemodialysis. Am J Kidney Dis. 2003 Jul; 42(1 Suppl):36-41.}
^{3 Culleton BF, Walsh M, Klarenbach SW, et al. Effect of frequent nocturnal hemodialysis versus conventional hemodialysis on left ventricular mass and quality of life: a randomized controlled trial. JAMA. 2007; 298:1291-1299.}
^{4 Ayus JC, Mizani MR, Achinger SG, et al. Effects of short-daily versus conventional hemodialysis on left ventricular hypertrophy and inflammatory markers: a prospective controlled study. JASN. 2005; 16:2778-2788.}
^{5 Hiroaki Lo, Yuuki Ro, Yoshimi Sekiguchi et al. Cardiac structure and function in longitudinal analysis of echocardiography in peritoneal dialysis patients. Perit Dial Int. 2010; 30 (3):353-361.}
^{6 Schorr M, Manns BJ, Culleton B, et al. The effect of nocturnal and conventional hemodialysis on markers of nutritional status: Results from a randomized trial. J Ren Nutr. 2010 Jul 20. [E-pub ahead of print].}
^{§ Observational/intuitive for Peritoneal Dialysis based on its attribute as a continuous therapy}