Treatment Options

To help physicians provide their patients with flexible treatment options that fit their lifestyles, and to ultimately improve clinical outcomes and quality of life, DaVita offers the following dialysis services.

In-center Dialysis Options

Many patients need, or prefer to receive, in-center dialysis because of the high level of interaction and support they receive from the dialysis team.

Hemodialysis

Hemodialysis is provided three times a week, which gives patients four free days to focus on what's important to them.

Nocturnal Hemodialysis*

Nocturnal hemodialysis is performed overnight, three times per week. The longer, slower treatments are gentler on the body and benefit patients clinically. Patients on nocturnal dialysis can experience increased energy, improved appetite and reduced hospitalizations.1 Receiving treatments during sleep time gives patients the opportunity to work during the day.

Self Care*

Self care is an in-center hemodialysis option for patients who prefer to perform some, but not all, dialysis activities on their own. Many patients transitioning to home hemodialysis start by performing in-center self care. They can choose to practice a variety of activities:

  • Weigh in to monitor fluid levels before and after treatment
  • Wash access site before each treatment
  • Measure vital signs
  • Administer select medications during dialysis
  • Set up dialysis machine
  • Collect lab specimens before and after treatment
  • Self-cannulate

Home Modality Options for Patients

DaVita Kidney Care offers a broad range of modality options to fit dialysis patients' unique health needs, abilities and lifestyles.

Studies show that if faced with end stage renal disease and unable to get a transplant for five years, most nephrologists would choose a home dialysis treatment option for themselves.2 By leveraging the transformative care DaVita offers, you can offer patients the same modality options you would choose for yourself. In addition to enhanced quality of life2,3 and employment flexibility,2 home dialysis patients may also experience several modality-specific benefits.

Potential Peritoneal Dialysis (PD) Benefits

Potential Home Hemodialysis (HHD)2 Benefits

Continuing Education Resources for Physicians

Not all patients are clinically appropriate for each modality. This content is for informational purposes only and is not a substitute for medical advice or treatment. Hyperlinks are being provided as a convenience and for informational purposes only; they do not constitute an endorsement or an approval by DaVita of any of the products, services or opinions contained in third party websites. DaVita is not responsible for the accuracy, legality or content of the external site or for that of subsequent links.


1 Jakubovic BD, Yan AT, Wald R. In-center nocturnal hemodialysis. Seminars in Dialysis. 2014; 27(2);179-187. doi: 10.1111/sdi.12184.
2 Nephrol News Issues, July 2017
3 Merighi, JR et al. Hemodial Int. 2012; 16:242–251.
4 Kumar, VA et al. Kidney Int. 2014 Nov;86(5):1016-22.
5 Weinhandl, E et al. J Am Soc Nephrol. 2012 May;23(5):895-904.
6 Helanterä, I et al. Am J Kidney Dis. 2012;59(5):700-706.
7 He, L et al. Perit Dial Int. 2016 May-Jun; 36(3):334-9.
8 Krediet, RT. Clin J Am Soc Nephrol. 2017 Mar 7;12(3):377-379
9 USRDS 2017 Annual Report.
10 Dalal, P et al. Int J Nephrol. 2011: Article 239515
11 Molnar, MZ et al. Clin J Am Soc Nephrol. 7: 332–341, 2012.
12 Benefits may vary based on frequency of prescribed dialysis treatments, as determined by the physician.
13 Morfin, JA et al. Am J Kidney Dis. 2016 Nov;68(5S1):S43-S50.
14 Copland, M et al. Am J Kidney Dis. 2016 Nov;68(5S1):S24-S32.
15  Hanly, P et al. Nephrol News Issues. 2003 Jun;17(7):19-21.

A Leader in Quality Care

DaVita has outperformed the rest of the industry, with more centers meeting or exceeding quality measures in the Five-Star Quality Rating System.