Dialysis Treatment Options

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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 Dialysis Options*

Eligible patients may experience clinical and quality-of-life improvements on home dialysis, including:

  • Longer retention of residual renal function2 (an important predictor of survival on dialysis)
  • Improved peritonitis and bacteremia rates3
  • Survival advantage during early years of treatment4
  • Greater independence and freedom
  • More flexible diet
  • No needle for treatments (PD; see below)

Home dialysis patients are required to attend monthly multidisciplinary patient care meetings at the dialysis center. They also have 24-hour phone access to nurse and biomed support.

Peritoneal Dialysis

Patients who start on peritoneal dialysis (PD) retain a greater amount of residual renal function than patients who start on in-center hemodialysis5. This is because with daily dialysis, PD more closely mimics the kidneys’ natural function. Many patients perform PD at home or at work without assistance.

Home Hemodialysis

Home hemodialysis is typically performed five or six days per week, which helps avoid the peaks and troughs from in-center hemodialysis, which usually takes place only three times per week. Patients may more easily adjust to salt and fluid intake, as well as enjoy a more flexible diet.

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*Available in select locations nationwide.

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 Bargman JM, Thorpe KE, Churchill DN. Relative contribution of residual renal function and peritoneal clearance to adequacy of dialysis: A reanalysis of the CANUSA study. J Am Soc Nephrol. 2001;12: 2158-2162.
3 Williams VR, Quinn R, Callery S, Kiss A, Oliver MJ. The impact of treatment modality on infection-related hospitalization rates in peritoneal dialysis and hemodialysis patients. Perit Dial Int. 2011; 31(4):440-9.
4 Chaudhary K, Sangha H, Khanna R. Peritoneal dialysis first: rationale. Clin J Am Soc Nephrol. 2011; 6(2):447-56.
5 Bargman JM, Thorpe KE, Churchill DN. Relative contribution of residual renal function and peritoneal clearance to adequacy of dialysis: A reanalysis of the CANUSA study. J Am Soc Nephrol. 2001;12: 2158-2162.

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