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"Despite advances in technological aspects of HHD, potential complications still pose a challenge to health care givers" Gupta and Zimmerman (2021).

Abstract:

Home hemodialysis (HHD) has evolved as a preferred and safe kidney replacement modality over the past six decades. Despite advances in technological aspects of HHD, potential complications still pose a challenge to health care givers, patients, and their families. In this narrative review, we describe vascular access and cannulation, anticoagulation, nutritional, residual kidney function, psychosocial, technique failure, and machine/procedural-related complications. Addressing these problems is essential for favorable patient outcomes.

Reference:

Gupta A, Zimmerman D. Complications and challenges of home hemodialysis: A historical review. Semin Dial. 2021 Feb 20. doi: 10.1111/sdi.12960. Epub ahead of print. PMID: 33609415.