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Home hemodialysis

When patients feel better they live better

  • Individualize treatment to the time and place that matches patients’ lifestyle
  • Opportunity to travel with own device
  • Simple installation

Why home hemodialysis (Home HD)?

Home HD is a home-based and therefore a flexible treatment option. Some studies demonstrate that Home HD can provide enhancements in aspects of quality of life5 and medical benefits to patients*:

  • Employment1
  • Reduced medication4
  • Feeling of freedom, flexibility, control2,7
  • Improved blood pressure control1,3,6,**
  • Maintenance of social relationships2
  • Improved phosphate removal4,**

Treatment options

Frequency and duration matter

More frequent and/or long duration hemodialysis has been shown to improve clinical outcomes.

More frequent home hemodialysis

Home hemodialysis enables more frequent treatment, for example short daily hemodialysis, which often refers to dialysis treatments at 5-6 times a week. Dialyzing more frequently is associated with improved outcomes for patients including but not limited to improved blood pressure control3, reduced post-dialytic recovery time8 and enhanced well-being.2,8

Frequent dialysis at home supports the individualization of treatment to a patient’s own medical and lifestyle needs. Patients have greater control over when and how long they dialyze.

Nocturnal home hemodialysis

Home nocturnal hemodialysis is performed overnight while the patient and care partner are sleeping. It can be a slower and longer treatment that more closely resembles healthy kidney function, which may be gentler on the heart compared to standard three-times weekly dialysis.1

Nocturnal hemodialysis is associated with improved phosphorus and ß2-m clearance, which could result in a more liberal diet.1

In addition, patients are able to have more time during the day for work, childcare, and travel. Nocturnal HHD may also relieve scheduling concerns for care partners.

Introducing System OneTM, ***

A device made for home patients

Cartridge

  • The easy-to-use drop-in cartridge allows for easy set-up and wipe-down after treatments
     

System One™ Cycler

  • This is the heart of the system that contains the fluid pumps and system controls
  • Simple interface to understand and use
  • Its portability gives patients the freedom to dialyse in any room of their home.
     

PureFlow™ SL

  • Creates dialysate using a combination of purified water and concentrated dialysate

Home useage of the 5008S CorDiax

The 5008S CorDiax and AquaC Uno H are an alternative possibility to deliver Home HD and will continue to be supported by Fresenius Medical Care.

Related content

Which therapy option is right for me?

Find out more about home hemodialysis.

System One Website

Find out more

* Some benefits only with more frequent and/or long session dialysis, benefits may vary from patient to patient
** Compared to 3x/week dialysis at 4-5 hour sessions
*** ”System One” is protected as a word mark in several countries

1. Pierratos A. et al. Nocturnal Hemodialysis: three-year experience. J Am Soc Nephrol 9: 859-868, 1998

2. Walker R. et al. Home hemodialysis: a comprehensive review of patient-centered and economic considerations. ClinicoEconomics and Outcomes Research 9: 149-161, 2017

3. Fagugli R. et al. Short daily hemodialysis: Blood pressure control and left ventricular mass reduction in hypertensive hemodialysis patients. Am J Kidney Dis 38: 371-376, 2001

4. Mucsi I. et al. Control of serum phosphate without any phosphate binders in patients treated with nocturnal hemodialysis. Kidney Int 53: 1399-1404, 1998

5. Finkelstein F. et al. At-home short daily hemodialysis improves the long-term health-related quality of life. Kidney Int 82, 561-569, 2012

6. Palmer S. et al. Home versus in-center haemodialysis for end-stage kidney disease (Review). Cochrane Database of Systematic Reviews, Issue 11, 2014

7. Walker R. et al. Patient and Caregiver Perspectives on Home Hemodialysis: A Systematic Review. Am J Kidney Dis 65: 451-463, 2015

8. Jaber B. et al. Effect of daily hemodialysis on depressive symptoms and postdialysis recovery time: interim report from the FREEDOM (Following Rehabilitation, Economics and Everyday-Dialysis Outcome Measurements) Study. Am J Kidney Dis 56(3): 531-539, 2010