17 November, 6:00 pm CET The KDIGO consensus conference reaffirmed the need for advocacy efforts to ensure equitable access to home dialysis for all individuals in need of kidney replacement therapy. There is no one-size-fits-all model for promoting and delivering home dialysis. Effective approaches are multi-pronged, engage multiple stakeholders, and take account of local circumstances. Clinical studies comparing modalities are limited in their generalizability; however, existing evidence suggests in-center dialysis, PD, and home HD are sufficiently similar in clinical outcomes to support personalized and individual choice among these options.
Learning objectives: • Understand the factors influencing the uptake of home dialysis at a policy, financial, facility-based and personal level • Explore barriers to the uptake of home dialysis and strategies to overcome them • Discuss the central role of education for patients, carers and health care professionals to facilitate shared decision-making in dialysis morality selection and increase opportunities for home dialysis use
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