Key result
Home hemodialysis was associated with better quality of life and lower mortality risk than hospital hemodialysis across 27 studies, though patients on home hemodialysis are a highly selected group.
Why the study?
Does home hemodialysis improve quality of life and survival in people with end-stage renal failure compared to hospital or satellite unit hemodialysis?
Systematic Review
Does home hemodialysis improve quality of life and survival in people with end-stage renal failure compared to hospital or satellite unit hemodialysis?
Home hemodialysis is associated with improved survival and quality of life compared to hospital hemodialysis, though this may be confounded by patient selection and more frequent dialysis sessions.
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Supports expanded access for eligible patients; leaves open whether benefits persist after selection bias and dialysis frequency.
Mowatt et al. (2004) conducted a systematic review in End-stage renal failure (ESRF). Home hemodialysis vs. Hospital or satellite unit hemodialysis was evaluated on Quality of life and survival. Home hemodialysis was associated with better quality of life and lower mortality risk than hospital hemodialysis across 27 studies, though patients on home hemodialysis are a highly selected group.
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