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July 1, 2026Nefrología (English Edition)Open Access

In a national survey of 39 Spanish centers, 26% of 311 home hemodialysis patients received assisted home hemodialysis, primarily due to reduced mobility, fear, and cognitive impairment.

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Population

39 home hemodialysis centers in Spain reporting on 311 prevalent patients on home hemodialysis

Design

Cross-sectional

Key result

In a national survey of 39 Spanish centers, 26% of 311 home hemodialysis patients received assisted home hemodialysis, primarily due to reduced mobility, fear, and cognitive impairment.

Authors

EGEstefanya García‐MenéndezHospital Universitario Puerta de Hierro MajadahondaJPJosé PórtolesInstituto de Salud Carlos IIIAAAlejandro Pérez AlbaHospital Clínico Universitario de Valencia

Discussion

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Overview

Assisted HHD may aid frail patients but relies on informal caregivers; leaves open standardization and formal support models.

Study Design

Type

Cross-Sectional (n=311)

Multicenter

Yes

Structured PICO

P
Population
311 prevalent patients on home hemodialysis across 39 centers in Spain, of whom 26% were receiving assisted home hemodialysis.
E
Exposure
Assisted home hemodialysis (assisted HHD)
O
Outcome
Implementation, barriers, and challenges of assisted HHD (organizational aspects, patient characteristics, caregiver profile, resources, benefits, and barriers)

Assisted home hemodialysis in Spain is utilized by 26% of home hemodialysis patients, primarily older and frail individuals, but its implementation remains heterogeneous and heavily reliant on informal family caregivers.

Cite This Study

García‐Menéndez et al. (2026) conducted a cross-sectional in Chronic kidney disease on home hemodialysis (n=311). Assisted home hemodialysis was evaluated on Prevalence of assisted home hemodialysis. In a national survey of 39 Spanish centers, 26% of 311 home hemodialysis patients received assisted home hemodialysis, primarily due to reduced mobility, fear, and cognitive impairment.

synapsesocial.com/papers/6aad055ebc4f65364cd21971https://doi.org/10.1016/j.nefroe.2026.501578
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