In-Center Dialysis Versus Extended Home Hemodialysis: More Evidence to Support Extended Dialysis

Choosing a dialysis modality for patients who have end-stage kidney disease requiring dialysis initiation is a complex task. Informed decision-making is crucial and can only be achieved with a solid foundational dialysis education provided by the clinician and nephrology care team each step along the way. It is about tailoring the treatment and management to each individual patient’s clinical and social situation. Sometimes it is also influenced by the circumstances of their care partners. However, one question always remains and looms large in both patients’ and clinicians’ minds: Which option is the best? This is an important part of the counseling process and requires an honest reflection.