By guo man man
Answer: This hemodialysis treatment good for the patients with high blood pressure.
Authors Christopher R Blagg, MD, FRCP Lionel U Mailloux, MD, FACP
Home hemodialysis began in the early 1960s in Boston, Seattle, and London [1-5]. Studies since then have shown that patients using conventional, three times weekly home hemodialysis have an increased survival [6-13] and better quality of life [14-16] compared to those who use other dialysis modalities. This modality also costs significantly less than conventional in-center hemodialysis [17-21].
These findings led some investigators to believe that home hemodialysis is the best renal replacement therapy other than renal transplantation. Despite these apparent benefits, the proportion of patients with end-stage renal disease (ESRD) treated by home hemodialysis in the United States declined steadily from the start of the Medicare ESRD program in 1973 until 2001; since then, until 2005, it remained relatively stable at approximately 0.6 percent of dialysis patients . Similar changes have occurred in other countries [23-25]. According to currently unpublished data from the Forum of End Stage Renal Disease Networks 2007 Report, the proportion of home hemodialysis patients increased in 2006 to 0.75 percent. This reflects an increasing interest in more frequent home hemodialysis.
A review of issues relating to patient survival and other benefits derived from home hemodialysis, the declining incidence of this modality in the United States, and developments with more frequent daily and nightly hemodialysis (which are generally performed at home at night) are discussed here and elsewhere . How home, short daily, and nocturnal hemodialysis are performed is discussed separately. (See "Organization and elements of a home hemodialysis program" and see "Nocturnal hemodialysis" and see "Short daily hemodialysis").
INCIDENCE AND PREVALENCE — The absolute number and relative percentage of dialysis patients who use home hemodialysis in the United States has declined over the last 33 years and are much lower in some other first-world countries. According to the 2007 United States Renal Data System Report, only 0.40 percent of all incident dialysis patients and 0.62 percent of all prevalent dialysis patients were treated by home hemodialysis in 2005 .
Internationally, there is virtually no home hemodialysis except in high income countries with an annual per capita gross national income greater than United States $10,000, and it has been declining in most of these countries . The prevalence of home hemodialysis in 2001 to 2003 varied from zero per million population (pmp) in Portugal to 58.4 pmp in New Zealand, and country to country variation was more than that of any other modality of ESRD treatment. In the United States in 2005, the home hemodialysis rate was 7.1 pmp.
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