Frequent Short Home or Centre Based Hemodialysis (FSHD)
is usually given for 3-4 hours (but can be of shorter duration) for 6 days a week and this HD can be suitable in day time due to the short duration. This ‘SHD’ is suitable for selected few patients and can be easily provided in the patient’s home but such facility is not offered yet in any hospital dialysis centre due to the logistics involved including the cost factor if done in hospital dialysis centres. If ‘SHD’ is done at home, cost is not increased by making the choice for ‘SHD’. Any mode of Hemodialysis done more often and for more hours will yield better results
. Several studies are in progress to assess the full impact of these forms of ‘HD’ and results will emerge in the coming years.
Long Hemodialysis sessions can be provided on more frequent basis, either in the hospital centre or at home. Subjective benefits accrue on several aspects and in particular in the ‘quality of life’. It is logical to consider that these benefits are definitely attributable to better efficiency of Hemodialysis, due to the longer duration of Hemodialysis hours in NHHD.