This website has been created for informing that Home Haemodialysis (HHD) done in their own homes, is worth considering, for those patients who need life-long Hemodialysis therapy in Hospital Dialysis centres.
Is there a need for introduction of Home Hemodialysis (HHD) Training Service in India is a question that needs to be answered. This modality will suit those already on thrice weekly hemodiaysis in a hospital dialysis centre and not showing adequate improvement in clinical, biochemical parameters or those who are finding it difficult to commute on a regular basis to a hospital dialysis centre, also for patients who have been unable to get renal transplanatation or in whom renal transplants have failed and needing regular hemodialysis in a hospital centre. All these patients have reached End Stage Renal Disease (ESRD) and may have tried already Peritoneal Dialysis and then changed over to Hemodialysis. Some patients unable to fit into hospital schedule also can benefit by opting for HHD. Since the HHD training is not widely available in India, it is difficult to estimate the percentage of ESRD patients on hemodialysis, who will opt for HHD. Apart from the clinical and dialysis adequacy parameters, the initial capital costs needed for investing in a home hemodialysis machine and the requisite accessories, will limit the number eligible for HHD training. The capital costs incurred in the purchase of the Hemodialysis Machine, 'RO' Plant etc., can be recovered within the first 3 years. Hemodialysis given in the home, after the first 3 years, involves the cost of disposables (dialysers, heparin etc.,) and the costs will be much less than thrice weekly payments to the hospital hemodialysis centre. HHD once commenced will provide benefit to the patient. There has been great renaissance of HHD, in several Countries, and is cost-effective when HHD is done at home. Home Hemodialysis will give them the independence that will be very much cherished by the patients.
Home hemodialysis is done as ‘Self HHD’, when patient does HHD unassisted, or as ‘Assisted HHD’ when a family relative or Dialysis Nurse or Dialysis Technician does provide the requisite support. HHD is gaining popularity in the Asian-Pacific Countries recently. HHD is suitable for patients who have had a failed transplant and are unable to get second transplant. It is hoped by this website, information on HHD is propagated to the wider community.
For further information on Home Hemodialysis in India,
Dr. Gopal Rabindranath, MBBS, FRCP (Glasgow)
Consultant Nephrologist,
EAST-COAST HOSPITALS,
90 Thiruvalluvar Salai,
Pondicherry 605013.
India.
Mobile: +91 - 9345454386
rabindrg@gmail.com
Dr. N. Murugesan, MD, DNB
Chief Nephrologist & Chairman,
EAST-COAST HOSPITALS,
90 Thiruvalluvar Salai,
Pondicherry 605013.
India.
Phone: +91 - 413 - 2244587 / 2243160
