How Do We Boost Home Dialysis?

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Home dialysis adoption in the US is lower than in peer countries, despite similar clinical outcomes and improved patient-reported quality of life.
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Nephrologists play a crucial role in promoting home dialysis, particularly during the predialysis phase, to facilitate timely education and care coordination.
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Patients treated by nephrologists affiliated with for-profit dialysis facilities are more likely to receive peritoneal dialysis catheters.
4

The Kidney Care Choices model emphasizes nephrologist involvement, leading to significant increases in optimal dialysis starts and home dialysis use.
5

Access to nephrologists is uneven, contributing to disparities in home dialysis use, highlighting the need for earlier referrals and better education.

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