Home Hemodialysis

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Published: Feb 27, 2026
DOI: https://doi.org/10.63555/jnst.2026.284219
Keywords:
ESKD dialysis home dialysis frequent hemodialysis intensive hemodialysis

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Thanawan Wuthapanich
Division of Nephrology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Adisorn Pathumarak
Division of Nephrology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Abstract

Home hemodialysis (HHD) is a patient-centered alternative to in-center hemodialysis for individuals with end-stage kidney disease (ESKD). This literature review examines the evidence and practical steps for implementing HHD. Research suggests that HHD may offer advantages over traditional in-center hemodialysis, including improved clinical outcomes, such as better blood pressure control and enhanced quality of life. The successful implementation of HHD requires careful patient selection, thorough training, and a suitable home setup. Technological advancements have increased HHD accessibility, enabling patients to manage their treatment better. However, wider adoption faces barriers, including high costs and training needs. This review highlights the potential of HHD to improve care for patients with kidney failure and discusses its role as a valuable treatment option within a comprehensive approach to ESKD management.

Article Details

How to Cite
Wuthapanich, T. ., & Pathumarak, A. . (2026). Home Hemodialysis. Journal of the Nephrology Society of Thailand, 32(1), 1–11. https://doi.org/10.63555/jnst.2026.284219
Issue
Vol. 32 No. 1 (2026): January - March
Section
Review Article
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