Home hemodialysis

Home hemodialysis (HHD), is the provision of hemodialysis in the home of people with stage 5 chronic kidney disease.

In the United States, home hemodialysis was the most common method of renal replacement therapy in the early 1970s before the introduction of the federal End Stage Renal Disease Program under Medicare. With routine payment for dialysis secured through Medicare incenter hemodialysis quickly became the most common form of renal replacement therapy. In the late 1970s with the advent of peritoneal dialysis, another form of home dialysis, HHD went into further decline. In 2002 HHD began a resurgence in the United States with the introduction of machines designed solely for home use.