ハナフサ　ノリオ   HANAFUSA, Norio   花房　規男    所属   医学部 医学科（東京女子医科大学病院）    職種   准教授
論文種別	総説
言語種別	英語
査読の有無	査読なし
招待の有無	招待あり
表題	Recent Trends in Home Hemodialysis Therapy in Japan.
掲載誌名	正式名：Contributions to nephrology 略　 称：Contrib Nephrol ISSNコード：(1662-2782)0302-5144(Linking)
掲載区分	国外
巻・号・頁	189,pp.54-60
著者・共著者	Masakane Ikuto, Hanafusa Norio, Kita Tomoyuki, Maeda Kenji
発行年月	2017
概要	Although HHD in Japan has a long history, the 529 dialysis patients being treated with HHD as of the end of 2014 account for only 0.17% of all dialysis patients. HHD is well indicated for patients who are younger, male, and nondiabetic. The major HHD dialysis programs were provided 4-6 times per week for 3-5 h per session, and 79.3% of HDD patients showed treatment adequacy with a hemodialysis product >72. Key Messages: To expand HHD in Japan, several challenges must be overcome. First, the government should clearly state that home medicine is the way forward and incentivize facilities to provide, and patients to receive, HHD. Second, we need to establish a typical business model for HHD to include the supply of medical devices, collection of disposals, and development of a special machine for HHD.
DOI	10.1159/000450671
PMID	27951549