HANAFUSA Norio
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor
Article types Review article
Language English
Peer review Non peer reviewed
Presence of invitation Invited paper
Title Recent Trends in Home Hemodialysis Therapy in Japan.
Journal Formal name:Contributions to nephrology
Abbreviation:Contrib Nephrol
ISSN code:(1662-2782)0302-5144(Linking)
Domestic / ForeginForegin
Volume, Issue, Page 189,pp.54-60
Author and coauthor Masakane Ikuto, Hanafusa Norio, Kita Tomoyuki, Maeda Kenji
Publication date 2017
Summary 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