Home hemodialysis in Australia and New Zealand: How and why it has been successful

Seminars in Dialysis

Volumn 24, Issue 6, 2011, Pages 658-663

  Agar, John W M ^a   Hawley, Carmel M ^b   Kerr, Peter G ^c  

^a GEELONG HOSPITAL   (Australia)

^b PRINCESS ALEXANDRA HOSPITAL   (Australia)

^c MONASH MEDICAL CENTRE   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; AUSTRALIA; HOME DIALYSIS; HUMAN; NEW ZEALAND; STANDARD; STATISTICS; TREATMENT OUTCOME;

AUSTRALIA; HEMODIALYSIS, HOME; HUMANS; NEW ZEALAND; TREATMENT OUTCOME;

EID: 83155181314     PISSN: 08940959     EISSN: 1525139X     Source Type: Journal    
DOI: 10.1111/j.1525-139X.2011.00992.x     Document Type: Article

References (41)

1. Rettig RA: Origins of the Medicare kidney disease entitlement: the Social Security amendments of 1972. In: Hanna KE, ed. Biomedical Politics. Washington, D.C.: National Academy Press, 1991:176-208
2. McGregor D, Buttimore A, Robson R, Little P, Morton J, Lynn K: Thirty years of universal home dialysis in Christchurch. N Z Med J 113:27-29, 2000
3. Disney APS, ed: The 20th ANZDATA Registry Report 1997. Adelaide, South Australia: Australia and New Zealand Dialysis and Transplant Registry, 1997
4. Russ GR, ed: The 24th ANZDATA Registry Report 2001. Adelaide, South Australia: Australia and New Zealand Dialysis and Transplant Registry, 2001
5. U.S. Renal Data System: USRDS 2002 Annual Data Report: Atlas of End-Stage Renal Disease in the United States. Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 2002
6. Pierratos A, Ouwendyk M, Francoeur R, Wallace L, Sit W, Vas S, Uldall R: Slow nocturnal home hemodialysis. Dial Transpl 24(10):557, 1995
7. Pierratos A, Ouwendyk M, Francoeur R, Wallace L, Sit W, Vas S, Uldall R: Slow nocturnal home hemodialysis at the Wellesley Hospital. Adv Ren Replace Ther 3(2):133-136, 1996
8. Blagg CR: A brief history of home hemodialysis. Adv Ren Replace Ther 3:99-105, 1996
9. Blagg CR: Home haemodialysis: 'home, home. Sweet, sweet home'. Nephrology (Carlton) 10(3):206-214, 2005
10. Pierratos A, Ouwendyk M, Francoeur R, Vas S, Raj DS, Ecclestone AM, Langos V, Uldall R: Nocturnal hemodialysis: three year experience. J Am Soc Nephrol 9(5):859-868, 1998
11. Pierratos A: Nocturnal home haemodialysis: an update on a 5-year experience. Nephrol Dial Transplant 14(12):2835-2840, 1999
12. Pierratos A: Nephrology forum: principal discussant. Kidney Int 65:1975-1986, 2004
13. Agar JWM, Knight RJ, Simmonds RE, Boddington JM, Waldron CM, Somerville CA: Nocturnal haemodialysis: an Australian cost comparison with conventional satellite haemodialysis. Nephrology (Carlton) 10:557-570, 2005
14. McDonald S, Chang S, Excell L: The 33rd ANZDATA Registry Report 2010. Adelaide, South Australia: Australia and New Zealand Dialysis and Transplant Registry, 2010
15. United Nations Report: World Urbanization Prospects: The 2003 Revision. Available at, accessed March 18, 2011
16. Rioux J-P, Bargman JM, Chan CT: Systematic differences among patients initiated on home haemodialysis and peritoneal dialysis: the fallacy of potential competition. Nephrol Dial Transplant 25(7):2364-2367, 2010
17. Ludlow M, George CRP, Hawley CM, Mathew T, Agar JWM, Kerr PG, Lauder L: How Australian nephrologists view home dialysis: results of a national survey. Nephrology (Carlton) 16:446-452, 2011
18. Lauder L, Ludlow M, Hawley CM, Richardson E, Mathew TH, Munro CE: Australian Nephrology Nurses views on home dialysis: A national survey. Ren Soc Aust J 7(1):6-12, 2011
19. Kidney Health Australia: Consumer Perspectives on Dialysis, First National Census. Melbourne: 2011
20. Agar JWM: Home hemodialysis in Australia and New Zealand: practical problems and solutions. Hemodial Int 12(Suppl 1):S26-S32, 2008
21. Agar JWM, Mathew TH, Kerr PG, George CRP, Hawley CM: As national and intra-state home dialysis uptakes vary markedly, better inter-unit education and protocol-sharing programs are essential. Nephrology (Carlton) 17(Suppl 4): 55, 2010, abstract 110
22. The Royal Australasian College of Physicians: Nephrology Advanced Training Curriculum. Available at, accessed March 18, 2011
23. Mcfarlane PA, Pierratos A, Redelmeier DA: Cost savings of home nocturnal versus conventional in-center hemodialysis. Kidney Int 62:2216-2222, 2002
24. Lee H, Manns B, Taub K, Ghali WA, Dean S, Johnson D, Donaldson C: Cost analysis of ongoing care of patients with end-stage renal disease: the impact of dialysis modality and dialysis access. Am J Kidney Dis 40:611-622, 2002
25. McFarlane PA, Bayoumi AM, Pierratos A, Redelmeier DA: The quality of life and cost utility of home nocturnal and conventional in-center hemodialysis. Kidney Int 64:1004-1011, 2003
26. Cass A, Chadban S, Craig J: The Economic Impact of End-Stage Kidney Disease in Australia. Melbourne: Kidney Health Australia, 2006
27. New South Wales Renal Dialysis Service Plan to 2011. Available at, accessed March 18, 2011
28. Victorian Maintenance Renal Dialysis Program: Funding Model. Available at, accessed on March 16, 2011
29. Agar JWM, Simmonds RE, Knight R: Using water wisely: new, essential and affordable water conservation practices for both facility and home hemodialysis. Hemodial Int 13(1):32-37, 2009
30. Agar JWM: Conserving water in and applying solar power to haemodialysis: 'Green Dialysis' through wiser resource utilisation. Nephrology (Carlton) 15(4):448-453, 2010
31. NHS Kidney Care Program: Green Nephrology Initiative. Available at, accessed March 18, 2011
32. Connor C, Lillywhite R, Cooke MW: The carbon footprints of home and in-center maintenance hemodialysis in the United Kingdom. Hemodial Int 15(1):39-51, 2011
33. Australian Government: Department of Health and Ageing-Medicare Benefits Schedule: Consultant Physician Supervision of Home Dialysis, Item #13104. Available at, accessed March 23, 2011
34. Komenda P, Copland C, Makwana J, Djurdjev O, Sood MN, Levin A: The cost of starting and maintaining a large home hemodialysis program. Kidney Int 77:1039-1045, 2010
35. Van Eps C, Jones M, Ng T, Johnson DW, Campbell SB, Isbel NM, Mudge DW, Beller E, Hawley CM: The impact of extended-hours home hemodialysis and buttonhole cannulation technique on hospitalization rates for septic events related to dialysis access. Hemodial Int 14(4):451-463, 2010
36. Agar JWM: Should the Medicare ESRD Program fund daily and nocturnal hemodialysis? Nephrol News Issues 21(12):48-56, 2007
37. The FHN Trial Group: In-center hemodialysis six times per week versus three times per week. N Engl J Med 363:2287-2300, 2010
38. A Clinical Trial of IntensiVE Dialysis (ACTIVE). Available at, accessed March 31, 2011
39. Hawley C: Haemodialysis Report. Newcastle: ANZDATA Registry, 2008. Available at, accessed March 16, 2011
40. Marshall MR, Kerr PG, McDonald SP: Home hemodialysis (HHD), facility hemodialysis (FHD) and peritoneal dialysis (PD) and mortality in Australian and New Zealand patient populations. J Am Soc Nephrol 19(Suppl):52A, 2008
41. Marshall MR, Hawley CM, Kerr PG, Polkinghorne KR, Marshall RJ, Agar JWM, McDonald SP: The effect of home haemodialysis on mortality risk in Australian and New Zealand populations. Am J Kidney Dis doi:, 2011