- More Frequent Home Hemodialysis (HHD)
- Peritoneal Dialysis (PD)
Home Hemodialysis Customer Support: 866-697-8243
Peritoneal Dialysis Customer Support: 800-323-5188
Talk to a Patient Consultant About Home Dialysis: 888-200-6456
Home Hemodialysis Customer Support: 866-697-8243
Peritoneal Dialysis Customer Support: 800-323-5188
Talk to a Patient Consultant About Home Dialysis: 888-200-6456
Home Hemodialysis Customer Support: 866-697-8243
Peritoneal Dialysis Customer Support: 800-323-5188
Talk to a Patient Consultant About Home Dialysis: 888-200-6456
Home Hemodialysis Customer Support: 866-697-8243
Peritoneal Dialysis Customer Support: 800-323-5188
Talk to a Patient Consultant About Home Dialysis: 888-200-6456
At Fresenius Medical Care, we’ve seen first-hand how patients have enjoyed improved health and a better quality of life through more frequent home dialysis whether home hemodialysis or peritoneal dialysis. But don’t take our word for it. Many studies have shown that the benefits of home dialysis go far beyond convenience.
TREATMENT IN THE COMFORT OF YOUR HOME DURING THE DAY OR OVERNIGHT.
Hemodialysis involves accessing your blood through an access site. Most access sites are located in the lower arm but can also be located in the upper chest or leg. The dialysis procedure involves cleaning your blood through a special filter on a dialysis machine.
HHD follows a similar treatment procedure as in-center hemodialysis but is usually done in the comfort of your home, and more frequently, 5 or 6 days a week. More frequent hemodialysis may lead to improved health and quality of life outcomes compared to traditional 3 times per week in-center therapy. HHD can be performed during the day with or without a care partner (solo/independent) or overnight while you and your care partner sleep (nocturnal). A care partner is not a medical professional and can be a friend, spouse, colleague, or family member.
When treating at home, patients are not constrained by the schedule of a dialysis center, and physicians have more flexibility to tailor dialysis prescriptions to patients’ individual clinical and quality of life needs. Most patients who do hemodialysis at home perform their treatment more frequently than in-center patients.
1. Daugirdas, John T.; Blake, Peter G.; and Ing, Todd S., “Handbook of Dialysis (5th ed.)” (2015).
TREATMENT YOU CAN DO ALMOST ANYWHERE.
PD uses a membrane inside your abdomen as a filter to remove toxins and extra fluid from your blood. Typically, PD patients can perform therapy on their own-at home or almost anywhere. PD treatments are done daily, so waste and toxins in your blood don’t have a chance to build up as much between treatments. PD may lead to enhanced health and quality of life outcomes vs 3 times weekly in-center hemodialysis.
There are two types of peritoneal dialysis: continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD).
CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD):
This type uses a disposable double bag system. The patient performs manual exchanges which take around 20-30 minutes to complete, and are usually done 3-5 times per day. After a CAPD exchange is started, most people read, watch TV, or use their computer for 20-25 minutes during drain and fill. Between exchanges, normal activities can resume while the fluid dwells.
AUTOMATED PERITONEAL DIALYSIS (APD):
APD includes several modality types. Typically, the patient sets up the cycler at bedtime and the machine performs the exchanges while they are sleeping. In the morning, the cycler can leave the patient dry or do a Last Fill that allows the patient to also dwell during the day. Once disconnected, normal activities are resumed.
1. Daugirdas, John T.; Blake, Peter G.; and Ing, Todd S., “Handbook of Dialysis (5th ed.)” (2015).
Patients report and studies show numerous clinical and lifestyle benefits associated with more frequent home dialysis when compared to conventional, three times per week, in-center hemodialysis.
Complete the form to learn more about the benefits of more frequent home dialysis.
The reported benefits of peritoneal dialysis may not be experienced by all patients.
Peritoneal dialysis does involve some risks that may be related to the patient, center, or equipment. These include, but are not limited to, infectious complications. Examples of infectious complications include peritonitis and exit-site and tunnel infections. Non-infectious complications include catheter complication such as migration and obstruction, peritoneal leaks, constipation, hemoperitoneum, hydrothorax, increased intraperitoneal volume, and respiratory and gastric issues. It is important for healthcare providers to monitor patient prescriptions and achievement of adequate fluid management goals.
Patients should consult their doctor to understand the risks and responsibilities of performing peritoneal dialysis.
Patients should review the following information carefully and discuss it with their doctors to decide whether home hemodialysis with NxStage systems is right for them.
Users should weigh the risks and benefits of performing home hemodialysis with NxStage systems.
Users will need additional resources to perform home hemodialysis.
Certain forms of home hemodialysis have additional risks.
REFERENCES
APM2093 Rev. J
350 Merrimack Street
Lawrence, MA 01843
United States
350 Merrimack Street
Lawrence, MA 01843
United States
920 Winter Street
Waltham, MA 02451
United States
920 Winter Street
Waltham, MA 02451
United States
1-866-NxStage (697-8243)
1-866-NxStage (697-8243)
© 2025 Fresenius Medical Care. All Rights Reserved.
© 2025 Fresenius Medical Care. All Rights Reserved.