Home dialysis modalities are underutilized in the USA with only 8% of the dialysis patients undergoing renal replacement therapy at home versus 92% being treated with center hemodialysis. This is in contrast to the nephrology professionals' opinion about the best dialysis therapy and their potential choice in the hypothetical situation of choosing a dialysis modality for themselves. Pre-dialysi...

BACKGROUND Demand for dialysis treatment exceeds its supply within the Veterans Health Administration (VA), requiring VA to outsource dialysis care by purchasing private sector dialysis for veterans on a fee-for-service basis. It is unclear whether outcomes are similar for veterans receiving dialysis from VA versus non-VA providers. We assessed the extent of chronic dialysis treatment utilizati...

Peritoneal dialysis catheter (PDC) is the lifeline of peritoneal dialysis (PD) patients. One of the critical issues for successful PD is a well-functioning PDC which is timely inserted. It is the implantation technique rather than the catheter design that determines the outcome of the catheter. Dedication in acquiring the appropriate technique is vital to the success of a PD program. In this pa...

background: accumulation or deficiency of trace elements can occur in hemodialysis patients and it increases risk of cardiovascular or other organs disorders. special ions levels such as sodium and bicarbonate in dialysis fluid are accurately regulated but the remaining elements are not regularly measured. aluminum and lead belong to the biologic performance free heavy metals .they also has a t...

background: chronic renal disease is a health problem in today’s world. in the end-stages of renal disease patients depend upon alternative therapies including dialysis for their survival. however, dialysis causes several stressors on physical, mental and social performance of patients. the present study aimed to review and compare the self-concept in patients undergoing hemodialysis and perito...

conclusions it seems that to achieve the patients' comfort during the hemodialysis procedure, the health care teams, hospitals in charge and the patients themselves have to do their best to provide the patients' comfort. results three themes emerged: the presence of competent nurses, the delightful presence of the others, and coping with comfort obstacles. each theme consisted of some categorie...

background: this cross-sectional study was conducted to compare the cost-effectiveness of three therapeutic methods of long-term hemodialysis, kidney transplant from a living person and kidney transplant from a cadaver utilizing disability adjusted life years (daly) using data from the records of patients referred to afzalipour hospital of kerman in 2012.   methods: this cross-sectional study u...