Home Dialysis in the Coronavirus Disease 2019 Era

Adv Chronic Kidney Dis. 2020 Sep;27(5):442-446. doi: 10.1053/j.ackd.2020.07.001. Epub 2020 Jul 7.

Abstract

The coronavirus disease 2019 pandemic has had a significant impact on patients with end-stage kidney disease and their care, especially given the potential for severe coronavirus disease 2019 in those with a depressed immune status. Patients receiving in-center hemodialysis have been particularly affected by this pandemic because of their need to travel multiple times a week to receive treatment. Although patients on home dialysis are able to avoid such exposure, they face their own unique challenges. In this review, we will discuss the challenges posed by the coronavirus disease 2019 pandemic for patients on home dialysis, the impact of coronavirus disease 2019 on various aspects of their care, and the resultant rapid adaptations in policy/health-care delivery mechanisms with implications for the future care of patients on home dialysis.

Keywords: COVID-19; Home dialysis; Home hemodialysis; Peritoneal dialysis; Remote monitoring; Telehealth.

Publication types

  • Review

MeSH terms

  • COVID-19*
  • Centers for Medicare and Medicaid Services, U.S.
  • Delivery of Health Care
  • Health Policy*
  • Hemodialysis Solutions / supply & distribution
  • Hemodialysis, Home / methods*
  • Humans
  • Kidney Failure, Chronic / therapy*
  • Kidneys, Artificial / supply & distribution
  • Monitoring, Ambulatory / methods*
  • Peritoneal Dialysis / methods
  • Peritoneal Dialysis, Continuous Ambulatory / methods*
  • SARS-CoV-2
  • Telemedicine / methods*
  • United States

Substances

  • Hemodialysis Solutions