Home hemodialysis : a successful option for obese and bariatric people with end-stage kidney disease

Batt, Jeni, Linton, Kerry and Bennett, Paul N. 2012, Home hemodialysis : a successful option for obese and bariatric people with end-stage kidney disease, Hemodialysis international, vol. 16, no. Supplement 1, pp. S26-S31.

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Title Home hemodialysis : a successful option for obese and bariatric people with end-stage kidney disease
Author(s) Batt, Jeni
Linton, Kerry
Bennett, Paul N.
Journal name Hemodialysis international
Volume number 16
Issue number Supplement 1
Start page S26
End page S31
Total pages 6
Publisher Wiley-Blackwell Publishing
Place of publication Malden, Ma.
Publication date 2012-10
ISSN 1492-7535
Keyword(s) bariatric
obese
home dialysis
Summary The increasing prevalence of obesity in developed countries is reflected in the chronic kidney disease, dialysis, and transplant populations. The added risk factor of obesity increases the risk of vascular events, inflammation, insulin resistance, blood pressure, dyslipidemia, and mortality risk. Nephrology center policies may exclude obese people from transplantation programs resulting in many years of dialysis. The case of a 215-kg Australian male who has successfully dialyzed at home for more than 8 years will be used to illustrate the important considerations and clinical support that these people require for successful home dialysis treatment. The aim of this paper is to report on a program that has successfully trained 23 obese (body mass index >30) people who commenced on home hemodialysis between 2001 and 2009. Body weight ranged between 94.0 and 215 kg (mean 126, SD 26.19) and body mass index ranged between 34.9 and 71 (mean 43.38, SD 9.99) at the start of home training. During the 8.5 years of follow-up, average time on home dialysis was 43.7 months. Home hemodialysis is a feasible treatment for obese people to facilitate longer and more frequent dialysis, resulting in improved hemodynamic stability and improved quality of life. For obese people with end-stage kidney disease, home hemodialysis has shown to be cost-effective and can result in greater treatment efficacy than in-center hospital dialysis.
Language eng
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2012, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30048958

Document type: Journal Article
Collection: School of Nursing and Midwifery
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