Evaluation of the Integrated Home Dialysis Model

Princess Alexandra Hospital

Status: Completed

Conditions: Kidney Failure, Chronic

Treatments: Procedure: Home hemodialysis; Procedure: Peritoneal dialysis

Study type: Observational

Funder types: Other; Industry

Identifiers

NCT02278159

ANZ41367

Details and patient eligibility

About

The purpose of this study is to evaluate which home dialysis modality pattern (home hemodialysis [HHD], peritoneal dialysis [PD] or a combination of both, e.g. PD and then HHD) allows for the longest home dialysis survival, as defined by the time dialysed in a home environment. The investigators hypothesize that patients transferred from one home modality to another will have a longer home dialysis survival compared to patients treated only with PD or HHD.

Enrollment: 11,600 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with PD/HHD 90 days after RRT initiation between January 1, 2000 and December 31, 2012 reported in ANZDATA
• ≥ 18 years

Exclusion criteria

• Less than 90 days of dialysis
• < 18 years
• Patients transferred to Australia/New Zealand after initiation of dialysis in another country

Trial design

11,600 participants in 4 patient groups

Peritoneal dialysis only

Description:

Patient on PD modality 90 days after renal replacement therapy initiation and not transferred to HHD

Treatment:

Procedure: Peritoneal dialysis

Home hemodialysis only

Description:

Patient on HHD 90 days after renal replacement therapy initiation and not transferred to PD

Treatment:

Procedure: Home hemodialysis

PD and HHD

Description:

Patient on PD 90 days after RRT initiation and transferred to HHD less than 90 days after PD failure

Treatment:

Procedure: Home hemodialysis

Procedure: Peritoneal dialysis

HHD and PD

Description:

Patient on HHD after RRT initiation and transferred to PD less than 90 days after HHD failure

Treatment:

Procedure: Home hemodialysis

Procedure: Peritoneal dialysis