ArticleClinical journal of the American Society of Nephrology : CJASN2009
Patient-perceived barriers to the adoption of nocturnal home hemodialysis.
Article in Clinical journal of the American Society of Nephrology : CJASN, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 4 of them syntheses that pooled it.
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Who cites it
42 citing papers in PubMed, 4 syntheses or guidelines pooled it, 133 citations in OpenAlex.
- A Systematic Review of the Qualitative Research on Barriers and Facilitators to Home Hemodialysis.Hemodialysis international. International Symposium on Home Hemodialysis · 2025Pooled it
- Home versus in-centre haemodialysis for people with kidney failure.The Cochrane database of systematic reviews · 2024Pooled it
- Patients' experiences of cannulation of arteriovenous access for haemodialysis: A qualitative systematic review.The journal of vascular access · 2023Pooled it
- Non-medical barriers reported by nephrologists when providing renal replacement therapy or comprehensive conservative management to end-stage kidney disease patients: a systematic review.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021Pooled it
- Effects of frequent hemodialysis on perceived caregiver burden in the Frequent Hemodialysis Network trials.Clinical journal of the American Society of Nephrology : CJASN · 2014Trial
- Prevalence and demographic and clinical associations of health literacy in patients on maintenance hemodialysis.Clinical journal of the American Society of Nephrology : CJASN · 2011Trial
- Teledialysis in Community Settings: Evaluation of Feasibility, Safety and Effectiveness.International journal of telemedicine and applications · 2026Article
- Unveiling Challenges Hindering the Growth of Home Dialysis in Finland: Insights From 40 Years of Experience.Hemodialysis international. International Symposium on Home Hemodialysis · 2025Article
- Vascular Access for Home Hemodialysis: A Perspective on Tunneled Central Venous Catheters at Home.Kidney medicine · 2025Review
- In-Center Hemodialysis Experiences Among Latinx Adults: A Qualitative Study.Kidney medicine · 2024Article
- The Burden of Home Dialysis: An Overlooked Challenge.Clinical journal of the American Society of Nephrology : CJASN · 2024Review
- Integrated home dialysis model: facilitating home-to-home transition.Clinical kidney journal · 2024Article
- Main Barriers to the Introduction of a Home Haemodialysis Programme in Poland: A Review of the Challenges for Implementation and Criteria for a Successful Programme.Journal of clinical medicine · 2022Review
- The WISHED Randomized Controlled Trial: Impact of an Interactive Health Communication Application on Home Dialysis Use in People With Chronic Kidney Disease.Canadian journal of kidney health and disease · 2021Article
- Self-care training using the Tablo hemodialysis system.Hemodialysis international. International Symposium on Home Hemodialysis · 2021Article
- Barriers to Home Hemodialysis Across Saskatchewan, Canada: A Cross-Sectional Survey of In-Center Dialysis Patients.Canadian journal of kidney health and disease · 2020Article
- Technique Survival and Determinants of Technique Failure in In-Center Nocturnal Hemodialysis: A Retrospective Observational Study.Canadian journal of kidney health and disease · 2020Article
- Safety and efficacy of the Tablo hemodialysis system for in-center and home hemodialysis.Hemodialysis international. International Symposium on Home Hemodialysis · 2020Article
- Supporting the Establishment of New Home Dialysis Programs Through the Explore Home Dialysis Program.Kidney international reports · 2019Article
- The Potential Burden of Home Dialysis on Patients and Caregivers: A Narrative Review.Canadian journal of kidney health and disease · 2019Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesNocturnal home hemodialysis (NHHD) has been shown to improve clinical outcomes, although adoption has been limited. Given the known benefits, an understanding of the barriers to adoption is needed. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Patient-perceived barriers were studied through a cross-sectional survey of prevalent hemodialysis patients using validated instruments, study-specific questions, and ethnographic interviews. Fifty-six of 66 NHHD patients and 153 of 199 conventional hemodialysis (CHD) patients were included in the survey. Twenty interviews were conducted with NHHD, CHD, and predialysis patients.
resultsCompared with CHD patients, NHHD patients had higher perceived physical health scores (Short Form 12 [SF-12]: 41.47 +/- 10.9 versus 34.73 +/- 10.6, P < 0.0001), but had similar mental health scores (47.30 +/- 11.1[NHHD] versus 45.27 +/- 11.3[CHD]), P = 0.25). Despite having similar measures of education and perceived social support as NHHD patients, CHD patients had a low interest (1.68 [out of 5] +/- 1.26) in adopting NHHD. The major barriers perceived by CHD patients were lack of self-efficacy in performing the therapy, lack of confidence in self-cannulation, and length of time on current therapy. Similar themes emerged from the qualitative analysis as well as: burden on family members and fear of a catastrophic event.
conclusionsPatient-perceived barriers are primarily fears of self-cannulation, a catastrophic event, and the burden on family. These findings should form the basis of screening patients for interest in NHHD and serve to mitigate these concerns.
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Registered trials
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