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March 1970

Hemodialysis: Comparison of Treatment in the Medical Center, Community Hospital, and Home

Author Affiliations

Rochester, Minn

From the sections of nephrology (Drs. Johnson and Anderson) and accounting (Mr. Carlson), Mayo Clinic and Mayo Foundation, and the Mayo Graduate School of Medicine, University of Minnesota (Dr. Hathaway), Rochester.

Arch Intern Med. 1970;125(3):462-467. doi:10.1001/archinte.1970.00310030072006

During the past 51/2 years, several approaches have been used at the Mayo Clinic to provide treatment for patients with terminal uremia. Of 43 patients treated with hemodialysis for more than two months, 22 were treated in our medical center; 7, in community hospitals; and 16, at home (2 were treated in the medical center and at home). This report compares costs, medical and vocational rehabilitation, and incidence of complications in the three groups. The incidence of complications severe enough to require hospital admission was highest in patients at community hospitals and lowest in the group treated at home.

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