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.
Johnson WJ, Hathaway DS, Anderson CF, Carlson RA. Hemodialysis: Comparison of Treatment in the Medical Center, Community Hospital, and Home. Arch Intern Med. 1970;125(3):462–467. doi:10.1001/archinte.1970.00310030072006
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