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March 1976

Self-Hemodialysis: The Optimal Mode of Dialytic Therapy

Author Affiliations

From the Section of Nephrology, Department of Medicine, Mount Sinai Medical Center, University of Wisconsin Center for Health Sciences—Mount Sinai, Milwaukee.

Arch Intern Med. 1976;136(3):357-361. doi:10.1001/archinte.1976.03630030087018

Maintenance hemodialysis is presently the mainstay of treatment for the majority of patients with end-stage renal disease. There has been disagreement, however, as to what form the delivery of dialysis should take—self-dialysis, at home, or in-center, as opposed to in-center, limited-care dialysis. This review of the recent literature strongly supports self-dialysis as the optimal form of therapy, since the cost is less, and survival and rehabilitation are better than with limited-care dialysis. We conclude that a greater effort should be expended to encourage and even direct patients toward this form of therapy.

(Arch Intern Med 136:357-361, 1976)

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