TY - CHAP M1 - Book, Section TI - Setting Up, Building, and Sustaining a Home Dialysis Program A1 - Gupta, Nupur A1 - Miller, Brent W. A2 - Knicely, Daphne H. A2 - Abdel-Rahman, Emaad M. A2 - Greenberg, Keiko I. Y1 - 2021 N1 - T2 - Handbook of Home Hemodialysis AB - Outpatient home hemodialysis (HHD) began contemporaneously in the 1960s with chronic center-based hemodialysis (HD) and before the routine provision of home peritoneal dialysis (PD).1 Prior to the establishment of the Medicare End-Stage Renal Disease program in 1973 in the United States, approximately 40% of US dialysis patients were treated with HHD, although the patient demographics and clinical conditions were much different than today.2 Over the following decade, home-based PD and conventional thrice-weekly facility-based HD—with over 7000 locations currently—overwhelmed HHD. The subsequent elimination of any assistance on care partner financial support and the economic unfeasibility of staff-assisted HHD further pushed HHD to near extinction by the late 1990s. As a result, a substantial number of nephrologists have neither encountered an HHD patient nor observed a treatment.3,4 SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1178970095 ER -