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Dialysis Options: At-Home vs. In-Clinic Treatment

Dialysis is a life-sustaining treatment for individuals with kidney failure, offering kidney function by removing waste, salt, and excess water to prevent them from building up in the body. While the need for dialysis is straightforward, the choice between at-home and in-clinic options can be more nuanced, involving considerations of lifestyle, medical needs, and personal preferences. In this blog, we explore two primary forms of dialysis – Hemodialysis and Peritoneal Dialysis –  comparing at-home and in-clinic experiences to help you make the best decision for your circumstance.


Hemodialysis involves a machine that cleans your blood by removing toxins and excess fluids. Traditionally, this treatment is administered in a clinic, with patients typically attending three sessions per week, each lasting 3-4 hours. These sessions are supervised by a dedicated team of nurses and technicians, ensuring safety and efficacy.

In-Clinic Experience:

Social Interaction: The clinic environment offers a unique social setting where patients can interact, forming a supportive community during their treatment sessions.

Professional Oversight: Immediate access to healthcare professionals allows for real-time adjustments to treatment, ensuring optimal care.

At-Home Hemodialysis:

Increased Frequency: At-home treatments can occur 4-5 times a week, sometimes even nocturnally, which can be more gentle on the body by mimicking the kidneys' natural function more closely.

Partner Assistance: Performing dialysis at home often requires the assistance of a partner, adding a layer of personal support but also necessitating a reliable in-home caregiver.

Symptom Management: While symptoms like feeling washed out or tired post-treatment may vary, having treatments more frequently at home can mitigate these effects.

Peritoneal Dialysis 

The At-Home Advantage:

Peritoneal Dialysis (PD) uses the lining of your abdomen to filter blood inside your body, employing a dialysis solution that absorbs waste and fluid. This method is typically administered at home, nightly, allowing for a continuous, gentle cleansing process.

Flexibility and Independence: PD is especially suited for working individuals, parents, and those seeking a more flexible treatment schedule that doesn't disrupt daily life.

Gentle on the Body: The continuous nature of PD is less stressful on the system, providing a more steady state of cleansing.

Self-administered: PD empowers patients to take control of their treatment, fostering independence while still under periodic medical supervision.

Considerations for PD:

Previous abdominal surgeries or internal devices ("hardware") may complicate the ability to perform PD due to scar tissue or physical obstructions. Make sure to talk to your provider about your previous health history!

Making the Choice

Although some patients may medically qualify for both hemodialysis and peritoneal dialysis, making the decision a matter of personal preference, lifestyle, and practicality. While at-home treatments offer convenience and a semblance of normalcy, in-clinic dialysis provides a structured, social environment with professional oversight.

In navigating these options, it's crucial to engage in open, honest discussions with your healthcare provider, considering all aspects of your health and personal circumstances. Remember, the goal of dialysis is not just to treat but to thrive, making the right choice a cornerstone of your care strategy. At ANC we’re committed to helping you discern the best option for your unique needs. Schedule an appointment and receive the support of our talented team. Together we can tackle the path towards dialysis treatment more effectively!

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