By Bill Peckham
I admit that I was a little excited when I checked in with renalWEB this morning. There was late breaking news from American Society of Nephrology's Kidney Week 2017 Annual Meeting last week: Seven Days a Week Dialysis Service Positively Impacts Patient Compliance, Hospitalization and Survival. I thought finally a unit tried EOD schedules! but no, it is an incenter short daily program. This is good, don't get me wrong but I was disappointed the unit was not offering an EOD option alongside their daily program.
Their reported findings are interesting. The Brazilian unit reported that by staying open 7 days a week their patients found it easier to accommodate a 6 day a week treatment schedule:
By introducing seven days a week dialysis service for our short daily hemodialysis patients, we have given them the option of really daily dialysis with no breaks (7xWk), the freedom of choosing any day-off other than Sunday (6xWk - Sat Off), or the opportunity of replacing, on Sundays, occasional missed treatment (6xWk - Sun Off). On average, 30% of our patients attend our Sunday dialysis program
It is time to extend this flexibility to all dialyzors, it is time to routinely offer incenter dialyzors a full menu of treatment schedules.
I remain hopeful that someday, someone, somewhere in this world, a unit will try EOD treatments and when they do the benefits of will accrue to the provider, payor and patient (Part One); (Part Two); (Part Three); (Part Four); (Part Five); (Part Six).