| Dialysis options: How they compare | 1109.00000000000 | Dialysis options: How they compare | Dialysis options: How they compare | D | English | Nephrology | Child (0-12 years);Teen (13-18 years) | Kidneys | Cardiovascular system | Non-drug treatment | Caregivers
Adult (19+) | NA | | 2014-07-30T04:00:00Z | | Elizabeth Piva, RN;Susan Ackerman, RN;SickKids Home Dialysis Program | | | | 12.4000000000000 | 34.8000000000000 | 633.000000000000 | | Flat Content | Health A-Z | <p>Use this quick reference guide to help you decide between home hemodialysis, peritoneal dialysis or in-hospital dialysis. </p> | <p>This chart provides an overview of the three main types of dialysis:</p>
<ul><li><a href="/Article?contentid=41&language=English">home hemodialysis</a></li>
<li><a href="/Article?contentid=42&language=English">home peritoneal dialysis</a></li>
<li><a href="/Article?contentid=43&language=English">in-hospital hemodialysis.</a></li></ul>
<p>Use it as a quick guide to help you and your family choose the best dialysis option for your child.</p> | | <h2>Key points</h2>
<ul>
<li>There are three different options for dialysis; home hemodialysis, home peritoneal dialysis and in-hospital hemodialysis.</li>
<li>When deciding on which dialysis option is best for you and your family you will need to consider your child's age and health, your lifestyle, the time commitment required, how and when each type of dialysis is given and the equipment and storage needs.</li>
</ul> | <table class="akh-table"><thead><tr><th>Home hemodialysis</th><th>Home peritoneal dialysis</th><th> In-hospital hemodialysis</th></tr><tr><th rowspan="1" colspan="4">Patient age and health</th></tr></thead><tbody><tr><td>
<strong>Suitable age range</strong></td><td>Child to adolescent</td><td>Infant to adolescent</td><td>Infant to adolescent</td></tr><tr><td>
<strong>Suitable medical condition</strong></td><td>Stable</td><td>Stable</td><td>Stable or complex needs</td></tr><tr><td>
<strong>Energy levels after treatment</strong></td><td>Higher, with shorter recovery time</td><td>Higher, with shorter recovery time</td><td>Lower, with longer recovery time</td></tr><tr><td>
<strong>Fluid and toxin build-up</strong></td><td>Less build-up (frequent treatment)</td><td>Less build-up (daily treatment)</td><td>More build-up</td></tr><tr><td>
<strong>Timing of transplant</strong></td><td>Unknown</td><td>Unknown</td><td>Transplant from living related donor due in near future</td></tr></tbody></table><table class="akh-table"><thead><tr><th>Home hemodialysis</th><th>Home peritoneal dialysis</th><th>In-hospital hemodialysis</th></tr><tr><th rowspan="1" colspan="4">Lifestyle</th></tr></thead><tbody><tr><td>
<strong>Diet</strong></td><td>No restrictions</td><td>Some restrictions</td><td>More restrictions</td></tr><tr><td>
<strong>Fluids</strong></td><td>No restrictions</td><td>Some restrictions</td><td>More restrictions</td></tr><tr><td>
<strong>Medications</strong></td><td>Fewer medications</td><td>Routine medications</td><td>Routine medications</td></tr><tr><td>
<strong>Hospital visits</strong></td><td>Once a month</td><td>Once a month</td><td>3–4 times a week</td></tr><tr><td>
<strong>School</strong></td><td>Full-time</td><td>Full-time</td><td>Part-time (tutoring during treatment)</td></tr><tr><td>
<strong>Transport costs</strong></td><td>Public transit or gas and parking costs, once a month </td><td>Public transit or gas and parking costs, once a month </td><td>Frequent public transit or gas and parking costs, depending on distance to hospital</td></tr></tbody></table><table class="akh-table"><thead><tr><th></th><th>Home hemodialysis</th><th>Home peritoneal dialysis</th><th> In-hospital hemodialysis</th></tr><tr><th rowspan="1" colspan="4">Time commitment</th></tr></thead><tbody><tr><td>
<strong>Treatment time</strong></td><td>Day or night</td><td>Night</td><td>Day</td></tr><tr><td>
<strong>Treatment length</strong></td><td>2–10 hours</td><td>8–12 hours</td><td>3–4 hours</td></tr><tr><td>
<strong>Treatment frequency</strong></td><td>3–6 times a week</td><td>7 nights a week</td><td>3–4 times a week</td></tr><tr><td>
<strong>Preparation for treatment</strong></td><td>45 minutes</td><td>30 minutes</td><td>10 minutes</td></tr><tr><td>
<strong>Clean-up time after treatment</strong></td><td>20 minutes</td><td>10 minutes</td><td>None</td></tr><tr><td>
<strong>Treatment schedule</strong></td><td>Flexible</td><td>Flexible</td><td>Fixed (hospital visits)</td></tr><tr><td>
<strong>Teaching time</strong></td><td>18 days over 6 weeks</td><td>5–7 days</td><td>Ongoing support</td></tr></tbody></table><table class="akh-table"><thead><tr><th></th><th>Home hemodialysis</th><th>Home peritoneal dialysis</th><th> In-hospital hemodialysis</th></tr><tr><th rowspan="1" colspan="4">How and when dialysis is given</th></tr></thead><tbody><tr><td>
<strong>How dialysis is given</strong></td><td>CVL or fistula</td><td>PD catheter</td><td>CVL or fistula</td></tr><tr><td>
<strong>Start of treatment</strong></td><td>Immediate in-hospital HD; move to home HD when stable</td><td>2 weeks after catheter is placed</td><td>Immediate</td></tr><tr><td>
<strong>Care provider</strong></td><td>Patient and family</td><td>Patient and family</td><td>Healthcare professionals</td></tr><tr><td>
<strong>Required caregiver language</strong></td><td>English (learner must be able to read and write)</td><td> English (learner must be able to read and write)</td><td>Any language (interpreter as needed)</td></tr><tr><td>
<strong>Medical management</strong></td><td>Self-managed according to medical plan</td><td>Self-managed according to medical plan</td><td> Help with medical care provided by healthcare professionals</td></tr><tr><td>
<strong>Treatment support</strong></td><td>Back-up care provider needed</td><td>Back-up care provider needed</td><td>No back-up needed</td></tr><tr><td>
<strong>Use of option away from home</strong></td><td>No, patient must switch to in-hospital HD at travel destination</td><td>Yes — machine is portable and can run from a power outlet </td><td>Yes</td></tr><tr><td>
<strong>Respite (break for patient and caregivers)</strong></td><td>Yes, patient can do in-hospital HD as needed</td><td>Overnight community facility (if available)</td><td>No</td></tr></tbody></table><table class="akh-table"><thead><tr><th></th><th>Home hemodialysis</th><th>Home peritoneal dialysis</th><th>In-hospital hemodialysis</th></tr><tr><th rowspan="1" colspan="4">Equipment and storage needs</th></tr></thead><tbody><tr><td>
<strong>Housing</strong></td><td>Suitable housing to store and use equipment and supplies</td><td>Suitable housing to store and use equipment and supplies</td><td>Housing need only be near the hospital (for regular appointments)</td></tr><tr><td>
<strong>Equipment</strong></td><td>Stationary hemodialysis and reverse osmosis machines - 1hr/wk maintenance</td><td>Portable cycler (20lb) — low maintenance</td><td>Does not apply — no equipment at home</td></tr><tr><td>
<strong>Storage area</strong></td><td>Area size: 3’x 4’ Clean, dry, room temperature</td><td>Area size: 3’x 4’ Clean, dry, room temperature</td><td>Does not apply — no equipment at home</td></tr><tr><td>
<strong>Required treatment area</strong></td><td>Room size: 10’ x 11’ Clean, adequate lighting Next to plumbing</td><td>Room size does not matter Clean, adequate lighting Near power outlet</td><td>Open concept hospital space</td></tr></tbody></table> | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Dialysis options: How they compare | | False | | | | | |
