Home Dialysis: Dialysis Modality Selection

End-stage kidney disease (ESKD) is a global public health crisis, with the number of patients requiring kidney replacement therapy in the form of kidney transplant or dialysis exceeding 2.6 million and continuing to rise. One-year mortality rates after dialysis initiation range from 10% for patients aged 20–44 years up to 41% for patients aged ≥75 years. The quality of dialysis care is currently measured by variables such as adequacy, fluid and blood pressure, access type, anemia, and mineral and bone disease, which reinforces a disease-centered approach that often diverts attention from the experience and priorities of dialysis patients. Beyond providing clinically appropriate dialysis, delivering a person-centered care should be emphasized to enable them to live their lives as fully as possible within the restrictions imposed by their illness and treatment.