Cure dialitiche domiciliari. Una frontiera da raggiungere, senza trascurare le criticità

  • Giuseppe Vanacore Presidente ANED Associazione Nazionale Emodializzati Dialisi e Trapianto - ONLUS, Milano - Italia
  • Antonio Santoro Direttore Comitato Scientifico ANED Associazione Nazionale Emodializzati Dialisi e Trapianto - ONLUS, Milano - Italia
Parole chiave: Chronic kidney disease, Home care, Home dialysis, Peritoneal dialysis

Abstract

The National Plan of Chronicity, approved by the Italian State-Regions Conference, refers to the topic of home care, specifying how the fundamental objective of chronic care systems is to keep the sick person at home as much as possible. Currently, home dialysis – both peritoneal and haemodialysis – uses high-quality safe technology systems and allows patients to perform therapy safely at home. ANED wishes to stress that the choice of dialysis treatment, which certainly depends on clinical evaluations, must at the same time consider the psychological and emotional aspects of the patient, the expectations and needs of his life and the social context, aiming at an increasingly personalized and sustainable therapy for patients and the healthcare system.

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Riferimenti bibliografici

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Wilkie M. Home dialysis-an international perspective. NDT Plus. 2011;4(suppl 3):iii4-iii6. PMID:25949518

Li PK, Chow KM, Van de Luijtgaarden MW, et al. Changes in the worldwide epidemiology of peritoneal dialysis. Nat Rev Nephrol. 2017;13(2):90-103. https://doi.org/10.1038/nrneph.2016.181 PMID:28029154

Walker RC, Howard K, Morton RL. Home hemodialysis: a comprehensive review of patient-centered and economic considerations. Clinicoecon Outcomes Res. 2017;9:149-161. https://doi.org/10.2147/CEOR.S69340 PMID:28243134

Kramer A, Pippias M, Noordzij M, et al. The European Renal Association - European Dialysis and Transplant Association (ERA-EDTA) Registry Annual Report 2016: a summary. Clin Kidney J. 2019;12(5):702-720. https://doi.org/10.1093/ckj/sfz011 PMID:31583095

Quintaliani G, Reboldi G, Di Napoli A, et al; Italian Society of Nephrology COVID-19 Research Group. Exposure to novel coronavirus in patients on renal replacement therapy during the exponential phase of COVID-19 pandemic: survey of the Italian Society of Nephrology. J Nephrol. 2020;33(4):725-736. https://doi.org/10.1007/s40620-020-00794-1 PMID:32621109

Pubblicato
2020-12-07
Sezione
Il paziente nefropatico - In collaborazione con ANED Onlus