Brown Edwina A, Jha Vivekanand, Bavanandan Sunita, Chan Christopher T, Davies Simon, Figueirido Ana, Liew Adrian, Madero Magdalena, Niang Abdou, Mehrotra Rajnish, Mitra Sandip, Rutherford Peter, Saxena Anjali, Schiller Brigitte, Schmitt Claus Peter, Tang Sydney C W, Tchokhonelidze Irma
Renal Department, Imperial College Healthcare NHS Trust, London, UK.
Faculty of Medicine, Imperial College London, London, UK.
Kidney Int Rep. 2025 Mar 14;10(6):1633-1642. doi: 10.1016/j.ekir.2025.03.012. eCollection 2025 Jun.
The use of home dialysis (peritoneal dialysis [PD] and home hemodialysis [HHD]) is variable in high-income countries despite its known lifestyle benefits and lower costs, and is unavailable or underused in many lower-income countries, where PD could increase access to dialysis. The International Home Dialysis Consortium (IHDC) is a joint project of the ISN and the International Society for Peritoneal Dialysis (ISPD). The consortium has been established to address the challenges and barriers to and improve the adoption of home dialysis globally. A launch meeting was held at the World Congress of Nephrology 2024 in Buenos Aires, Argentina, focusing on 4 areas-empowering people needing dialysis, nephrology workforce education, developing workforce and resources, and integrating care and payment policies. The key statements from each group were then amalgamated to produce a manifesto that advocates for the global promotion of home dialysis (PD and HHD) to enhance patient experience, quality, and equity in kidney failure care. This manifesto will be presented to professional kidney-related societies (medical, nursing, patients, and technical) to adopt the declaration as a practical roadmap to increase home dialysis awareness and, consequently, modality selection.
尽管家庭透析（腹膜透析[PD]和家庭血液透析[HHD]）具有已知的生活方式益处且成本较低，但在高收入国家的使用情况各不相同，而在许多低收入国家则无法获得或未得到充分利用，在这些国家，腹膜透析可以增加透析的可及性。国际家庭透析联盟（IHDC）是国际肾脏病学会（ISN）和国际腹膜透析学会（ISPD）的联合项目。该联盟的成立是为了应对全球范围内家庭透析面临的挑战和障碍，并促进其采用。2024年在阿根廷布宜诺斯艾利斯举行的世界肾脏病大会上召开了一次启动会议，重点关注四个领域——增强透析患者能力、肾脏病专业人员教育、发展专业人员和资源，以及整合护理和支付政策。然后将每个小组的关键声明合并，形成一份宣言，倡导在全球范围内推广家庭透析（腹膜透析和家庭血液透析），以提升肾衰竭护理的患者体验、质量和公平性。这份宣言将提交给与肾脏相关的专业协会（医学、护理、患者和技术协会），以将该宣言作为提高家庭透析意识从而增加透析方式选择的实用路线图予以采纳。
