Abstract
Background More than 6200 End Stage Renal Disease patients in the Netherlands are dependent on dialysis, either performed at home or in a dialysis centre. Visiting a dialysis centre three times a week is considered a large burden by many patients. However, recent data regarding the effects of dialysis at home on quality of life, clinical outcomes, and costs compared with in-centre haemodialysis are lacking. Methods The Dutch nOcturnal and hoME dialysis Study To Improve Clinical Outcomes (DOMESTICO) is a nationwide, prospective, observational cohort study that will include adult patients starting with a form of dialysis. Health-related quality of life, as the primary outcome, clinical outcomes and costs, as secondary outcomes, will be measured every 3-6 months in patients on home dialysis, and compared with a control group consisting of in-centre haemodialysis patients. During a 3-year period 800 home dialysis patients (600 peritoneal dialysis and 200 home haemodialysis patients) and a comparison group of 800 in-centre haemodialysis patients will be included from 53 Dutch dialysis centres (covering 96% of Dutch centres) and 1 Belgian dialysis centre (covering 4% of Flemish centres). Discussion DOMESTICO will prospectively investigate the effect of home dialysis therapies on health-related quality of life, clinical outcomes and costs, in comparison with in-centre haemodialysis. The findings of this study are expected to ameliorate the shared decision-making process and give more guidance to healthcare professionals, in particular to assess which type of patients may benefit most from home dialysis.
Original language | English |
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Article number | 361 |
Number of pages | 8 |
Journal | Bmc Nephrology |
Volume | 20 |
Issue number | 1 |
DOIs | |
Publication status | Published - 18 Sept 2019 |
Keywords
- Clinical outcomes
- Costs
- Health-related quality of life
- Home dialysis
- Home haemodialysis
- In-Centre haemodialysis
- Peritoneal dialysis
- QUALITY-OF-LIFE
- RENAL-DISEASE PATIENTS
- CHRONIC KIDNEY-DISEASE
- ERA-EDTA REGISTRY
- PERITONEAL-DIALYSIS
- HEMODIALYSIS-PATIENTS
- SELF-EFFICACY
- HEALTH SURVEY
- ASSOCIATION
- INSTRUMENT