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Hemodialysis in the Home: A New Approach to the Treatment of Chronic Uremia

J. W. ESCHBACH JR., M.D.; B. M. S. BARNETT, M.D.; S. DALY, R.N.; J. J. COLE, B.S.; and B. H. SCRIBNER, M.D., F.A.C.P.
Ann Intern Med. 1967;67(6):1149-1162. doi:10.7326/0003-4819-67-6-1149
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Less than 4 years ago hemodialysis was first attempted in the homes of patients with chronic uremia because hemodialysis in a center was not available to them (1-3). Initially home treatment was a cumbersome experimental endeavor but has evolved rapidly into a practical and successful means of treating end-stage kidney disease. Maintenance dialysis now can be made available to almost anyone who is capable of learning to treat himself in his own home. Furthermore, treatment in the home rather than the center can provide opportunity for more dialysis and therefore better control of the azotemic state and at less than


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