Download PDF
Dialyse aktuell 2019; 23(04): 158-164
DOI: 10.1055/a-0891-6676
Schwerpunkt | Dialyse
© Georg Thieme Verlag Stuttgart · New York

Heimdialyse

Wie ist die Situation in der pädiatrischen Nephrologie?
Christina Taylan
1   Pädiatrische Nephrologie, Klinik und Poliklinik für Kinder- und Jugendmedizin, Medizinische Fakultät und Uniklinik Köln, Universität zu Köln
2   KfH-Kinderdialysezentrum Köln-Lindenthal
,
Lutz Thorsten Weber
1   Pädiatrische Nephrologie, Klinik und Poliklinik für Kinder- und Jugendmedizin, Medizinische Fakultät und Uniklinik Köln, Universität zu Köln
2   KfH-Kinderdialysezentrum Köln-Lindenthal
› Author Affiliations
Further Information

Publication History

Publication Date:
21 May 2019 (online)

Also available at
    Permissions and Reprints

ZUSAMMENFASSUNG

In der Pädiatrie ist die Heimdialyse in Form von Peritonealdialyse seit Langem ein wesentlicher Bestandteil der Behandlung und wird bei der überwiegenden Anzahl, insbesondere bei sehr kleinen Kindern, eingesetzt. Trotz der Risiken, die eine Heimdialysebehandlung beinhaltet, überwiegen die Vorteile. Die Heimhämodialyse hingegen hat aktuell keinen großen Stellenwert in der Behandlung pädiatrischer Dialysepatienten, die Gründe hierfür sind vielfältig. Sie sollte aber in Zukunft mehr Berücksichtigung finden. Der vielfach bewiesene Vorteil der intensivierten Hämodialyse, die im Gegensatz zur Zentrumsdialyse als Heimdialyse logistisch einfacher durchzuführen ist, sollte dazu führen, in Zukunft die Heimdialyseverfahren durch einfacher zu bedienende, kleinere Geräte sowie unterstützende Systeme wie, z. B. Remote-controlled Patientenmanagement-Programme, weiter zu entwickeln.

 

  • Literatur

  • 1 Nesrallah GE, Lindsay RM, Cuerden MS. et al Intensive hemodialysis associates with improved survival compared with conventional hemodialysis.. J Am Soc Nephrol JASN 2012; 23: 696-705 doi:10.1681/ASN.2011070676
    CrossrefPubMedGoogle Scholar
  • 2 Robinson BM, Akizawa T, Jager KJ. et al Factors affecting outcomes in patients reaching end-stage kidney disease worldwide: differences in access to renal replacement therapy, modality use, and haemodialysis practices.. Lancet 2016; 388: 294-306 doi:10.1016/S0140-6736(16)30448-2
    CrossrefPubMedGoogle Scholar
  • 3 Jain AK, Blake P, Cordy P, Garg AX. Global trends in rates of peritoneal dialysis.. J Am Soc Nephrol 2012; 23: 533-544 doi:10.1681/ASN.2011060607
    CrossrefPubMedGoogle Scholar
  • 4 Leonard MB, Donaldson LA, Ho M, Geary DF. A prospective cohort study of incident maintenance dialysis in children: an NAPRTC study.. Kidney Int 2003; 63: 744-755 doi:10.1046/j.1523-1755.2003.00788.x
    CrossrefPubMedGoogle Scholar
  • 5 Peritoneal Dialysis Adequacy Work Group. Clinical practice guidelines for peritoneal dialysis adequacy. Am J Kidney Dis 2006; 48 Suppl (Suppl. 01) S98-S129 doi:10.1053/j.ajkd.2006.04.006
    CrossrefPubMedGoogle Scholar
  • 6 Watson AR, Gartland C. European Paediatric Peritoneal Dialysis Working Group. Guidelines by an Ad Hoc European Committee for Elective Chronic Peritoneal Dialysis in Pediatric Patients. Perit Dial Int 2001; 21: 240-244
    CrossrefPubMedGoogle Scholar
  • 7 Ketteler M, Block GA, Evenepoel P. et al Executive summary of the 2017 KDIGO Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD) Guideline Update: what’s changed and why it matters.. Kidney Int 2017; 92: 26-36 doi:10.1016/j.kint.2017.04.006
    CrossrefPubMedGoogle Scholar
  • 8 Ingulli EG, Mak RH. Growth in children with chronic kidney disease: role of nutrition, growth hormone, dialysis, and steroids.. Curr Opin Pediatr 2014; 26: 187-192 doi:10.1097/MOP.0000000000000070
    CrossrefPubMedGoogle Scholar
  • 9 Medway M, Tong A, Craig JC. et al Parental perspectives on the financial impact of caring for a child with CKD.. Am J Kidney Dis 2015; 65: 384-393 doi:10.1053/j.ajkd.2014.07.019
    CrossrefPubMedGoogle Scholar
  • 10 Tong A, Sainsbury P, Craig JC. Support interventions for caregivers of people with chronic kidney disease: a systematic review.. Nephrol Dial Transplant 2008; 23: 3960-3965 doi:10.1093/ndt/gfn415
    CrossrefPubMedGoogle Scholar
  • 11 Warady BA, Feneberg R, Verrina E. et al IPPR. Peritonitis in children who receive long-term peritoneal dialysis: a prospective evaluation of therapeutic guidelines. J Am Soc Nephrol 2007; 18: 2172-2179 doi:10.1681/ASN.2006101158
    CrossrefPubMedGoogle Scholar
  • 12 van Stralen KJ, Borzych-Dużalka D, Hataya H. et al ESPN/ERA-EDTA registry, IPPN registry, ANZDATA registry, Japanese RRT registry. Survival and clinical outcomes of children starting renal replacement therapy in the neonatal period. Kidney Int 2014; 86: 168-174 doi:10.1038/ki.2013.561
    CrossrefPubMedGoogle Scholar
  • 13 Sanderson KR, Yu Y, Dai H. et al Outcomes of infants receiving chronic peritoneal dialysis: an analysis of the USRDS registry.. Pediatr Nephrol 2019; 34: 155-162 doi:10.1007/s00467-018-4056-6
    CrossrefPubMedGoogle Scholar
  • 14 Schaefer F, Borzych-Duzalka D, Azocar M. et al IPPN investigators. Impact of global economic disparities on practices and outcomes of chronic peritoneal dialysis in children: insights from the International Pediatric Peritoneal Dialysis Network Registry. Perit Dial Int 2012; 32: 399-409 doi:10.3747/pdi.2012.00126
    CrossrefPubMedGoogle Scholar
  • 15 Pui CH, Yang JJ, Hunger SP. et al Childhood Acute Lymphoblastic Leukemia: Progress Through Collaboration.. J Clin Oncol 2015; 33: 2938-2948 doi:10.1200/JCO.2014.59.1636
    CrossrefPubMedGoogle Scholar
  • 16 Fenton SS, Schaubel DE, Desmeules M, Morrison HI, Mao Y, Copleston P, Jeffery JR, Kjellstrand CM. Hemodialysis versus peritoneal dialysis: a comparison of adjusted mortality rates.. Am J Kidney Dis 1997; 30: 334-342
    CrossrefPubMedGoogle Scholar
  • 17 Trinh E, Chan CT, Perl J. Dialysis modality and survival: Done to death.. Semin Dial 2018; 31: 315-324 doi:10.1111/sdi.12692
    CrossrefPubMedGoogle Scholar
  • 18 Lofaro D, Vogelzang JL, van Stralen KJ. et al Infection-related hospitalizations over 30 years of follow-up in patients starting renal replacement therapy at pediatric age.. Pediatr Nephrol 2016; 31: 315-323 doi:10.1007/s00467-015-3209-0
    CrossrefPubMedGoogle Scholar
  • 19 Rees L, Azocar M, Borzych D. et al International Pediatric Peritoneal Dialysis Network (IPPN) registry. Growth in Very Young Children Undergoing Chronic Peritoneal Dialysis. J Am Soc Nephrol 2011; 22: 2303-2312 doi:10.1681/ASN.2010020192
    CrossrefPubMedGoogle Scholar
  • 20 Jaber BL, Lee Y, Collins AJ. et al FREEDOM Study Group. Effect of daily hemodialysis on depressive symptoms and postdialysis recovery time: interim report from the FREEDOM (Following Rehabilitation, Economics and Everyday-Dialysis Outcome Measurements) Study. Am J Kidney Dis 2010; 56: 531-539 doi:10.1053/j.ajkd.2010.04.019
    CrossrefPubMedGoogle Scholar
  • 21 Fischbach M, Fothergill H, Zaloszyc A. et al Intensified daily dialysis: the best chronic dialysis option for children?. Semin Dial 2011; 24: 640-644 doi:10.1111/j.1525-139X.2011.01020.x
    CrossrefPubMedGoogle Scholar
  • 22 Ok E, Duman S, Asci G. et al Long Dialysis Study Group. Comparison of 4- and 8-h dialysis sessions in thrice-weekly in-centre haemodialysis: a prospective, case-controlled study. Nephrol Dial Transplant 2011; 26: 1287-1296 doi:10.1093/ndt/gfq724
    CrossrefPubMedGoogle Scholar
  • 23 Thumfart J, Puttkamer CV, Wagner S. et al Hemodiafiltration in a pediatric nocturnal dialysis program.. Pediatr Nephrol 2014; 29: 1411-1416 doi:10.1007/s00467-014-2776-9
    CrossrefPubMedGoogle Scholar
  • 24 Yu JZ, Rhee CM, Ferrey A. et al There’s no place like home: 35-year patient survival on home hemodialysis.. Semin Dial 2018; 31: 300-304 doi:10.1111/sdi.12660
    CrossrefPubMedGoogle Scholar
  • 25 Wallace EL, Rosner MH, Alscher MD. et al Remote Patient Management for Home Dialysis Patients.. Kidney Int Rep 2017; 2: 1009-1017 doi:10.1016/j.ekir.2017.07.010
    CrossrefPubMedGoogle Scholar
  • 26 Uchiyama K, Washida N, Yube N. et al The impact of a remote monitoring system of healthcare resource consumption in patients on automated peritoneal dialysis (APD): A simulation study.. Clin Nephrol 2018; 90: 334-340 doi:10.5414/CN109471
    CrossrefPubMedGoogle Scholar
  • 27 Cornelis T, Usvyat LA, Tordoir JH. et al Vascular access vulnerability in intensive hemodialysis: a significant Achilles’ heel?. Blood Purif 2014; 37: 222-228 doi:10.1159/000362106
    CrossrefPubMedGoogle Scholar
  • 28 Suri RS, Larive B, Sherer S. et al Frequent Hemodialysis Network Trial Group. Risk of vascular access complications with frequent hemodialysis. J Am Soc Nephrol 2013; 24: 498-505 doi:10.1681/ASN.2012060595
    CrossrefPubMedGoogle Scholar
  • 29 Weinhandl ED, Liu J, Gilbertson DT. et al Survival in daily home hemodialysis and matched thrice-weekly in-center hemodialysis patients.. J Am Soc Nephrol 2012; 23: 895-904 doi:10.1681/ASN.2011080761
    CrossrefPubMedGoogle Scholar
  • 30 Weinhandl ED, Nieman KM, Gilbertson DT, Collins AJ. Hospitalization in daily home hemodialysis and matched thrice-weekly in-center hemodialysis patients.. Am J Kidney Dis 2015; 65: 98-108 doi:10.1053/j.ajkd.2014.06.015
    CrossrefPubMedGoogle Scholar
  • 31 Vilar E, Farrington K. Emerging importance of residual renal function in end-stage renal failure.. Semin Dial 2011; 24: 487-494 doi:10.1111/j.1525-139X.2011.00968.x
    CrossrefPubMedGoogle Scholar
  • 32 Daugirdas JT, Greene T, Rocco MV. et al FHN Trial Group. Effect of frequent hemodialysis on residual kidney function. Kidney Int 2013; 83: 949-958 doi:10.1038/ki.2012.457
    CrossrefPubMedGoogle Scholar
  • 33 Robert Koch Institut.. Schwerpunktbericht der Gesundheitsberichterstattung des Bundes. Migration und Gesundheit.. Im Internet http://www.gbe-bund.de/pdf/migration.pdf; Stand: 18.04.2019
    Google Scholar
  • 34 Krishnasamy R, Gray NA. Low socio-economic status adversely effects dialysis survival in Australia.. Nephrol (Carlton) 2018; 23: 453-460 doi:10.1111/nep.13053
    CrossrefPubMedGoogle Scholar
  • 35 Nee R, Yuan CM, Hurst FP. et al Impact of poverty and race on pre-end-stage renal disease care among dialysis patients in the United States.. Clin Kidney J 2017; 10: 55-61 doi:10.1093/ckj/sfw098
    PubMedGoogle Scholar
  • 36 Assmann S, Balck F. [Dialysis and the risk of poverty].. Gesundheitswesen Bundesverb Arzte Offentlichen Gesundheitsdienstes Ger 2010; 72: e65-e70
    Google Scholar
  • 37 Schoenmaker NJ, Haverman L, Tromp WF. et al Children of non-Western origin with end-stage renal disease in the Netherlands, Belgium and a part of Germany have impaired health-related quality of life compared with Western children.. Nephrol Dial Transplant 2014; 29: 448-457 doi:10.1093/ndt/gft436
    CrossrefPubMedGoogle Scholar
  • 38 Nebel M. Alternative und intensivierte Hämodialyseverfahren.. Nieren- Hochdruckkrankheiten 2014; 33: 655-662
    Google Scholar
  • 39 Nebel M. Heimhämodialyse – Eine wirkliche Alternative zur Zentrumsdialyse.. Dialyse aktuell 2008; 12: 142-152 doi:10.1055/s-2008-1079326
    Article in Thieme ConnectGoogle Scholar