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The Optimal Mode of Dialytic Therapy

Paul G. Jenkins, MD; Frank D. Gutmann, MD; Richard E. Rieselbach, MD

Arch Intern Med. 1976;136(3):357-361.

Abstract
Maintenance hemodialysis is presently the mainstay of treatment for the majority of patients with end-stage renal disease. There has been disagreement, however, as to what form the delivery of dialysis should take—self-dialysis, at home, or in-center, as opposed to in-center, limited-care dialysis. This review of the recent literature strongly supports self-dialysis as the optimal form of therapy, since the cost is less, and survival and rehabilitation are better than with limited-care dialysis. We conclude that a greater effort should be expended to encourage and even direct patients toward this form of therapy.

(Arch Intern Med 136:357-361, 1976)

Author Affiliations
From the Section of Nephrology, Department of Medicine, Mount Sinai Medical Center, University of Wisconsin Center for Health Sciences—Mount Sinai, Milwaukee.

Footnotes
Received for publication June 4, 1975; accepted July 30.

Reprint requests to Mount Sinai Medical Center, 950 N 12th St, Milwaukee, WI 53201 (Dr Jenkins).

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