Barriers to Dialysis Home Therapy Utilization: A Systematic Review

Cristina Trevizo-Nimeri, Kashica J Webber-Ritchey, Elizabeth Aquino, Shannon D Simonovich

Research output: Contribution to journalArticlepeer-review

Abstract

Barriers to the utilization of home therapy among patients with chronic kidney disease (CKD) impact progression to kidney failure and access to treatment options. The impact of health disparities on home therapy utilization receiving kidney replacement therapy requires investigation. A systematic review utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines was conducted to examine health disparity barriers to home therapy utilization among patients with kidney failure. Twelve articles published from 2010-2020 identified relationships between health disparities and home dialysis utilization among adults receiving kidney replacement therapy. Findings included association between the utilization of home therapy and the barriers of race/ethnicity (n = 5), economic barriers (n = 4), and insurance type (n = 3). Implications of findings are provided.

Original languageEnglish
Pages (from-to)29-27
JournalNephrology nursing journal : journal of the American Nephrology Nurses' Association
Volume49
Issue number1
StatePublished - 2022

Keywords

  • Adult
  • Ethnicity
  • Hemodialysis, Home
  • Humans
  • Renal Dialysis

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