After initially becoming popular in the 1960s with the creation of dialyzers for home use, at-home hemodialysis is experiencing a newfound resurgence. Today’s technology and advances allow for easier-to-use equipment, home delivery of supplies and blood work monitoring that's done remotely by phone. 


Whether you’re getting ready for dialysis or want to switch to a different type of dialysis, our Treatment Decision Guide can help you decide what treatment options might be best for you.
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What Is At-Home Hemodialysis?

The basic process for at-home hemodialysis (HD) is exactly the same as in-center hemodialysis.

With hemodialysis, your blood is filtered outside the body by a dialyzer or “artificial kidney”,
which removes waste and fluids. The filtered blood is then returned to your body. Only 1 pint of
blood is outside of your body being cleaned and returned at any time during dialysis—that’s the
amount you’d give during a blood donation.
Hemodialysis in the home

At-home hemodialysis: partner up 

Every type of dialysis has pros and cons. At-home HD has many benefits, but you’ll need someone who’s willing—and committed—to train with you and be with you during each dialysis treatment.

“Hemo” means blood and dialysis” means filter, so hemodialysis means “blood filter.”

Advantages of at home hemodialysis

Advantages of at-home hemodialysis

  • You have the comfort of being home during treatment—while having access to an on-call nurse over the phone.
  • If prescribed by your doctor, you can stay on your machine longer or more frequently, which can help you feel better—you may have more energy and less nausea and cramping.
  • Along with your doctor or nurse’s advice, you can choose your time for treatments, so you have more flexibility for work or school or other social activities. 
  • You don’t need to leave home for treatment, which saves travel time and transportation costs, plus alleviates weather-related travel worries.
  • You or your care partner will put in your own needles, which some people prefer.
  • You have more freedom with your diet if your doctor prescribes more frequent dialysis treatments.


Longer, slower dialysis treatments are gentler on your body. Healthy kidneys work continuously. So if your dialysis treatments are longer or more frequent, they are much closer to natural kidney function. At-home hemodialysis allows you to have a more flexible dialysis schedule than in a center.

Home hemodialysis training

What you need to succeed

  • Anywhere from 4 to 8 weeks of training—along with your care partner (family member or friend).
  • Your care partner needs to be dependable—to commit to either participating in your home hemodialysis treatments or staying with you to monitor them.
  • You or your care partner must be willing to set up for treatments and clean up afterward.
  • Before you begin, check with your health insurance provider—or your social worker—so you know whether more frequent at-home hemodialysis treatments will be covered.
  • Your water and electrical systems need to be checked in case they need to be upgraded or modified. 
  • Space that’s set aside in your home to store supplies and equipment.


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