NATIONAL HARBOR, Md.—Black home hemodialysis (HD) patients are more likely than their white counterparts to return to in-center HD, according to data presented at the National Kidney Foundation 2012 Spring Clinical Meetings.
Investigators at the University of Washington Medical Center in Seattle led by Luis Bent-Shaw, MD, examined the pathway of 174 patients who initiated training in a home HD unit over a nine-year period (2001-2009). Of these, 42 (24.1%) initiated conventional HD, 108 (62.1%) short daily HD, 11 (6.3%) nocturnal, and 13 (7.5%) did not complete training. The patient population was 59.9% white, 21.3% black, 14.4% Asian, and 7.4% of other races.
Of the 174 patients trained, 79 (45.1%) remained in the home HD unit, two (1.1%) started peritoneal dialysis, 40 (22%) returned to in-center HD, 13 (7.4%) transferred out of the unit, 18 (10.3%) received kidney transplants, and 23 (13.2%) died. Compared with whites, blacks were fourfold more likely to transfer back to in-center HD, after adjusting for age, smoking status, vascular access, diabetes, and albumin.