Assist-HHD
Research type
Research Study
Full title
Staff assisted Home Hemodialysis (aHHD) as an alternative modality in patients on in-centre Haemodialysis: a feasibility study
IRAS ID
229323
Contact name
Sandip Mitra
Contact email
Sponsor organisation
Central Manchester NHS Foundation Trust
Duration of Study in the UK
0 years, 9 months, 5 days
Research summary
The majority of patients in the UK with end-stage kidney disease are treated with dialysis. Dialysis takes the form of either peritoneal dialysis (this involves exchanging fluid through a permanent tube placed through the abdominal wall) or haemodialysis (which involves purification of the blood through a machine). When given the choice, the majority of patients would prefer to have their dialysis treatment in their own homes however at present the majority have their treatment in hospital and are dependent on hospital transport. Traditionally, home dialysis treatment requires the patient to carry out all of their treatment independently. Patients requiring assistance are required to have their treatment in hospital. Recently, there has been the development and increasing use of assisted peritoneal dialysis. This service allows patients to use home dialysis when they can’t perform all aspects independently, through the use of community staff assistance. Not all patients are able to have peritoneal dialysis and some prefer haemodialysis which therefore excludes them from such a service.
At present, a staff assisted home haemodialysis service does not exist within the NHS. This study aims to assess the feasibility of providing such a service. The study will comprise of 3 phases. The initial phase will involve patient questionnaires and focus groups with key staff members to understand the numbers of patients who would benefit from such a service as well as the logistics of providing the service. The 2nd phase will use this information to develop care models and consider the cost of the service. The final phase will fully develop the care model and lead to the design of a study to trial the service on patients.
We feel this work is of great importance so that we will definitively know whether we can provide assisted home haemodialysis within the NHS.
REC name
West Midlands - Coventry & Warwickshire Research Ethics Committee
REC reference
17/WM/0370
Date of REC Opinion
13 Dec 2017
REC opinion
Further Information Favourable Opinion