Should I do hemodialysis in a center or at home?

Your lifestyle will largely determine how you go forward with dialysis.

Choose between…

In Center


In Center


At Home

You can do HD (hemodialysis) at a dialysis center where a nurse or technician does dialysis for you.

In a center during the day

Done by: Nurses and technicians

Ideal candidates: Retirees, people available during business hours

Pros: Four hours in a chair to do whatever you want, whoo hoo! Read, nap, use your laptop, listen to music, pretend to work…

Details: Bloodwork will be checked monthly to track your progress. Your doctor will visit you in the dialysis unit. Technicians and nurses will closely monitor you during your dialysis treatments. A nurse, social worker, and dietician will be dedicated to you.

Treatment Schedule:

Sessions are typically 3-4 hours long

3 times per week:

Mon/Wed/Fri – OR – Tu/Th/Sa

1st shift: 5:30 – 8:30 am

2nd shift 9- 12 pm

3rd shift 12- 3 pm

4th shift 4-7:00pm

(Timings may vary according to dialysis units)

In a center during the night

Done by: Nurses and technicians

Ideal candidates: People who are busy during the day

Pros: Go to sleep, wake up, and you’re done! Nighttime dialysis is more ideal because it gives the machine longer to clean out your blood.  This can help alleviate symptoms of CKD.

You can also do dialysis at home where you are the one doing your treatment. This makes it easy to fit dialysis into your schedule.

Home hemodialysis

Done by: You and a treatment partner

Pros: Greater treatment access, no need to travel, better survival outcomes

Details: This option may require modification to your home to accommodate the machine. You will need a ‘treatment partner’ to help you through the process; the actual schedule will be determined by your doctor, and nurses will keep in contact with you to monitor progress.

1. Short daily home HD:  done 5-7 times / week, 2 hours each treatment. Since you are doing dialysis more often less fluid needs to be removed each time.  This reduces symptoms like cramping, HA, nausea and feeling ‘washed out’ after dialysis treatment

2. Nocturnal Home Hemodialysis:  slow, long treatments at night while you sleep. This is done every other night or 6 times a week. More dialysis per week means more waste removal

3. Conventional home hemodialysis: Same as in center. 3-4 times per week for 3-4 hours each treatment.

Remember, you can combine any of these regimen to make it suitable to your schedule. The most important thing is that you are getting adequate dialysis. For more information, talk to you doctor.