17th Annual Conference on Peritoneal Dialysis

3rd International Home Hemodialysis Symposium

Selected Lectures

February 17-18, 1997

HDCN is pleased to present a selection of key talks from the 3rd International Home Hemodialysis Symposium at the 17th Annual Conference of Peritoneal Dialysis sponsored by the University of Missouri, Columbia, and which took place in Denver, Colorado in February of 1997. The support of an unrestricted education grant from Aksys Ltd which made this internet presentation possible is gratefully acknowledged.

These are fully synchronized audio/slide presentations, and they require use of the Real Audio Player, which is freely available from www.realaudio.com. For those of you who don't have audio, the talks (except for that of Dr. John Woods) are transcribed for easy access.

Incidentally, if you haven't already, you will need to register with HDCN to access these talks.

The Faculty

John T. Daugirdas, M.D., Professor of Medicine University of Illinois at Chicago, IL.
George Harper, Rome, GA; participating as a dialysis patient tutor.
Friedrich Port, M.D., Professor of Medicine and Epidemiology, University of Michigan, Ann Arbor, MI
Zbylut J. Twardowski, M.D., Ph.D., Professor of Medicine, University of Missouri School of Medicine, Columbia, MO.
John D. Woods, M.D. , Lecturer, University of Michigan, Ann Arbor.

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14.4 modem

Real Audio recording of Dr. Twardowski's introduction

Dr. Zbylut Twardowski
Zbylut J. Twardowski, M.D., Ph.D.
I will say a few words of welcome: I want to remind you that home hemodialysis is the oldest high technology treatment which was introduced. The first [home hemodialysis treatment] was done by Yuki Nose in 1961. He was coil dialyzing using a washing machine as a dialysate tank. Then in 1963, Belding Scribner did home hemodialysis in a private home in Madras, India, for a very wealthy man. Then there were three home hemodialysis programs established by 1965 in Boston by John Merrill; in London, by Rosemary Baillod; and in Seattle, by Scribner, and Curtis was the first author of the paper published in ASAIO (American Society for Artificial Internal Organs).
Despite this, home hemodialysis is right now not that prevalent a mode of home dialysis therapy. As you can see in this data from HCFA, at the end of 1996 the most common home dialysis modality was CAPD. In more detail re: home hemodialysis, you can see that, in 1980 there were more than 5,000 people on home hemodialysis; now at the end of 1995, there are only a little bit more than 2,000.

This symposium is the third international symposium. We started in Baltimore in 1995. We had two morning sessions. Then in Seattle we had two morning sessions, one afternoon session and one slide session and posters. Now we have two morning sessions and two afternoon sessions, one slide session and posters. For the first time we'll be publishing "Advances in Home Hemodialysis". This is [to be] an annual publication.

The program is very exciting. The morning sessions are: Clinical Results of Home Hemodialysis, this session; then Dialysis Kinetics; and in the afternoon, Blood Access and New Technology for Daily Home Hemodialysis.

Thank you very much. Now I ask Dr. Pierratos to continue.

The talks

* USRDS comparisons of outcomes of center hemodialysis, home hemodialysis, and peritoneal dialysis. (Dr. Fritz Port)
* Retrospective analysis of multicenter daily home hemodialysis study. (Dr. John Woods)
* Buttonhole method of needle insertion into arteriovenous fistulas. (Dr. Zbylut Twardowski and Mr. George Harper)
* Urea kinetics and adequacy with daily home hemodialysis. (Dr. John Daugirdas)

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