The virtual Controversies Conference on Home Dialysis was the third meeting in the KDIGO dialysis conference series. Participants conducted a critical, in-depth review of factors that either positively or negatively impact home dialysis utilization while considering criteria for candidacy, eligibility, and outcomes associated with home dialysis. The meeting further identified approaches and strategies that expand the use of home dialysis, with consideration toward currently escalating ESKD-associated costs.

A particular emphasis was on exploring the specific and local factors that impact home dialysis uptake. Moreover, attendees explored factors that impact the patient and carer experience of home dialysis and the most effective support mechanisms that enable its use. Included was the potential impacts of increasing home dialysis utilization on clinical and patient-reported outcomes, financial implications of ESKD therapy costs, including patient and carer direct costs, and impact of increasing the use of home dialysis on increasing access to renal replacement therapy.

Drs. Jeff Perl (Canada) and Martin Wilkie (UK) co-chaired this conference.

The final version of the Home Dialysis Controversies Conference Report was published in the May 2023 print and digital issues of Kidney International. 



International Perspectives on Home Dialysis
Vivek Jha


How Economics Can Drive Home Dialysis Use
James Fotheringham


Home Dialysis: Why and Why Not. A Patient’s Perspective
Fiona Loud


Home Dialysis: Why and Why Not. An Evidence-Based Perspective
Joanne Bargman


Quality Improvement Initiatives that Deliver
Rob Quinn


Drivers for Home Dialysis
Richard Fluck

Plenary session presentations