International Home Dialysis Consortium: Declaration Advocating for the Promotion of Home Dialysis Globally

Edwina A Brown; Vivekanand Jha; Sunita Bavanandan; Christopher T Chan; Simon Davies; Ana Figueirido; Adrian Liew; Magdalena Madero; Abdou Niang; Rajnish Mehrotra; Sandip Mitra; Peter Rutherford; Anjali Saxena; Brigitte Schiller; Claus Peter Schmitt; Sydney C W Tang; Irma Tchokhonelidze

doi:10.1016/j.ekir.2025.03.012

International Home Dialysis Consortium: Declaration Advocating for the Promotion of Home Dialysis Globally

Kidney Int Rep. 2025 Mar 14;10(6):1633-1642. doi: 10.1016/j.ekir.2025.03.012. eCollection 2025 Jun.

Authors

Edwina A Brown^{1

2}, Vivekanand Jha^{3

4

5}, Sunita Bavanandan⁶, Christopher T Chan⁷, Simon Davies⁸, Ana Figueirido⁹, Adrian Liew¹⁰, Magdalena Madero¹¹, Abdou Niang¹², Rajnish Mehrotra¹³, Sandip Mitra¹⁴, Peter Rutherford¹⁵, Anjali Saxena¹⁶, Brigitte Schiller¹⁷, Claus Peter Schmitt¹⁸, Sydney C W Tang¹⁹, Irma Tchokhonelidze²⁰

Affiliations

¹ Renal Department, Imperial College Healthcare NHS Trust, London, UK.
² Faculty of Medicine, Imperial College London, London, UK.
³ George Institute for Global Health India, New Delhi, India.
⁴ School of Public Health, Imperial College, London, UK.
⁵ Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India.
⁶ Department of Nephrology, Hospital Kuala Lumpur, Malaysia.
⁷ Division of Nephrology, University Health Network, University of Toronto, Toronto, Ontario, Canada.
⁸ Faculty of Medicine and Health Sciences, School of Medicine, Keele University, UK.
⁹ School of Health and Life Sciences, ECSV, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.
¹⁰ Mount Elizabeth Novena Hospital, Singapore.
¹¹ Nephrology Division, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico.
¹² Cheikh Anta Diop University, Dakar, Senegal.
¹³ Division of Nephrology, Kidney Research Institute, Department of Medicine, University of Washington, Seattle, Washington, USA.
¹⁴ Manchester Academy of Health Sciences Center, University of Manchester, Manchester University Hospitals, Manchester, UK.
¹⁵ Global Medical Affairs, Vantive Healthcare, Zurich, Switzerland.
¹⁶ Division of Nephrology, Stanford University, Stanford, California, USA.
¹⁷ Global Medical Office, Fresenius Medical Care, Waltham, Massachusetts, USA.
¹⁸ Medical Faculty Heidelberg, University of Heidelberg, Center for Pediatric and Adolescent Medicine, Clinic 1, Pediatric Nephrology, Heidelberg, Germany.
¹⁹ Division of Nephrology, Department of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong, China.
²⁰ Nephrology Department, Tbilisi State Medical University, Tbilisi, Georgia.

Abstract

The use of home dialysis (peritoneal dialysis [PD] and home hemodialysis [HHD]) is variable in high-income countries despite its known lifestyle benefits and lower costs, and is unavailable or underused in many lower-income countries, where PD could increase access to dialysis. The International Home Dialysis Consortium (IHDC) is a joint project of the ISN and the International Society for Peritoneal Dialysis (ISPD). The consortium has been established to address the challenges and barriers to and improve the adoption of home dialysis globally. A launch meeting was held at the World Congress of Nephrology 2024 in Buenos Aires, Argentina, focusing on 4 areas-empowering people needing dialysis, nephrology workforce education, developing workforce and resources, and integrating care and payment policies. The key statements from each group were then amalgamated to produce a manifesto that advocates for the global promotion of home dialysis (PD and HHD) to enhance patient experience, quality, and equity in kidney failure care. This manifesto will be presented to professional kidney-related societies (medical, nursing, patients, and technical) to adopt the declaration as a practical roadmap to increase home dialysis awareness and, consequently, modality selection.