| Treatment | Schedule | Location | Availability | Equipment and Supplies | Training Required | Diet | Level of Freedom | Level of Responsibility |
|---|---|---|---|---|---|---|---|---|
| In-Center Hemodialysis | Three treatments a week for about 4 hours. | Dialysis center. | Available in most communities; may require travel in some rural areas. | No equipment or supplies in the home. | Little training required; clinic staff perform most tasks. | Must limit fluids, sodium, potassium, and phosphorus. | Little freedom during treatments. Greater freedom on nontreatment days. | Some patients prefer to let clinic staff perform all tasks. |
| Home Hemodialysis | More flexibility in determining your schedule of treatments. | Home. | More widely used as smaller and simpler machines are developed. | Hemodialysis machine connected to plumbing, chair. | You and a partner must attend several training sessions. | Must limit fluids, sodium, potassium, and phosphorus. | More freedom to set your own schedule. You’re still linked to a machine for several hours a week. | You and your partner have to monitor vital signs and clean and set up equipment. Can be stressful on your partner. |
| Continuous Ambulatory Peritoneal dialysis (CAPD) | Four to six exchanges a day, every day. | Any clean environment that allows solution exchanges. | Widely available. | Bags of dialysis solution take up storage space. | You’ll need to attend several training sessions. You may need to bring a partner. | Must limit sodium and calories. | You can move around, exercise, work, drive, etc., with solution in your abdomen. | You must perform exchanges four to six times a day, every day. |
| Automated Peritoneal Dialysis | Three to five exchanges a night, every night, with an additional exchange begun first thing in the morning. | Any clean environment that allows solution exchanges. | Widely available. | Cycling machine, bags of dialysis solution. | You’ll need to attend several training sessions. You may need to bring a partner. | Must limit sodium and calories. | You’re linked to a machine during the night. You’re free from exchanges during the day. | You must set up your cycler every night. |
After surgery, you’ll have regular checkups with your doctor. | The transplant surgery takes place in a hospital. | Transplant centers are located throughout the country. However, the demand for kidneys is far greater than the supply. | No equipment or supplies needed. | You’ll need to learn about your medicines and when to take them. | Fewer dietary restrictions. | Offers the greatest amount of freedom. | You must take anti-rejection medicines every day. |
| Kidney Transplant (Living Donor) | If a friend or family member is donating, you can schedule the surgery when you’re both ready
After surgery, you’ll have regular checkups with your doctor. | The transplant surgery takes place in a hospital. | Transplant centers are located throughout the country. However, the demand for kidneys is far greater than the supply. | No equipment or supplies needed. | You’ll need to learn about your medicines and when to take them. | Fewer dietary restrictions. | Offers the greatest amount of freedom. | You must take anti-rejection medicines every day. |
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