Experience with 77 patients in a large urban community demonstrated the success of home hemodialysis for a limited segment of the population. There are, however, large numbers of patients with chronic renal failure for whom home treatment is not suitable. An out-of-hospital (satellite) dialysis facility was opened to accommodate such patients. This facility has treated 185 patients in its first two years of operation. Among them are many poorly motivated, disadvantaged patients. The patients who could cooperate and accept dietary restrictions have done as well as the patients receiving home dialysis.
Hospital dialysis should be reserved for acutely ill patients requiring hospital care. Maintenance dialysis can be successfully carried out at home or in an out-of-hospital facility. Such a facility should be a part of any comprehensive chronic renal failure treatment program.