NEJM April 9, 2021
Care for end-stage kidney disease, which disproportionately affects people of color, has been predominantly delivered in dialysis centers, even when home dialysis would offer the same benefits with less cost and more convenience for the patients. The Covid-19 pandemic made the expansion of home care essential for many diseases. The authors explore how to preserve and expand home care for dialysis patients with regulatory changes and better coordination among programs.
The Covid-19 pandemic has posed particular risks to people with end-stage kidney disease, not only from Covid-19 infection, but also from disrupting dialysis center operations and limiting access to transplantation and other surgical procedures. ESKD...