Prospective study

DOMESTICO – prospective has started on December 1^th, 2017. This project focuses on:

1. Determining the effects of home dialysis on quality of life compared to in-center hemodialysis, measured by patient reported outcome measures (PROMs);
2. Performing a cost-effectiveness analysis of the various forms of home dialysis compared to in-center hemodialysis, which should contribute to higher value-based health care (i.e. maximum value of patient care at the best costs);
3. Determining the clinical outcomes of home dialysis, in particular technique failure and hospitalization, compared to in-center hemodialysis, and identifying modifiable factors.

The following hypothesis has been formulated: “Home dialysis leads to a better quality of life, similar clinical outcomes and lower costs in comparison to in-center hemodialysis”.

We have received ZonMw (the Netherlands Organisation for Health Research and Development) funds for this project and also funds from Fresenius, Baxter and Dirinco.