Enhancing Patient Autonomy in Home Hemodialysis: Innovations in 3D Printed Aids for Independent Tubing Connection

Abstract

Home Hemodialysis(HD) is an advantageous alternative to in-center treatments, offering greater convenience, flexibility, and improved quality of life [1]. The rising prevalence of end-stage renal disease (ESRD) globally has increased the demand for accessible renal replacement therapies [2]. Factors such as an aging population, higher rates of chronic conditions, improved survival rates for chronic kidney disease patients, and increased healthcare access contribute to the growing burden on healthcare systems [3]. Home HD has gained prominence by enabling patients to receive treatment at home, providing control over their healthcare management [1]. It offers flexibility in scheduling, reduces travel time and costs, and creates a relaxed environment that positively impacts the patient experience [4]. Improved clinical outcomes, including better blood pressure control and enhanced quality of life, have been associated with home HD. However, challenges persist during the inlet/ outlet preparation and tubing connection phase, involving awkward elbow and wrist maneuvers, which can cause joint stress and discomfort [5]. Limited mobility or dexterity can further complicate the task, leading to potential complications. Addressing these challenges and promoting patient autonomy in tubing connection are crucial for improved treatment experiences and outcomes. Innovative solutions are being developed to facilitate independent tubing connection in home HD, empowering patients and reducing complications. Evaluations of the aids have shown promising results, enhancing patient outcomes and satisfaction [6].