American Society of Nephrology Kidney Week Home Dialysis Expanding Access to Home Therapies in 2025 and Beyond

The Home Dialysis: Expanding Access to Home Therapies in 2025 and Beyond was a dedicated Early Program held on the Wednesday immediately preceding the main ASN Kidney Week 2025 Scientific Exposition.
This course was designed to address the critical global gap in access to home dialysis modalities (Peritoneal Dialysis [PD] and Home Hemodialysis [HHD]). It moved beyond basic “how-to” mechanics to focus on infrastructure and shared decision-making, equipping clinicians with the tools to build sustainable home programs that prioritize patient autonomy and lifestyle goals in the contemporary era.
+ What You Will Learn
The curriculum focused on the “Person-Centered” model of care. Key learning outcomes included:

Infrastructure Building: A step-by-step guide to setting up a high-quality home dialysis unit, including staffing models and operational workflows that support growth.

Prescription Personalization: How to leverage peritoneal physiology and new HHD platforms to tailor prescriptions rather than using a “one-size-fits-all” approach.

Special Populations: Managing home therapies in complex patients often deemed “unsuitable,” such as those with Liver Disease, Heart Failure, or Polycystic Kidney Disease (PKD).

Acute Applications: The emerging role of Peritoneal Dialysis in Acute Kidney Injury (AKI) and critically ill patients, challenging the dogma that PD is only for stable chronic patients.

Complication Management: Best practices for preventing and treating both infectious (peritonitis) and non-infectious complications (catheter malfunction, membrane failure).

+ Event Details

Event: Home Dialysis: Expanding Access to Home Therapies in 2025 and Beyond (ASN Early Program)

Date: November 5, 2025 (Wednesday)

Time: 7:00 AM – 5:30 PM

Location: Room 320A, George R. Brown Convention Center, Houston, Texas, USA

Chairs: Matthew B. Rivara, MD, FASN & Jenny I. Shen, MD, MS, FASN.

+ Who Should Attend

Nephrologists: Particularly medical directors of dialysis units looking to expand their home census.

Dialysis Nurses: Who are often the primary educators and trainers for home patients.

Advanced Practice Providers (NPs/PAs): Who manage the monthly clinic visits and urgent issues for PD/HHD patients.

Administrators: Who need to understand the resource allocation required for a successful home program.

+ Why Attend (or Watch)

The “Shared Decision Making” Focus: The course emphasized that the barrier to home dialysis is often not medical, but educational. It provided specific scripts and tools for “Facilitating Selection” of modalities (presented by Dr. Rajnish Mehrotra).

Vascular Access for HHD: A specialized session on the unique cannulation challenges of Home Hemodialysis, which is often the “Achilles’ heel” of the therapy (presented by Dr. Annie-Claire Nadeau-Fredette).

Global Perspective: The program acknowledged that while home dialysis is cost-effective and patient-preferred, educational gaps persist worldwide. It aimed to standardize “high-quality” home care across different health systems.

+ Topics
The agenda featured specific high-yield modules:

Foundations & Selection:

Facilitating Selection of Home Dialysis as a Treatment Modality.

Setting Up a Person-Centered Home Dialysis Program (Graham E. Abra, MD).

Preparing Patients to Succeed: Assessment, Training, and Support.

Clinical Management:

Leveraging Peritoneal Physiology to Individualize PD Prescribing (Osama El Shamy, MD).

Home Hemodialysis: Available Platforms and Personalizing Therapy.

Prescribing Home Dialysis Therapies: A Case-Based Approach.

Advanced Applications:

Peritoneal Dialysis in AKI and Critically Ill Patients (Brett Cullis, MBChB).

Preventing and Managing Infections in PD (Jeffrey Perl, MD).

Noninfectious Complications in PD (Jenny I. Shen, MD).