More than 800 million people—over 10% of the global population—are affected by chronic kidney disease around the world.1 Nearly 11 million of them have advanced kidney disease, which requires access to dialysis or a transplant.2 Unfortunately, more than half of the kidney patients who need dialysis or transplant may not receive access to care.3 Of those who do receive dialysis, little more than 10% of kidney patients receive access to home dialysis, where they can be empowered by lifestyle and clinical benefits, as well as social distancing options.

The International Home Dialysis Roundtable (IHDR) created this home dialysis action resource center to be a collaborative guide for kidney patients, healthcare professionals, industry leaders and policymakers with a passion to help advocate for access to home dialysis globally. Read and experience stories, clinical papers and unique programs initiated by some of the leading minds and kidney patient and healthcare professional organizations from around the world.

Find Resources

While there are many challenges to improving access to home dialysis, the IHDR has identified four areas of focus for action opportunities.

  1. International standards
  2. Patient empowerment and education
  3. Creation of a clinical culture of support for home dialysis
  4. Mitigation of institutional or governmental roadblocks

Access to care is a global challenge. However, local approaches need to be unique and customizable. Thus, this site contains a collection of best-practice resources from developed and developing countries. It is a comprehensive collection of resources but not exhaustive. It is the goal of the IHDR to continually add new resources.

Who Are We

This website was created by the International Home Dialysis Roundtable (IHDR). We are a global forum that uniquely brings together the leading minds from clinical and patient advocacy organizations, industry leaders and policymakers from around the world to collaborate on improving patient access to home dialysis.

  1. Kovesdy CP. Epidemiology of chronic kidney disease: an update 2022. Kidney Int Suppl (2011). 2022 Apr;12(1):7-11. doi: 10.1016/j.kisu.2021.11.003.[]
  2. Mendu, M., Divino-Filho, J.C., Vanholder, R., et al. Expanding utilization of home dialysis: An action agenda from the first international home dialysis roundtable. Kidney Medicine Journal. 2021; 3 (4): 635-643.[]
  3. Pecoits-Filho, R, Okpechi I.G., Donner J., et al. Capturing and monitoring global differences in untreated and treated end-stage kidney disease kidney replacement therapy modality, and outcomes. Kidney Int Suppl. 2020; 10(1) e3-e9[]