CAPD is administered by a doctor, with the same level of supervision as hemodialysis. Many centers run in-center hemo, peritoneal (CAPD), and may have home hemo programs. The AKSYS advantage is that home hemo becomes less complex and requires fewer consumables that traditional systems, while allowing more frequent dialysis.
Home hemo has many advantages over traditional HEomdialysis and over CAPD. The draw back with Home HEmo is that the patient is still required to stick themselves with 15 gauge needles, that if they roll over and kink a line, or the fistula becomes dislodged from the patient and they bleed to death. Quality of water, dialyzer reactions at home. Home hemo is not cookie cutter by any means. It takes a very competant patient and either a care giver at home or an on call RN..... Its great for the patient oif they can do it. They feel better and take less medications. That is for daily hemo