Evaluating Patient and Caregiver Satisfaction with Home Dialysis Treatment: A Tertiary Care Centre Experience from Saudi Arabia

Background: Patients with ESKD face significant clinical and psychological challenges associated with kidney replacement therapy. Home dialysis modalities provide clinical care at the patient's doorstep, preventing unnecessary hospital visits. This study evaluates patient satisfaction with home hemodialysis and peritoneal dialysis compared to conventional hemodialysis, aiming to enhance support systems in dialysis treatment. Methods: This prospective study included telephonic interviews with 61 peritoneal dialysis patients and 38 home hemodialysis patients, all of whom had completed at least six months of therapy. Caregivers were involved for patients unable to comprehend or respond to questions. The interviews explored experiences, satisfaction levels, perceived benefits, challenges, and feedback from patients and caregivers regarding the impact of home dialysis on daily life. Results: Among 99 patients (56% male, mean age 53.2 years), 53% required assisted mobility. Our findings reveal that 86% of patients significantly preferred home dialysis over conventional hemodialysis, expressing a willingness to continue their current modalities. However, 14% felt insecure with home therapy and preferred in-center hemodialysis, predominantly those with multiple comorbidities. In the peritoneal dialysis group, 42% were concerned about treatment length, while 26% were worried about procedural complexity. Notably, 92% of patients' families were satisfied with home dialysis due to its convenience and doorstep clinical management. Conclusion: High satisfaction levels were observed among patients and caregivers with home dialysis, with the majority wishing to maintain their current therapies. Addressing identified concerns can enhance patient outcomes and quality of life for those undergoing renal replacement therapy.