Racial and Ethnic Disparities in Home vs In-Center Hemodialysis
Faculty Mentor
Ying Zhu
Presentation Type
Poster
Start Date
4-14-2026 2:00 PM
End Date
4-14-2026 4:00 PM
Location
PUB NCR
Primary Discipline of Presentation
Public Health
Abstract
End-stage renal disease (ESRD) affects hundreds of thousands of patients globally, with racial and ethnic minority populations experiencing a disproportionate burden of disease and barriers to care. Home hemodialysis (HHD) has been promoted as a patient-centered alternative to conventional in-center hemodialysis (CHD), offering potential benefits improved treatment flexibility, enhanced quality of life, and better clinical outcomes. However, it remains unclear whether these benefits are equitably experienced across racial and ethnic groups. This project is part of an updated systematic literature review examining differences in quality of care between adult patients receiving HHD and those receiving CHD. Following PRISMA guidelines, multiple databases—including MEDLINE, PubMed, CINAHL, ProQuest Public Health, and Web of Science—were searched to identify studies published between 2004 and 2025.Title and abstract screening was conducted using Rayyan software by two independent reviewers according to predefined eligibility criteria. Outcomes of interest include mortality, hospitalization rates, and dialysis adequacy measures (e.g., Kt/V), and other clinical performance indicators. The updated search identified 1,076 additional records since the previous review. Studies meeting inclusion criteria will undergo full-text review, data extraction, and methodological quality assessment using established evaluation tools such as the Newcastle–Ottawa Scale, and findings will be synthesized using a random-effects approach when appropriate. This review aims to clarify whether HHD is associated with improved quality-of-care outcomes compared with CHD and to identify persistent disparities in dialysis utilization and outcomes among minority populations. Findings will contribute to the evidence base informing equitable dialysis care delivery and highlight gaps requiring further research and policy attention.
Recommended Citation
Bains, Sukhman, "Racial and Ethnic Disparities in Home vs In-Center Hemodialysis" (2026). 2026 Symposium. 33.
https://dc.ewu.edu/srcw_2026/ps_2026/p3_2026/33
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Racial and Ethnic Disparities in Home vs In-Center Hemodialysis
PUB NCR
End-stage renal disease (ESRD) affects hundreds of thousands of patients globally, with racial and ethnic minority populations experiencing a disproportionate burden of disease and barriers to care. Home hemodialysis (HHD) has been promoted as a patient-centered alternative to conventional in-center hemodialysis (CHD), offering potential benefits improved treatment flexibility, enhanced quality of life, and better clinical outcomes. However, it remains unclear whether these benefits are equitably experienced across racial and ethnic groups. This project is part of an updated systematic literature review examining differences in quality of care between adult patients receiving HHD and those receiving CHD. Following PRISMA guidelines, multiple databases—including MEDLINE, PubMed, CINAHL, ProQuest Public Health, and Web of Science—were searched to identify studies published between 2004 and 2025.Title and abstract screening was conducted using Rayyan software by two independent reviewers according to predefined eligibility criteria. Outcomes of interest include mortality, hospitalization rates, and dialysis adequacy measures (e.g., Kt/V), and other clinical performance indicators. The updated search identified 1,076 additional records since the previous review. Studies meeting inclusion criteria will undergo full-text review, data extraction, and methodological quality assessment using established evaluation tools such as the Newcastle–Ottawa Scale, and findings will be synthesized using a random-effects approach when appropriate. This review aims to clarify whether HHD is associated with improved quality-of-care outcomes compared with CHD and to identify persistent disparities in dialysis utilization and outcomes among minority populations. Findings will contribute to the evidence base informing equitable dialysis care delivery and highlight gaps requiring further research and policy attention.
