Faculty Mentor
Dr. Ying Zhu
Presentation Type
Poster
Primary Discipline of Presentation
Public Health
Abstract
Home hemodialysis (HHD) offers improved flexibility and clinical outcomes compared to in-center hemodialysis. However, its use remains limited, particularly among racial and ethnic minority populations disproportionately affected by end-stage renal disease (ESRD). This systematic review analyzed seven retrospective cohort studies (2004–2025) to assess disparities in HHD utilization and outcomes. Minority patients were significantly less likely to initiate HHD, with adjusted odds ratios ranging from 0.45 to 0.70, while no disparities were observed within Canada’s universal healthcare system. Although HHD was associated with lower mortality, this finding is likely influenced by selection bias, as HHD patients tended to be younger and healthier. Overall, disparities in HHD use appear to be driven primarily by structural and healthcare access factors, highlighting the need for health system–level interventions to promote equitable access to home dialysis therapies.
Recommended Citation
Bains, Sukhman, "Examining Racial and Ethnic Differences in Quality of Care Between Home and In-Center Hemodialysis" (2026). 2026 Symposium. 2.
https://dc.ewu.edu/srcw_2026/works_2026/works_2026/2
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Examining Racial and Ethnic Differences in Quality of Care Between Home and In-Center Hemodialysis
Home hemodialysis (HHD) offers improved flexibility and clinical outcomes compared to in-center hemodialysis. However, its use remains limited, particularly among racial and ethnic minority populations disproportionately affected by end-stage renal disease (ESRD). This systematic review analyzed seven retrospective cohort studies (2004–2025) to assess disparities in HHD utilization and outcomes. Minority patients were significantly less likely to initiate HHD, with adjusted odds ratios ranging from 0.45 to 0.70, while no disparities were observed within Canada’s universal healthcare system. Although HHD was associated with lower mortality, this finding is likely influenced by selection bias, as HHD patients tended to be younger and healthier. Overall, disparities in HHD use appear to be driven primarily by structural and healthcare access factors, highlighting the need for health system–level interventions to promote equitable access to home dialysis therapies.
