In the early days of dialysis, because of a lack of existing in-center infrastructure, home hemodialysis (HHD) was frequently used to expand dialysis programs. Recently, HHD has been thrust into the spotlight of kidney care programs once again. Patients and policymakers are demanding more choices for the management of kidney failure while controlling for cost. Perhaps it is not surprising that the kidney community's interest in HHD has been revived, especially during the COVID-19 pandemic. To meet this increased interest and demand, nephrologists and dialysis providers must embrace new technologies and improve their understanding of HHD systems. This installment of AJKD's Core Curriculum in Nephrology seeks to inform the reader about factors that can improve success in the training and retention of HHD patients. Benefits, pitfalls, and challenges of HHD are outlined. The features of novel and commonly used HHD equipment are also summarized. Examples of prescriptions and prescription adjustments to meet the needs of patients will also be reviewed. Finally, considerations related to medical management of HHD patients and their dialysis access at home are also included. HHD is an important tool for the management and rehabilitation of patients with kidney failure, which allows for patient-centered care and increased patient choice.

在透析的早期，由于缺乏现有的中心基础设施，经常使用家庭血液透析 (HHD) 来扩大透析项目。最近，HHD 再次成为肾脏护理项目的焦点。患者和政策制定者要求在控制成本的同时为肾衰竭的管理提供更多选择。肾脏界对 HHD 的兴趣重新燃起也许并不奇怪，尤其是在 COVID-19 大流行期间。为了满足这种日益增长的兴趣和需求，肾病学家和透析提供者必须采用新技术并提高他们对 HHD 系统的理解。本期AJKD肾脏病学核心课程旨在向读者介绍可以提高 HHD 患者培训和保留成功率的因素。概述了 HHD 的优势、缺陷和挑战。还总结了新型和常用HHD设备的特点。还将审查满足患者需求的处方和处方调整示例。最后，还包括与 HHD 患者的医疗管理及其在家进行透析相关的注意事项。HHD 是肾衰竭患者管理和康复的重要工具，它允许以患者为中心的护理并增加患者的选择。