Home-based dialysis vs in-center care in ESRD patients
Official title: Leveraging the ESRD Treatment Choices model to understand the benefits of home versus in-center dialysis
Funded at University of Michigan at Ann Arbor · NIH-11379907 · Data updated 2026-11-12
This grant explores whether choosing home dialysis over in-center dialysis improves outcomes and costs for people with end-stage kidney disease.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | University of Michigan at Ann Arbor NIH-funded |
| Lab location | 1 site (Ann Arbor, United States) |
| Project start | July 1, 2023 |
| Project end | May 31, 2027 |
| Funding year | 2026 |
| Award (this year) | $660,010 |
| NIH project number | 5R01DK134406-04 |
| Project ID | NIH-11379907 on NIH RePORTER |
Who could benefit from this research
✓Could help
Adults with end-stage renal disease who are on dialysis and considering or capable of home dialysis.
✕Less likely to help
Patients who require in-center dialysis due to medical or logistical reasons may see limited direct benefit.
What this research studies
If you or a loved one has ESRD, this project looks at real-world data to compare home dialysis with traditional in-center treatment. It uses the ETC model to understand how financial and system factors influence where dialysis is done and how that affects patient care. The goal is to identify evidence about which setting supports better health and lower costs, guiding future decisions in dialysis delivery. The research emphasizes translating findings into practical guidance for patients, families, and clinicians.
Why it matters
Potential benefit: If successful, findings could inform policies and practices that make home dialysis safer and more accessible, potentially improving survival and reducing costs.
How similar studies have gone: Previous observational studies show mixed results; this project aims to address confounding factors to clarify benefits.
Where this research is happening
-
University of Michigan at Ann Arbor
Ann Arbor, United States Active
Researchers
- Principal investigator: Shahinian, Vahakn B — University of Michigan at Ann Arbor
- Study coordinator: Shahinian, Vahakn B
Related research
Other NIH-funded projects on the same topics.
-
How dialysis facility growth affects care for people with end-stage kidney disease
New research will examine whether the spread of dialysis centers and new treatment technologies benefit patients with end-stage kidney disease, and whether benefits reach all communities.
-
MOVE Trial: Tailored motivational support to help African Americans stick with dialysis
A study tests a customized motivational interviewing approach to help African American dialysis patients stay adherent to their treatment, aiming to reduce hospitalizations and improve health.
-
Blood sugar monitoring for people on maintenance dialysis
This project tests how continuous glucose monitoring can better track blood sugar in people on dialysis to improve diabetes care and prevent complications.
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Quality of life for people on home dialysis and their family caregivers
This grant studies how living with home dialysis affects daily life and the well-being of patients and their family caregivers.
-
Patient-provider conversations and unequal access to home dialysis and kidney transplant
This project explores how conversations between doctors and patients affect why some Black and Hispanic people with kidney disease don’t get home dialysis or preemptive kidney transplants as often as White or Asian patients.
-
CHOOSE Home: Using community health workers to boost home dialysis and social care in CKD
A real-world trial tests adding community health workers to an interdisciplinary CKD clinic to help patients access home dialysis options.
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.