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It continues unless transplant, kidney recovery or a change in care goals occurs.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Vascular access needing intervention or replacement (stenosis, thrombosis) within first year; fistulas lower than grafts or catheters."},"scars":"Dialysis itself leaves no scar. Fistula or graft surgery leaves a small arm scar; tunneled catheters leave small neck or chest scars; needle marks may show over the fistula.","sessions_or_stages":{"sessions":{"min":12,"max":13,"unit":"visits","qualifier":"First four weeks at about 3 sessions per week."},"stages":[{"code":"initiation","label":"Initiation: first sessions, often shorter or gentler; provisional dry weight","after":{"min":0,"max":7,"unit":"days","qualifier":"From the first session"}},{"code":"stabilization","label":"Stabilization: adjust dry weight, session length, dialysate and therapies; first adequacy check","after":{"min":14,"max":84,"unit":"days","qualifier":"From the first session"}},{"code":"maintenance","label":"Ongoing maintenance: usually 3 sessions weekly of 3-5 hours, with regular monitoring","after":{"min":28,"max":90,"unit":"days","qualifier":"From the first session; no fixed end"}}],"qualifier":"Open-ended maintenance with no cure; session counts cover only the first weeks."},"success":{"metric":"All-cause survival of adults starting maintenance in-center hemodialysis","value":40,"unit":"percent","horizon":"5 years after starting dialysis","population":"Incident adults with kidney failure on maintenance dialysis; varies widely with age and comorbidity.","evidence_status":"limited"},"techniques":[{"name":"In-center hemodialysis","suits_whom":"Most medically stable adults with kidney failure and established access; typically 3 sessions weekly of 3-5 hours","recovery":"Tiredness for some hours after sessions; usual activities between sessions"},{"name":"Home hemodialysis","suits_whom":"Trained patients with a suitable home setup and a care partner if needed","recovery":"Shorter, more frequent sessions are possible; recovery is often quicker"},{"name":"Peritoneal dialysis","suits_whom":"Patients preferring home therapy with an intact peritoneal cavity","recovery":"Daily exchanges at home; no post-session recovery period"}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Per single maintenance in-center hemodialysis session, excluding travel and setup."},"initial_assessment_documents":["Latest nephrology report with kidney diagnosis","Current dialysis prescription and recent session records","Recent creatinine, potassium and hemoglobin results","Hepatitis B, hepatitis C and HIV results","Dialysis access type and placement report"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip covers the first four weeks of sessions; later care continues at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether a fistula or graft can be used instead of a central line catheter","scope":"procedure","source":{"url":"https://www.cdc.gov/dialysis/patient/","host":"cdc.gov","quote":"Ask staff if you can use a fistula or graft for treatment if you have a central line catheter.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Check that all staff clean their hands before and after caring for you or your access","scope":"procedure","source":{"url":"https://www.cdc.gov/dialysis/patient/","host":"cdc.gov","quote":"Make sure all staff clean their hands before and after caring for you or your access.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that the treating doctor speaks a language you understand well","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure your surgeon speaks English or another language you speak well enough.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that you have a named doctor's contact for complications, not just a helpline","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure you have the contact details of a named doctor who can deal with any complications rather than a helpline.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Cannot feel the vibration over the access","urgency":"contact_clinic","general":false,"source":{"url":"https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis","host":"niddk.nih.gov","quote":"Let your dialysis center know if you can’t feel the vibration.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Warmth or redness at the access site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis","host":"niddk.nih.gov","quote":"Check the area for signs of infection, such as warmth or redness.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Redness, pus, or swelling at catheter exit site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/peritoneal-dialysis","host":"niddk.nih.gov","quote":"Signs of an exit site infection include redness, pus, swelling or bulging, and tenderness or pain at the exit site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home clinicians need documentation of care received abroad for subsequent care","document":"care documentation","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Request documentation of any medical care received abroad, including medications, and share with healthcare professionals delivering subsequent care while traveling and at home.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your doctor confirms you are a transplant candidate","name":"Kidney transplant","source":{"url":"https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/kidney-transplant","host":"niddk.nih.gov","quote":"Some people with kidney failure may be able to have a kidney transplant.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":31},{"id":"A2","text":"You prefer a treatment without dialysis or a transplant","name":"Conservative kidney management","source":{"url":"https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/choosing-treatment","host":"niddk.nih.gov","quote":"Conservative management treats kidney failure without dialysis or a transplant.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"in-center-hemodialysis","name":"In-center hemodialysis","how_it_works":{"text":"Blood passes through a dialyzer outside the body","source":{"url":"https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis","host":"niddk.nih.gov","quote":"During hemodialysis, your blood goes through a filter, called a dialyzer, outside your body.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"home-hemodialysis","name":"Home hemodialysis","how_it_works":{"text":"A dialysis machine pumps blood through a filter and back","source":{"url":"https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis","host":"niddk.nih.gov","quote":"The dialysis machine pumps blood through the filter and returns the blood to your body.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"peritoneal-dialysis","name":"Peritoneal dialysis","how_it_works":{"text":"Dialysis solution in the belly absorbs wastes and extra fluid","source":{"url":"https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/peritoneal-dialysis","host":"niddk.nih.gov","quote":"While the dialysis solution is inside your belly, it absorbs wastes and extra fluid from your body.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=kitaj/city=shiczyachzhuan/procedure=dializ/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}