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Home Dialysis Costs Compared to Hospital Treatment
Florence, ItalyThursday, July 9, 2026
A recent study from Florence evaluated the financial impact of various kidney‑dialysis options, comparing hospital-based treatments with home-based alternatives—both self-managed and staff-assisted.
Data Collection
- Source: Hospital dialysis units
- Scope: All treatment modalities, including two machine dialysis types, a filtration technique, and two peritoneal‑dialysis methods.
- Home Dialysis: Daily sessions lasting at least 12 hours per week.
- Cost Metrics (per month): Direct medical expenses, staff time, and patient travel costs.
Monthly Cost Breakdown
| Treatment | No Staff Assistance (€) | With Staff Assistance (€) |
|---|---|---|
| Hospital Machine Dialysis (Bicarbonate) | 4,672 | — |
| Hospital Filtration Dialysis | 4,766 | — |
| Home Peritoneal Dialysis – Type A | 1,613 | 4,454 |
| Home Peritoneal Dialysis – Type B | 2,080 | 3,774 |
| Daily Home Machine Dialysis – No Help | 2,225 | — |
| Daily Home Machine Dialysis – With Staff | — | 4,049 |
Key Takeaways
- Home treatments are consistently cheaper than hospital dialysis across all modalities.
- Even with staff support, home options remain competitive with hospital costs.
- Expanding home dialysis could yield substantial savings for the health system.
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