{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T06:08:08Z","timestamp":1790662088893,"version":"4.1.0"},"reference-count":31,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2013,1,9]]},"published-print":{"date-parts":[[2013]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine whether inadequate housing is the main barrier to the provision of home dialysis treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>All patients attending a predialysis clinic between 2006 and 2009 deemed medically suitable for home dialysis and not active on the preemptive transplant list.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A predialysis clinic in a London teaching hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measure<\/jats:title>\n                    <jats:p>Assessment of patient's accommodation for suitability for home-based dialysis using departmental guidelines and the Government's Housing Health and Safety Rating System regulations 2005.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A lack of adequate housing prohibited the provision of home haemodialysis to all but one of these patients. Moreover, only 29% of homes assessed were suitable for peritoneal dialysis, despite the lower spatial demands of this form of renal replacement therapy. In addition to the specific requirements of dialysis, we also found that only 33% of the homes visited fulfilled the minimum standard of housing as defined in the Government's Decent Homes Standard, with multiple specific hazards identified across the properties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study illustrates that the lack of suitable housing is a major barrier to the provision of home-based dialysis and underscores the need for this to be addressed urgently at both the central government and local authority levels. We suggest that it should be considered as a major priority to rehouse medically suitable patients with a view to enabling home-based therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2012-002117","type":"journal-article","created":{"date-parts":[[2013,2,10]],"date-time":"2013-02-10T20:09:37Z","timestamp":1360526977000},"page":"e002117","source":"Crossref","is-referenced-by-count":16,"title":["Is lack of suitable housing a barrier to home-based dialysis therapy for patients with end-stage renal disease? A cohort study"],"prefix":"10.1136","volume":"3","author":[{"given":"Suzanne H","family":"Forbes","sequence":"first","affiliation":[{"name":"Department of Nephrology, Royal London Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kieran","family":"McCafferty","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Royal London Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trevor","family":"Lawson","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Royal London Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meagan","family":"Stoby-Fields","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Royal London Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Raftery","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Royal London Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Magdi","family":"Yaqoob","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Royal London Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,2,10]]},"reference":[{"key":"2025121411215517000_3.2.e002117.1","unstructured":"The Renal Association UK Renal Registry Thirteenth Annual Report 2010."},{"key":"2025121411215517000_3.2.e002117.2","unstructured":"National Institute for Clinical Excellence. Guidance on home compared with hospital hemodialysis for patients with end-stage renal failure. Technology Appraisal Guideline No 48, 2002. http:\/\/www.nice.org.uk\/nicemedia\/pdf\/HvH_full_guidance.pdf (accessed Sept 2012)."},{"key":"2025121411215517000_3.2.e002117.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1797.2005.00383.x"},{"key":"2025121411215517000_3.2.e002117.4","doi-asserted-by":"publisher","DOI":"10.1136\/jech.50.3.334"},{"key":"2025121411215517000_3.2.e002117.5","unstructured":"Method to Assess Treatment Choices for Home Dialysis (MATCH-D) 2009. http:\/\/www.homedialysis.org (accessed Sept 2012)."},{"key":"2025121411215517000_3.2.e002117.6","unstructured":"Housing Health and Safety Rating System (HHSRS) [England] Regulations 2005. http:\/\/www.communities.gov.uk\/documents\/housing\/pdf\/150940.pdf (accessed Sept 2012)."},{"key":"2025121411215517000_3.2.e002117.7","first-page":"99","article-title":"Overnight hemodialysis in the home","volume":"2","author":"Baillod","year":"1965","journal-title":"Proc Eur Dial Transplant Association"},{"key":"2025121411215517000_3.2.e002117.8","doi-asserted-by":"publisher","DOI":"10.1097\/00002480-200001000-00004"},{"key":"2025121411215517000_3.2.e002117.9","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1097\/00002480-196204000-00055","article-title":"Periodic peritoneal dialysis in the management of uremia","volume":"8","author":"Boen","year":"1962","journal-title":"Trans ASAIO"},{"key":"2025121411215517000_3.2.e002117.10","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfm870"},{"key":"2025121411215517000_3.2.e002117.11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39392.575208.80"},{"key":"2025121411215517000_3.2.e002117.12","doi-asserted-by":"crossref","first-page":"428","DOI":"10.5694\/j.1326-5377.1989.tb136562.x","article-title":"Life satisfaction across treatment methods for patients with end-stage renal failure","volume":"150","author":"Morris","year":"1989","journal-title":"Med J Aust"},{"key":"2025121411215517000_3.2.e002117.13","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2003.00157.x"},{"key":"2025121411215517000_3.2.e002117.14","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1111\/j.1542-4758.2010.00523.x","article-title":"The carbon footprints of home and in-center maintenance hemodialysis in the United Kingdom)","volume":"15","author":"Connor","year":"2011","journal-title":"Haemodial Int"},{"key":"2025121411215517000_3.2.e002117.15","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfh674"},{"key":"2025121411215517000_3.2.e002117.16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-1755.2005.00411.x"},{"key":"2025121411215517000_3.2.e002117.17","doi-asserted-by":"publisher","DOI":"10.1001\/jama.298.11.1291"},{"key":"2025121411215517000_3.2.e002117.18","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1001593"},{"key":"2025121411215517000_3.2.e002117.19","doi-asserted-by":"publisher","DOI":"10.5414\/CNP63202"},{"key":"2025121411215517000_3.2.e002117.20","doi-asserted-by":"crossref","first-page":"S28","DOI":"10.1111\/j.1523-1755.2005.09504.x","article-title":"The role of daily dialysis in the control of hyperphosphatemia","volume":"67","author":"Achinger","year":"2005","journal-title":"Kidney Int"},{"key":"2025121411215517000_3.2.e002117.21","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-139X.2001.00073.x"},{"key":"2025121411215517000_3.2.e002117.22","unstructured":"Department of Health. The expert patient: a new approach to chronic disease management in the 21st century. 2001. http:\/\/www.dh.gov.uk\/en\/Publicationsandstatistics\/Publications\/PublicationsPolicyAndGuidance\/DH_4006801 (accessed Sept 2012)."},{"key":"2025121411215517000_3.2.e002117.23","first-page":"41","article-title":"Home dialysis therapies\u2014peritoneal dialysis and home haemodialysis working together","volume":"5","author":"Chesterton","year":"2011","journal-title":"Eur Nephrol"},{"key":"2025121411215517000_3.2.e002117.24","unstructured":"\u2018Statutory Homelessness-Households in Temporary accommodation in London and England at the end of each Quarter 1998\u20132011.\u2019 Department for Communities and Local Government Live Tables. December 2011. http:\/\/www.communities.gov.uk\/documents\/statistics\/pdf\/2102020.pdf (accessed Sept 2012)."},{"key":"2025121411215517000_3.2.e002117.25","unstructured":"\u2018English Housing Survey-Headline Report 2009\u20132010.\u2019 Department for Communities and Local Government. February 2011. http:\/\/www.communities.gov.uk\/documents\/statistics\/pdf\/1851086.pdf (accessed Sept 2012)."},{"key":"2025121411215517000_3.2.e002117.26","unstructured":"\u2018Crowded Houses-Overcrowding in London's Social Rented Housing\u2019 London Assembly. March 2011. http:\/\/www.london.gov.uk\/moderngov\/mgConvert2PDF.aspx?ID=3149 (accessed Sept 2012)."},{"key":"2025121411215517000_3.2.e002117.27","unstructured":"2001 Census Office of National Statistics. http:\/\/www.ons.gov.uk\/ons\/guide-method\/census\/census-2001\/index.html (accessed Nov 2012)."},{"key":"2025121411215517000_3.2.e002117.28","unstructured":"\u2018A Decent Home: Definition and Guidance for Implementation\u2019 Department for Communities and Local Government. June 2006. http:\/\/www.communities.gov.uk\/documents\/housing\/pdf\/138355.pdf (accessed Sept 2012)."},{"key":"2025121411215517000_3.2.e002117.29","unstructured":"\u2018English Housing Condition Survey-Housing Stock Report 2009\u2019 Department for Communities and Local Government. November 2011. http:\/\/www.communities.gov.uk\/documents\/statistics\/pdf\/19372481.pdf (accessed Sept 2012)."},{"key":"2025121411215517000_3.2.e002117.30","unstructured":"\u2018English Housing Survey 2010 to 2011; household report\u2019. Department of Communities and Local Government. July 2012. https:\/\/www.gov.uk\/government\/publications\/english-housing-survey-household-report-2010-to-2011 (accessed Nov 2012)."},{"key":"2025121411215517000_3.2.e002117.31","first-page":"481","article-title":"The state of the world population 2007: unleashing the potential of urban growth","volume":"45","author":"Lahariya","year":"2008","journal-title":"Indian Pediatr"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2012-002117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T19:22:07Z","timestamp":1765740127000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2012-002117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":31,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2013,2,10]]},"published-print":{"date-parts":[[2013]]}},"alternative-id":["10.1136\/bmjopen-2012-002117"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2012-002117","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013]]}}}