By Choice
When it's by choice.
The patient could attend a centre. They choose home HD for what it gives them back by control over their schedule, dignity, the ability to remain at work, and the routine of their own home.
Convenience | Privacy
When dialysis comes home, life opens up.
For more than a decade, AKC has brought dialysis into the patient's own home - safely, professionally, and with the same clinical infrastructure that runs the centres. 1,000+ patients. 81,000+ home sessions. Zero medico-legal cases. The AKC Home HD programme is India's longest-running structured home hemodialysis service, and the dataset behind it is the most comprehensive in the country.
1,000+
Cumulative Patients on Home HD
81,849
Home Dialysis Sessions Completed
2012
Programme Founded
13+
Years of Continuous Experience
The Three Hemodialysis Modalities
Three ways the same machine can change a life.
Every modality below filters your blood. What differs is how thoroughly, how often, and where and those differences matter.
Where Home HD Stands
Home hemodialysis is now becoming mainstream everywhere
Across developed nephrology systems, between 2% and 16% of patients on dialysis are treated at home. In India, the figure is closer to zero. AKC's own home HD penetration of 1.6% leads the country - and even that is a small fraction of what global comparators routinely achieve.
| Country | Share on home HD |
|---|---|
| US | 2.4% |
| UK | 2.1% |
| Australia | 8.8% |
| New Zealand | 16% |
| Canada | 5% |
| India (AKC) | 1.6% |
New Zealand and Australia - with structured public-sector funding for home HD - have made it routine. India has barely begun. AKC's programme exists to change that.
source · international registries + AKC database
AKC's Home HD programme has grown every year since 2012.
Starting with a handful of carefully selected patients in 2012, the AKC Home HD programme has grown to over 700 patients currently on home dialysis - with cumulative reach exceeding 1000 patients over the programme's lifetime.
The growth has been steady rather than explosive - reflecting the careful patient selection, structured training, and clinical oversight that home HD demands. Each patient is a carefully chosen clinical decision.
| Year | Cumulative patients |
|---|---|
| 2013 | 25 |
| 2014 | 150 |
| 2015 | 230 |
| 2016 | 400 |
| 2017 | 535 |
| 2018 | 630 |
| 2019 | 660 |
| 2020 | 705 |
| 2021 | 735 |
| 2022 | 765 |
| 2023 | 805 |
| 2024 | 825 |
| 2025 | 890 |
| 2026 | 1000 |
source · The Apex Database
Why Patients Choose Home HD
For most patients, home HD is not a luxury by it is the only sensible option.
When we look at the indications that brought AKC's 700+ home HD patients to the modality, the split is striking: only 35% chose it for convenience or privacy. The other 65% came to home HD because hospital-based dialysis was not realistically possible by due to fragility, mobility, fracture, post-hospitalisation recovery, or other circumstances. Home HD is, for the majority of our patients, the modality that sustained their care when nothing else would.
By Compulsion
When home HD is the only way dialysis continues.
For these patients, getting to a dialysis centre three times a week is not medically or practically feasible. Home HD is what allows their dialysis to continue safely.
Fragility issues | Mobility issues | Fracture / Recovery | Post-hospitalisation | Neurology | Amputee | Infection | Cardiac
The Safety Question
Is dialysis safe to do at home?
The most common question we are asked by patients, by families, by nephrologists. The evidence from the AKC programme is unambiguous. Across 81,849 completed home dialysis sessions in our database, the safety record speaks for itself.
81,849
Home HD Sessions Completed
Across the AKC programme, 2012–2026.
The Worry Score
What patients worried about before.
And what they actually found.
Before starting home HD, patients carried significant anxiety about safety, comfort, emergency response, care quality, and cost. AKC measured these worry levels before the patient started home HD, and then again after they had been on the modality. The change is one of the clearest signals in the dataset.
The largest improvements are in safety, care quality, and emergency response by the three areas where patients had the deepest pre-treatment fears. Once the programme is running in the home, those fears collapse.
60%
Of patients report an improved quality of life on home HD.
The improvement shows up in worklife continuity, social life, or both. When the dialysis schedule stops dictating where the patient can be, life expands to include the things dialysis had pushed out.
The Risk-Mitigation Framework
Seven practices. One safety record.
Zero medico-legal cases across thirteen years and 81,000 sessions is not an accident. It is the product of a structured framework AKC has refined over years of practice by covering consent, training, documentation, supervision, and insurance. Each element addresses a specific category of risk. The framework is replicable, transferable, and the foundation of every home HD set-up we operate.
01
Comprehensive Patient Consent
A detailed, documented informed-consent process. The patient and family understand the modality, the risks, and the protocols before the first session.
02
Structured Patient Education
Standardised, modular education for the patient and primary caregiver by covering machine operation, warning signs, escalation pathways, and routine session conduct.
03
Primary Nephrologist Counselling
The patient's primary nephrologist remains involved through structured counselling sessions by not delegated to ancillary staff.
04
Trained & ACLS-Certified Dialysis Professionals
Every dialysis professional running a home session is credentialed, trained, and ACLS-certified by ready to respond to a clinical emergency.
05
Detailed Session Documentation
Every session is recorded with full clinical depth in the Axis EMR by just like an in-centre session. The home is not a documentation blind-spot.
06
Periodic Physician Home Visits
The dialysis physician visits the patient's home periodically by checking environment, equipment, technique, and the patient's overall clinical trajectory.
07
Professional Indemnity Insurance
Each home HD case is covered by professional indemnity insurance by closing the medico-legal exposure that worries the broader nephrology community.
●
The Net Result
Zero medico-legal cases on AKC or its primary nephrologists across 13+ years and 81,849 home dialysis sessions.
Home Hemodiafiltration · Home HDF
The deepest clean in dialysis — now in your own home.
Hemodiafiltration removes far more of the harmful wastes that standard dialysis leaves behind. Apex now delivers it where you're most comfortable — at home. It's the science of HDF and the freedom of home, in one programme.
Hemodiafiltration
A deeper, more thorough clean
Home dialysis
Comfort, dignity, freedom
Home HDF
Best of both
A DEEPER CLEAN
A strong current of clean fluid flushes out the bigger “middle molecules” that ordinary dialysis can't shift — the ones linked to inflammation and fatigue.
BUILT FOR LONGER LIFE
In the largest dialysis trial ever run (CONVINCE), high-dose HDF lowered the risk of death by 23% versus standard dialysis.
GENTLER SESSIONS
HDF tends to be kinder on blood pressure during treatment — often meaning fewer crashes, cramps and that washed-out feeling afterwards.
THE FREEDOM OF HOME
All of it delivered in your own bedroom by a trained, ACLS-certified team — no commute, no waiting room, on a schedule that fits your life.
ACLS
Certified Care Team
Periodic
Physician Home Visit
Your Next Step
Want to know more?
Speak with an AKC nephrologist, find a centre near you, or download our patient guide to share with your family.
For quick contact :
74000 95950 | info@apexkidneycare.com
Disclaimer: The information provided is for general awareness only and should not replace professional medical advice. Always consult your nephrologist for guidance specific to your condition.