Three incident cohorts of 152 home haemodialysis patients in the Auckland District Health Board between 2008 and 2015 were examined to compare population characteristics, training techniques and treatment outcomes. Significant changes in ethnicity of home haemodialysis patients was evident over time with a 1.7-fold increase in Māori and Asian patients, 1.4-fold increase in Pasifika patients and 2.7-fold decrease in New Zealand European patients (p=0.001). The incidence of multimorbidity increased particularly for diabetes and heart failure. The use of home haemodialysis as the first modality of renal replacement therapy increased 15-fold (p=0.0001). Home haemodialysis training was completed by 133 patients. A further 13 patients (10%) experienced technique failure and 15 patients (11%) died. Training time increased by 4.5 weeks between 2008 and 2015 (p=0.004), but death and technique failure were unchanged. Successful home haemodialysis was associated with shorter training time, employment and lower C-reactive protein levels.
