It isn't really that much of a surprise  if you read the home hemodialysis article which is referenced out the wazhoo.  There is a nocturnal hemodialysis article already it redirects to HHD. -)  There is a good deal of observational data to suggest NHHD is better than CHD. The naysayers want a study... so it is happening. I ref'ed the pilot study (of the JAMA article) in the HHD article see ref 14.   T|C