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