Dialysis facility and patient characteristics associated with utilization of home dialysis.

Clinical Journal of the American Society of Nephrology : CJASN
David R WalkerPaul M Just

Abstract

Nonmedical factors influencing utilization of home dialysis at the facility level are poorly quantified. Home dialysis is comparably effective and safe but less expensive to society and Medicare than in-center hemodialysis. Elimination of modifiable practice variation unrelated to medical factors could contribute to improvements in patient outcomes and use of scarce resources. Prevalent dialysis patient data by facility were collected from the 2007 ESRD Network's annual reports. Facility characteristic data were collected from Medicare's Dialysis Facility Compare file. A multivariate regression model was used to evaluate associations between the use of home dialysis and facility characteristics. The utilization of home dialysis was positively associated with facility size, percent patients employed full- or part-time, younger population, and years a facility was Medicare certified. Variables negatively associated include an increased number of hemodialysis patients per hemodialysis station, chain association, rural location, more densely populated zip code, a late dialysis work shift, and greater percent of black patients within a zip code. Improved understanding of factors affecting the frequency of use of home dialysis may he...Continue Reading

References

May 1, 1988·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·D L Wolcott, A R Nissenson
Apr 1, 1996·Advances in Renal Replacement Therapy·E T Oberley, D R Schatell
May 1, 1997·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·A R NissensonJ H Stewart
Nov 30, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·M ThamerN R Powe
Feb 13, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Dana C MiskulinAndrew S Levey
Apr 19, 2002·Journal of the American Society of Nephrology : JASN·Austin G Stack
Nov 25, 2003·International Journal of Health Care Finance and Economics·Richard A HirthPhilip J Held
Feb 12, 2004·JAMA : the Journal of the American Medical Association·Haya R RubinNeil R Powe
Jan 8, 2008·Clinical Journal of the American Society of Nephrology : CJASN·Nancy KutnerStephen Pastan
Feb 1, 2008·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Paul M JustMiguel C Riella
Feb 5, 2008·Health Policy·Paul Michael JustFrank de Charro
Jun 26, 2008·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Kevin McLaughlinBraden Manns
Apr 11, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Rajnish MehrotraKamyar Kalantar-Zadeh
May 19, 2009·Clinical Therapeutics·Nancy NeilThomas Golper
Aug 4, 2012·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Franz SchaeferUNKNOWN IPPN investigators

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Citations

Nov 30, 2011·Seminars in Dialysis·Phil McFarlane, Paul Komenda
Apr 21, 2012·Clinical Journal of the American Society of Nephrology : CJASN·Saugar MaripuriKerri L Cavanaugh
Dec 3, 2011·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Rajnish MehrotraMichelle Fedunyszyn
Oct 4, 2012·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Jenny I ShenWolfgang C Winkelmayer
Nov 14, 2013·Postgraduate Medical Journal·Albert Power, Damien Ashby
May 31, 2014·The American Journal of the Medical Sciences·Ramesh Saxena
Dec 29, 2015·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Rebecca Kurnik SeshasaiLaura M Dember
Mar 16, 2012·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Rachael L MortonKirsten Howard
May 15, 2016·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Leslie P WongJoseph Pulliam
Dec 15, 2015·Journal of the American Society of Nephrology : JASN·Rajnish MehrotraKamyar Kalantar-Zadeh
Feb 12, 2019·Hemodialysis International·Rebecca Kurnik SeshasaiLaura M Dember
Aug 25, 2017·Clinical Journal of the American Society of Nephrology : CJASN·Emilie TrinhJeffrey Perl
Apr 26, 2014·Clinical Journal of the American Society of Nephrology : CJASN·Blair S GraceStephen P McDonald
Jul 25, 2012·Nature Reviews. Nephrology·Karthik K TennankoreSimon P Curran
Oct 11, 2011·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Nicholas A GrayStephen P McDonald
Sep 28, 2018·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Zartashia GhaniJohan Jarl
Jul 23, 2021·European Journal of Clinical Investigation·Anna A BonenkampBrigit C van Jaarsveld
Aug 12, 2021·PloS One·Anita van Eck van der SluijsAlferso C Abrahams
Aug 18, 2021·Kidney Medicine·Mallika L MenduUNKNOWN International Home Dialysis Roundtable Steering Committee

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