PMID: 9193235Jun 1, 1997Paper

Does greater pediatric experience influence treatment choices in chronic disease management? Dialysis modality choice for children with end-stage renal disease

Archives of Pediatrics & Adolescent Medicine
S L FurthB A Fivush

Abstract

To determine whether treatment choice for children with end-stage renal disease varies with greater pediatric experience at the dialysis facility. National cross-sectional study. Outpatient dialysis facilities throughout the United States. All children (age, < or = 19 years) undergoing dialysis in 1990, identified using the Medicare End-stage Renal Disease registry (1990 facility survey and quarterly dialysis records). The odds of receiving peritoneal dialysis vs hemodialysis according to the pediatric experience of the facility. "Pediatric experience" for dialysis facilities was defined as the number of patients 19 years old or younger divided by the total number of patients treated at that facility. Adjustment, using multiple logistic regression, was made for differences in age, sex, cause and duration of end-stage renal disease, income, education, and facility characteristics. In 1990, there were 1256 patients 19 years old or younger who underwent a single-treatment modality at a single facility for most of the year. Sixty-three percent (790/ 1256) were treated at facilities with fewer than 5% of patients younger than 19 years. Thirty-six percent were treated at centers with less than 1% of pediatric patients. In a multivari...Continue Reading

Citations

Feb 21, 2007·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Bradley A Warady, Vimal Chadha
Apr 25, 2012·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Allison L AgwuKelly A Gebo
Mar 10, 1999·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·B A WaradyW E Harmon
Oct 4, 2005·Advances in Chronic Kidney Disease·Vimal Chadha, Bradley A Warady
Dec 21, 2002·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Susan L FurthNeil R Powe
Nov 16, 2016·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Julien HoganCécile Couchoud
Nov 18, 2000·Journal of Pediatric Surgery·S R BeanesJ B Atkinson

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