Recovery of renal function among ESRD patients in the US medicare program

PloS One
Sumit MohanFistula First Breakthrough Initiative Data Committee

Abstract

Patients started on long term hemodialysis have typically had low rates of reported renal recovery with recent estimates ranging from 0.9-2.4% while higher rates of recovery have been reported in cohorts with higher percentages of patients with acute renal failure requiring dialysis. Our analysis followed approximately 194,000 patients who were initiated on hemodialysis during a 2-year period (2008 & 2009) with CMS-2728 forms submitted to CMS by dialysis facilities, cross-referenced with patient record updates through the end of 2010, and tracked through December 2010 in the CMS SIMS registry. We report a sustained renal recovery (i.e no return to ESRD during the available follow up period) rate among Medicare ESRD patients of > 5% - much higher than previously reported. Recovery occurred primarily in the first 2 months post incident dialysis, and was more likely in cases with renal failure secondary to etiologies associated with acute kidney injury. Patients experiencing sustained recovery were markedly less likely than true long-term ESRD patients to have permanent vascular accesses in place at incident hemodialysis, while non-White patients, and patients with any prior nephrology care appeared to have significantly lower rat...Continue Reading

References

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Citations

Mar 29, 2014·Seminars in Dialysis·Farrukh M Koraishy, Steven G Coca
May 14, 2016·Journal of the American Society of Nephrology : JASN·Yoshitsugu ObiKamyar Kalantar-Zadeh
Jul 4, 2015·Clinical Journal of the American Society of Nephrology : CJASN·Jorge CerdáUNKNOWN AKI Advisory Group of the American Society of Nephrology
Sep 4, 2019·BMC Nephrology·Zijin ChenUNKNOWN Centers for Disease Control and Prevention Chronic Kidney Disease Surveillance Team
Jun 21, 2017·BMC Nephrology·Steven J RosanskyMatthew McNabney
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Aug 11, 2020·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Y Diana KwongElaine Ku
Feb 10, 2021·Cell Death & Disease·Seonghun KimJung Tak Park
Mar 12, 2021·Seminars in Dialysis·Jacob S StevensSumit Mohan
Apr 22, 2021·BMC Nephrology·Maria SantosMichael Heung
Dec 24, 2020·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Lily JakuljMarlies Noordzij
Jul 30, 2021·Health Communication·Charles R Senteio, Matthew K Ackerman

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pharmacotherapeutics

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