Abstract
Characteristics of patients with chronic kidney disease who survive to end-stage renal disease may change over time, affecting subsequent outcomes and costs. We examined trends in older incident hemodialysis patient characteristics and analyzed first-year post-dialysis therapy initiation medical costs. Retrospective cohort study. All US incident hemodialysis patients aged > or =67 years at dialysis therapy initiation from January 1, 1995, to December 31, 2005, with Medicare Part A and Part B in the prior 2 years. Year of dialysis therapy initiation. Changes in patient characteristics and first-year costs. Mean and median values for continuous variables and percentages of categorical variables; first-year total medical costs measured per person per year. Observed costs were adjusted using Medicare Price Indices and patient case-mix. Median age at dialysis therapy initiation increased from 74.9 to 77.0 years from 1995 (n = 19,044) to 2005 (n = 31,796; P < 0.001). Diabetes prevalence increased from 54.2% to 64.1% (P < 0.001). Median estimated glomerular filtration rate increased from 8.0 to 11.2 mL/min/1.73 m(2), and median hemoglobin level increased from 9.4 to 10.2 g/dL. Obesity increased from 8.9% to 22.9% (P < 0.001). First-ye...Continue Reading
References
Jul 23, 1998·Medical Care·M E CowenY Shyr
Jan 7, 2000·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·P L HebertA M McBean
Aug 3, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·A J CollinsW Manning
Jul 26, 2002·Journal of the American Society of Nephrology : JASN·Jamie P TraynorJonathan G Fox
Jan 23, 2003·Journal of the American Society of Nephrology : JASN·Santhi K GaneshAustin G Stack
Jan 29, 2003·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Austin G Stack
Jun 24, 2003·Journal of the American Society of Nephrology : JASN·Jerome RossertJean Jacques Boffa
Aug 26, 2003·Journal of the American Society of Nephrology : JASN·Srinivasan BeddhuAlfred K Cheung
Mar 20, 2004·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Jamie P TraynorJonathan G Fox
Jun 18, 2004·Kidney International·Wendy L St PeterAllan J Collins
Apr 1, 2005·Journal of the American Society of Nephrology : JASN·Richard A HirthRobert A Wolfe
Mar 28, 2006·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·John R C WheelerRobert A Wolfe
Apr 7, 2006·Journal of the American Society of Nephrology : JASN·Holly J KramerRichard Cooper
Dec 8, 2006·Seminars in Dialysis·Clay A Block, Anton C Schoolwerth
Feb 6, 2007·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·UNKNOWN KDOQI
Mar 27, 2007·Circulation Journal : Official Journal of the Japanese Circulation Society·Satoko NakamuraYuhei Kawano
Jul 13, 2007·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Darren W Grabe
Jul 28, 2007·Journal of the American Society of Nephrology : JASN·Robert N Foley, Allan J Collins
Aug 21, 2007·Clinical Journal of the American Society of Nephrology : CJASN·Brian D BradburyBrenda W Gillespie
Sep 27, 2007·The Annals of Pharmacotherapy·Franklin W MadduxBrian M Murray
Oct 24, 2007·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Bryan M CurtisAdeera Levin
Jan 5, 2008·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Allan J CollinsLawrence Agodoa
Apr 10, 2008·Clinical Nephrology·J B WishR Provenzano
Mar 1, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Leslie J Heinberg
Citations
Jul 16, 2010·JAMA : the Journal of the American Medical Association·Ann M O'HareManjula Kurella Tamura
Mar 22, 2013·Acta Medica Croatica : C̆asopis Hravatske Akademije Medicinskih Znanosti·Petar KesBruna Brunetta Gavranić
Nov 12, 2013·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Carl van WalravenGreg Knoll
Feb 8, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Daniel E Weiner, Lesley A Stevens
Jul 9, 2010·Advances in Chronic Kidney Disease·Lesley A StevensDaniel E Weiner
Dec 15, 2010·Seminars in Nephrology·Benjamin D Humphreys
Mar 27, 2012·Néphrologie & thérapeutique·Michèle KesslerCécile Couchoud
Mar 3, 2018·Journal of Medical Systems·Alexander NagrebetskyRichard D Urman
Jul 27, 2014·Journal of the American Society of Nephrology : JASN·David A DrewDaniel E Weiner
Sep 15, 2012·Clinical Journal of the American Society of Nephrology : CJASN·Amy W WilliamsUNKNOWN American Society of Nephrology Quality, and Patient Safety Task Force
May 25, 2013·Clinical Journal of the American Society of Nephrology : CJASN·Martin J Andersen, Allon N Friedman
Jan 18, 2014·Clinical Journal of the American Society of Nephrology : CJASN·Yelena SlininAreef Ishani
Oct 5, 2019·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Murray D KrahnPetros Pechlivanoglou
Jan 13, 2011·Medical Care·Kevin T StroupeDenise M Hynes