Regional Differences in Nonadherence to Dialysis Among Southern Dialysis Patients: A Comparative Cross-Sectional Study to the Dialysis Outcomes and Practice Patterns Study

Tapolyai, Mihály; Fülöp, Tibor; Uysal, Askin; Lengvárszky, Zsolt; Szarvas, Tibor; Ballard, Kathleen; Dossabhoy, Neville R.

doi:10.1097/maj.0b013e3181d94f7a

Cited by 9 publications

(7 citation statements)

References 16 publications

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“…3, 14, 15 Additionally, practices and outcomes vary within the 18 End Stage Renal Disease (ESRD) Disease Networks, the regional entities responsible for organization, and quality improvement tasks for ESRD care. 16 17 To date, neighborhood and regional variation in dialysis facility quality remains under-explored.…”

Section: Introductionmentioning

confidence: 99%

Variation in Dialysis Quality Measures by Facility, Neighborhood, and Region

Saunders

Chin²

2013

Medical Care

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Background We examined whether dialysis facility characteristics, neighborhood demographics, and region are associated with Centers for Medicare and Medicaid Services (CMS) dialysis facility quality measures in order to determine the most important targets for intervention. Methods We linked US census data to the CMS Dialysis Compare File which contains information for facility outcomes for all CMS certified dialysis facilities in 2007 (n=5616). We then used linear and logistic regression to characterize the association between dialysis facility quality—worse than expected patient survival, and the proportion of individuals in a facility achieving dialysis adequacy (urea reduction rate >65) or target hemoglobin (10

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Section: Introductionmentioning

confidence: 99%

Variation in Dialysis Quality Measures by Facility, Neighborhood, and Region

Saunders

Chin²

2013

Medical Care

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“…In contrast, the literature has only considered a few specific quality measures, such as mortality and dialysis adequacy. 4,7,[13][14][15][18][19][20]…”

mentioning

confidence: 99%

The Association Between Dialysis Facility Quality and Facility Characteristics, Neighborhood Demographics, and Region

Zhang

2015

Am J Med Qual

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The Centers for Medicare & Medicaid Services (CMS) initiated the End-Stage Renal Disease Quality Incentive Program in 2012. For each dialysis facility, an overall quality performance score is determined based on various quality measures. This article studies the association between the overall dialysis facility quality and facility characteristics, neighborhood demographics, and region. Data from the CMS Payment Year 2014 Dialysis Compare File were used, and were linked to 2010 US Census data (n = 4086). Multiple linear regression was used to examine the association between dialysis facility quality and facility characteristics, neighborhood demographics, and region. The analysis demonstrates that dialysis facility quality varies significantly by facility profit status, chain membership, and facility size. Dialysis facilities in neighborhoods with a higher proportion of African Americans have significantly lower quality. Regional differences in quality exist.

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“…1 There are ongoing issues with compliance that contribute to this high mortality. 1,4 The major contributing factors causing noncompliance include an impaired quality of life, high pill burden, depression and postdialysis fatigue. Impaired quality of life is, in turn, associated with higher hospitalization and mortality.…”

Section: Mortality In Dialysis Patients Is Higher Than That In the Gementioning

confidence: 99%

“…Mortality in dialysis patients is higher than that in the general Medicare population having cancer, diabetes, or cardiovascular disease . There are ongoing issues with compliance that contribute to this high mortality . The major contributing factors causing noncompliance include an impaired quality of life, high pill burden, depression and postdialysis fatigue.…”

Section: Introductionmentioning

confidence: 99%

Benefits, challenges, and opportunities using home hemodialysis with a focus on Mississippi, a rural southern state

Salim

Zsom²,

Cheungpasitporn

et al. 2018

Seminars in Dialysis

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The prevalence of end‐stage renal disease continues to increase in the United States with commensurate need for renal replacement therapies. Hemodialysis continues to be the predominant modality, though less than 2% of these patients will receive hemodialysis in their own home. While home modalities utilizing peritoneal dialysis have been growing, home hemodialysis (HHD) remains underutilized despite studies showing regression in left ventricular mass, improved quality of life, reduced depressive symptoms, and decreased postdialysis recovery time. To increase penetration of HHD will require a proactive approach from both physicians and dialysis networks to address barriers both in the system and on the level of the patients and families. We are reviewing these issues with a focus on the state of Mississippi.

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Regional Differences in Nonadherence to Dialysis Among Southern Dialysis Patients: A Comparative Cross-Sectional Study to the Dialysis Outcomes and Practice Patterns Study

Cited by 9 publications

References 16 publications

Variation in Dialysis Quality Measures by Facility, Neighborhood, and Region

Variation in Dialysis Quality Measures by Facility, Neighborhood, and Region

The Association Between Dialysis Facility Quality and Facility Characteristics, Neighborhood Demographics, and Region

Benefits, challenges, and opportunities using home hemodialysis with a focus on Mississippi, a rural southern state

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