Geographic Dialysis Facility Density and Early Dialysis Initiation.

ABSTRACT:

Importance

The decision of when to start maintenance hemodialysis may be affected by health system-level support for high-intensity care as manifested by area dialysis facility density. Yet an association between early hemodialysis initiation and higher area density of dialysis facilities has not been shown.

Objective

To examine whether there is an association between area dialysis facility density and earlier dialysis initiation.

Design, setting, and participants

Cross-sectional analysis was conducted of publicly reported claims and geographic-based population data collected in the Medical Evidence files of the US Renal Data System (USRDS), a comprehensive registry of all patients initiating hemodialysis in the US, from calendar years 2011 through 2019. Data were lin

SUBMITTER: Hemmige V 

PROVIDER: S-EPMC10765261 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature