Dialysis Facility Staffing Ratios and Kidney Transplant Access Among Adolescents and Young Adults.

ABSTRACT:

Importance

Patient to staff ratios vary across US dialysis facilities and have been associated with patient outcomes in older adults.

Objective

To determine whether patient to nurse or patient to social worker staff ratios are associated with access to kidney transplant for adolescents and young adults.

Design, setting, and participants

Retrospective cohort study including patients aged 12 to 30 years who started dialysis between 2005 and 2019 at 8490 US facilities according to the US Renal Data System, the national end-stage kidney disease registry.

Exposures

Time-updated quartile of patient to nurse and patient to social worker ratios at dialysis facilities.

Main outcomes and measures

Fine-Gray models were used to relate the exposure to the incidence o

SUBMITTER: Bicki AC 

PROVIDER: S-EPMC11500013 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature