Care Continuity, Nephrologists' Dialysis Facility Preferences, and Outcomes.

ABSTRACT:

Importance

Patients may initiate dialysis at their predialysis nephrologists' primary facilities (ie, where the nephrologist saw the most patients) to preserve continuity of care, even if the facilities are of low quality. Patients from minoritized racial and ethnic groups may be the most negatively impacted.

Objective

To examine starts at nephrologists' primary facilities, downstream outcomes, and racial disparities in dialysis start quality.

Design, setting, and participants

This cohort study used Medicare administrative data of patients initiating dialysis at freestanding US dialysis facilities from January 1, 2015, to October 31, 2020, with 1 year of follow-up (ending October 31, 2021). Analyses concluded January 26, 2025. Participants were adults with fee-for-ser

SUBMITTER: Lin E 

PROVIDER: S-EPMC11992609 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature