Impact of poverty and race on pre-end-stage renal disease care among dialysis patients in the United States.

ABSTRACT:

Background

Access to nephrology care prior to end-stage renal disease (ESRD) is significantly associated with lower rates of morbidity and mortality. We assessed the association of area-level and individual-level indicators of poverty and race/ethnicity on pre-ESRD care provided by nephrologists.

Methods

In this retrospective cohort study using the US Renal Data System database, we identified 739 537 patients initiated on maintenance dialysis from 1 January 2007 through 31 December 2012. We assessed the Medicare-Medicaid dual eligibility status as an indicator of individual-level poverty and ZIP code-level median household income (MHI) data obtained from the 2010 US census. We conducted multivariable logistic regression of pre-ESRD nephrology care as the outcome variable.

SUBMITTER: Nee R 

PROVIDER: S-EPMC5469551 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature