Association of Hospitalization and Mortality Among Patients Initiating Dialysis With Hemodialysis Facility Ownership and Acquisitions.

ABSTRACT:

Importance

Mergers and acquisitions among health care institutions are increasingly common, and dialysis markets have undergone several decades of mergers and acquisitions.

Objective

To examine the outcomes of hemodialysis facility acquisitions independent of associated changes in market competition resulting from acquisitions.

Design, setting, and participants

Cohort study using difference-in-differences (DID) analyses to compare changes in health outcomes over time among in-center US dialysis facilities that were acquired by a hemodialysis chain with facilities located nearby but not acquired. Multivariable Cox proportional hazards regression models and negative binomial models with predicted marginal effects were developed to examine health outcomes, controlling fo

SUBMITTER: Erickson KF 

PROVIDER: S-EPMC6537810 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature