Expanded Prospective Payment System and Use of and Outcomes with Home Dialysis by Race and Ethnicity in the United States.

ABSTRACT:

Background and objectives

We investigated whether the recent growth in home dialysis use was proportional among all racial/ethnic groups and also whether there were changes in racial/ethnic differences in home dialysis outcomes.

Design, setting, participants, & measurements

This observational cohort study of US Renal Data System patients initiating dialysis from 2005 to 2013 used logistic regression to estimate racial/ethnic differences in home dialysis initiation over time, and used competing risk models to assess temporal changes in racial/ethnic differences in home dialysis outcomes, specifically: (1) transfer to in-center hemodialysis (HD), (2) mortality, and (3) transplantation.

Results

Of the 523,526 patients initiating dialysis from 2005 to

SUBMITTER: Shen JI 

PROVIDER: S-EPMC6682814 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature