Facility-Level Variation in Dialysis Use and Mortality Among Older Veterans With Incident Kidney Failure.

ABSTRACT:

Importance

Current guidelines lack consensus regarding the treatment of patients who may not benefit from dialysis; this lack of consensus may be associated with the substantial variation in dialysis use and outcomes across health care facilities.

Objective

To assess the degree to which variation in dialysis use and mortality was associated with patient rather than facility characteristics and to distinguish which features identified the US Department of Veterans Affairs (VA) facilities with high rates of dialysis use.

Design, setting, and participants

This cohort study analyzed data of veterans with stage 3 or 4 chronic kidney disease that progressed to kidney failure between January 1, 2011, and December 31, 2014. These patients received care from VA facilities acro

SUBMITTER: Bradshaw C 

PROVIDER: S-EPMC7811178 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature