Comparing Mortality of Peritoneal and Hemodialysis Patients in an Era of Medicare Payment Reform.

ABSTRACT:

Background

Prior studies have shown peritoneal dialysis (PD) patients to have lower or equivalent mortality to patients who receive in-center hemodialysis (HD). Medicare's 2011 bundled dialysis prospective payment system encouraged expansion of home-based PD with unclear impacts on patient outcomes. This paper revisits the comparative risk of mortality between HD and PD among patients with incident end-stage kidney disease initiating dialysis in 2006-2013.

Research design

We conducted a retrospective cohort study comparing 2-year all-cause mortality among patients with incident end-stage kidney disease initiating dialysis via HD and PD in 2006-2013, using data from the US Renal Data System and Medicare. Analysis was conducted using Cox proportional hazards models fit with in

SUBMITTER: Wang V 

PROVIDER: S-EPMC7855236 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature