A Comparison of US Medicare Expenditures for Hemodialysis and Peritoneal Dialysis.

ABSTRACT:

Background

Observations that peritoneal dialysis (PD) may be an effective, lower-cost alternative to hemodialysis for the treatment of ESKD have led to policies encouraging PD and subsequent increases in its use in the United States.

Methods

In a retrospective cohort analysis of Medicare beneficiaries who started dialysis between 2008 and 2015, we ascertained average annual expenditures (for up to 3 years after initiation of dialysis) for patients ≥67 years receiving in-center hemodialysis or PD. We also determined whether differences in Medicare expenditures across dialysis modalities persisted as more patients were placed on PD. We used propensity scores to match 8305 patients initiating PD with 8305 similar patients initiating hemodialysis.

Results

Overall average

SUBMITTER: Kaplan JM 

PROVIDER: S-EPMC9678042 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature