ArticleHealth services research2011
The effect of dialysis chains on mortality among patients receiving hemodialysis.
Article in Health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed.
- Dialysis Facility Participation In Medicare Advantage Networks Was Highest For Large Dialysis Organizations In 2021.Health affairs (Project Hope) · 2025Article
- Trends in Dialysis Industry Consolidation After Medicare Payment Reform, 2006-2016.JAMA health forum · 2021Article
- Conflicts of interest in dialysis: A barrier to policy reforms.Seminars in dialysis · 2020Article
- Association of Hospitalization and Mortality Among Patients Initiating Dialysis With Hemodialysis Facility Ownership and Acquisitions.JAMA network open · 2019Observational
- Patient-Reported Experiences of Dialysis Care Within a National Pay-for-Performance System.JAMA internal medicine · 2018Article
- Long-term clinical outcome for patients poisoned by the fungal nephrotoxin orellanine.BMC nephrology · 2017Article
- For-profit status and industry evolution in health care markets: evidence from the dialysis industry.International journal of health economics and management · 2016Article
- Morbidity, mortality and quality of life in the ageing haemodialysis population: results from the ELDERLY study.Clinical kidney journal · 2016Article
- Geographic variation and neighborhood factors are associated with low rates of pre-end-stage renal disease nephrology care.Kidney international · 2015Article
- Confounders of mortality and hospitalization rate calculations for profit and nonprofit dialysis facilities: analytic augmentation.BMC nephrology · 2014Observational
- Comparison of hospitalization rates among for-profit and nonprofit dialysis facilities.Clinical journal of the American Society of Nephrology : CJASN · 2014Article
- Do health outcomes vary by profit status of hemodialysis units?Clinical journal of the American Society of Nephrology : CJASN · 2014Article
- Patient care staffing levels and facility characteristics in U.S. hemodialysis facilities.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2013Article
- Facility size, race and ethnicity, and mortality for in-center hemodialysis.Journal of the American Society of Nephrology : JASN · 2013Article
- Influence of safety warnings on ESA prescribing among dialysis patients using an interrupted time series.BMC nephrology · 2013Article
- Organizational status of dialysis facilities and patient outcome: does higher injectable medication use mediate increased mortality?Health services research · 2013Article
- Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveTo examine the association between dialysis facility chain affiliation and patient mortality. STUDY
settingMedicare dialysis population. STUDY
designData from the United States Renal Data System (USRDS) were used to identify 3,601 free-standing dialysis facilities and 34,914 Medicare patients' incidence to end-stage renal disease (ESRD) in 2004. Mixed-effect regression models were used to estimate patient mortality by dialysis facility chain and profit status during the 2-year follow-up. DATA COLLECTION: USRDS data were matched with facility, cost, and census data. PRINCIPAL
findingsOf the five largest dialysis chains, the lowest mortality risk was observed among patients dialyzed at nonprofit (NP) Chain 5 facilities. Compared with Chain 5, hazard ratios were 19 percent higher (95 percent CI 1.06-1.34) and 24 percent higher (95 percent CI 1.10-1.40) for patients dialyzed at for-profit (FP) Chain 1 and Chain 2 facilities, respectively. In addition, patients at FP facilities had a 13 percent higher risk of mortality than those in NP facilities (95 percent CI 1.06-1.22).
conclusionsLarge chain affiliation is an independent risk factor for ESRD mortality in the United States. Given the movement toward further consolidation of large FP chains, reasons behind the increase in mortality require scrutiny.
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