ArticleClinical journal of the American Society of Nephrology : CJASN2014
Comparison of hospitalization rates among for-profit and nonprofit dialysis facilities.
Article in Clinical journal of the American Society of Nephrology : CJASN, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Using Machine Learning to Identify Geographic and Socioeconomic Disparities in Dialysis Facility Outcomes Across the United States.Ochsner journal · 2025Article
- Effect of profit status in facilities on the mortality of patients on long-term haemodialysis: a nationwide cohort study.BMJ open · 2021Article
- Hemodialysis exacerbates proteolytic imbalance and pro-fibrotic platelet dysfunction.Scientific reports · 2021Article
- Profiling dialysis facilities for adverse recurrent events.Statistics in medicine · 2020Article
- Conflicts of interest in dialysis: A barrier to policy reforms.Seminars in dialysis · 2020Article
- Dialysis Reimbursement: What Impact Do Different Models Have on Clinical Choices?Journal of clinical medicine · 2019Article
- Effect of patient solicitation on mortality among patients receiving hemodialysis in Korea.Patient preference and adherence · 2019Article
- Structural Equation Modeling to Explore Patient to Staff Ratios as an Explanatory Factor for Variation in Dialysis Facility Outcomes.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2018Observational
- Where Are You Going, Nephrology? Considerations on Models of Care in an Evolving Discipline.Journal of clinical medicine · 2018Article
- Dialysis Case Volume Associated With In-Hospital Mortality in Maintenance Dialysis Patients.Kidney international reports · 2018Article
- Hospital Readmission among New Dialysis Patients Associated with Young Age and Poor Functional Status.Nephron · 2018Article
- Data concordance between ESRD Medical Evidence Report and Medicare claims: is there any improvement?PeerJ · 2018Article
- Carbapenem-Resistant Enterobacteriaceae Infections in Patients on Renal Replacement Therapy.Open forum infectious diseases · 2017Article
- Risk Factors for Infection-Related Hospitalization in In-Center Hemodialysis.Clinical journal of the American Society of Nephrology : CJASN · 2015Article
- Outcomes of infection-related hospitalization in Medicare beneficiaries receiving in-center hemodialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2015Article
- Do health outcomes vary by profit status of hemodialysis units?Clinical journal of the American Society of Nephrology : CJASN · 2014Article
- Regional and Temporal Variations in Comorbidity Among US Dialysis Patients: A Longitudinal Study of Medicare Claims Data.Inquiry : a journal of medical care organization, provision and financingArticle
- Patient Satisfaction Is Associated With Dialysis Facility Quality and Star Ratings.American journal of medical quality : the official journal of the American College of Medical QualityArticle
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9 authors.
Funding
Abstract
BACKGROUND AND
objectivesThe vast majority of US dialysis facilities are for-profit and profit status has been associated with processes of care and outcomes in patients on dialysis. This study examined whether dialysis facility profit status was associated with the rate of hospitalization in patients starting dialysis. DESIGN, SETTING, PARTICIPANTS, &
methodsThis was a retrospective cohort study of Medicare beneficiaries starting dialysis between 2005 and 2008 using data from the US Renal Data System. All-cause hospitalization was examined and compared between for-profit and nonprofit dialysis facilities through 2009 using Poisson regression. Companion analyses of cause-specific hospitalization that are likely to be influenced by dialysis facility practices including hospitalizations for heart failure and volume overload, access complications, or hyperkalemia were conducted.
resultsThe cohort included 150,642 patients. Of these, 12,985 (9%) were receiving care in nonprofit dialysis facilities. In adjusted models, patients receiving hemodialysis in for-profit facilities had a 15% (95% confidence interval [95% CI], 13% to 18%) higher relative rate of hospitalization compared with those in nonprofit facilities. Among patients receiving peritoneal dialysis, the rate of hospitalization in for-profit versus nonprofit facilities was not significantly different (relative rate, 1.07; 95% CI, 0.97 to 1.17). Patients on hemodialysis receiving care in for-profit dialysis facilities had a 37% (95% CI, 31% to 44%) higher rate of hospitalization for heart failure or volume overload and a 15% (95% CI, 11% to 20%) higher rate of hospitalization for vascular access complications.
conclusionsHospitalization rates were significantly higher for patients receiving hemodialysis in for-profit compared with nonprofit dialysis facilities.
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