Evidence map›Paper›PMID 27060855›Full record

ArticleHealth services research2017

Impacts of Geographic Distance on Peritoneal Dialysis Utilization: Refining Models of Treatment Selection.

Virginia Wang, Matthew L Maciejewski, Cynthia J Coffman, Linda L Sanders, Shoou-Yih Daniel Lee, Richard Hirth, Joseph Messana

Abstract read
In one paragraph

Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Peritoneal Dialysis Initiation Patterns by Health Service Area during an Era of Expansion.Journal of the American Society of Nephrology : JASN · 2026
    Article
  4. Article
  5. Neighborhood Built Environment and Home Dialysis Utilization: Varying Patterns by Urbanicity-Dependent Patterns and Implications for Policy.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025
    Article
  6. Article
  7. Article
  8. Medicare advantage and dialysis facility choice.Health services research · 2023
    Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Is Assisted Peritoneal Dialysis a Solution for Northern Manitoba?Healthcare policy = Politiques de sante · 2019
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Identifying Determinants for Traveled Distance and Bypassing in Outpatient Care: A Scoping Review.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Virginia WangDivision of General Internal Medicine, Department of Medicine, Duke University School of Medicine, Durham, NC.
Matthew L MaciejewskiDivision of General Internal Medicine, Department of Medicine, Duke University School of Medicine, Durham, NC.
Cynthia J CoffmanCenter for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC.
Linda L SandersDivision of General Internal Medicine, Department of Medicine, Duke University School of Medicine, Durham, NC.
Shoou-Yih Daniel LeeDepartment of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Richard HirthDepartment of Health Management and Policy, University of Michigan, Ann Arbor, MI.
Joseph MessanaDivision of Nephrology, Department of Internal Medicine, University of Michigan, Internal Medicine-Nephrology, Ann Arbor, MI.

Funding

Duke Mentored CER Scholar ProgramK12HS019479 · AHRQ · DUKE UNIVERSITY · PI ODDONE, EUGENE Z. · 2010 to 2010
$1.9M
Cascading Impacts of Bundled Payment on Peritoneal Dialysis Provision & OutcomesR01DK097165 · NIDDK · DUKE UNIVERSITY · PI WANG, VIRGINIA · 2013 to 2017
$1.9M
AHRQ HHS K12 HS019479NIDDK NIH HHS R01 DK097165
6 · The paper itself

Abstract

objectiveTo examine the relationship between distance to dialysis provider and patient selection of dialysis modality, informed by the absolute distance from a patient's home and relative distance of alternative modalities. DATA SOURCES: U.S. Renal Data System. STUDY

designAbout 70,131 patients initiating chronic dialysis and 4,795 dialysis facilities in 2006. The primary outcome was patient utilization of peritoneal dialysis (PD). Independent variables included absolute distance between patients' home and the nearest hemodialysis (HD) facility, relative distance between patients' home and nearest PD versus nearest HD facilities, and their interaction. Logistic regression was used to model distance on PD use, controlling for patient and market characteristics. PRINCIPAL

findingsNine percent of incident dialysis patients used PD in 2006. There was a positive, nonlinear relationship between absolute distance to HD services and PD use (p < .0001), with the magnitude of the effect increasing at greater distances. In terms of relative distance, odds of PD use increased if a PD facility was closer or the same distance as the nearest HD facility (p = .006). Interaction of distance measures to dialysis facilities was not significant.

conclusionsAnalyses of patient choice between alternative treatments should model distance to reflect all relevant dimensions of geographic access to treatment options.

Indexed as

Cross-Sectional StudiesFemaleGeographyHealth Services AccessibilityHumansKidney Failure, ChronicLogistic ModelsMaleMiddle AgedModels, TheoreticalPatient PreferencePeritoneal DialysisUnited StatesDialysisgeographic distancetreatment selection

Identifiers

PMID27060855
PMCPMC5264105

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.