ArticleJournal of the American Society of Nephrology : JASN2017
Home Dialysis in the Prospective Payment System Era.
Article in Journal of the American Society of Nephrology : JASN, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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.
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.
Who cites it
21 citing papers in PubMed, 64 citations in OpenAlex.
- Financial Incentives to Facilities and Clinicians Treating Patients With End-stage Kidney Disease and Use of Home Dialysis: A Randomized Clinical Trial.JAMA health forum · 2022Trial
- Seasonality, Hospitalization, and Initiation of Home Dialysis: A Retrospective Cohort Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026Article
- The way home: a scoping review of public health interventions to increase the utilization of home dialysis in chronic kidney disease patients.BMC nephrology · 2025Article
- Integrated home dialysis model: facilitating home-to-home transition.Clinical kidney journal · 2024Article
- Hemodialysis Versus Peritoneal Dialysis Drug Expenditures: A Comparison Within the Private Insurance Market.Kidney medicine · 2023Article
- Payment systems for dialysis and their effects: a scoping review.BMC health services research · 2023Article
- Racial and Ethnic Disparities in Kidney Replacement Therapies Among Adults With Kidney Failure: An Observational Study of Variation by Patient Age.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2022Observational
- Challenging Assumptions of Outcomes and Costs Comparing Peritoneal and Hemodialysis.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2021Article
- Utilization of CMS pre-ESRD Kidney Disease Education services and its associations with the home dialysis therapies.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis · 2021Article
- Continuation of Peritoneal Dialysis in Adult Kidney Transplant Recipients With Delayed Graft Function.Kidney international reports · 2021Article
- Anemia management for home dialysis including the new US public policy initiative.Kidney international supplements · 2021Article
- The "Advancing American Kidney Health" Executive Order: Challenges and Opportunities for the Large Dialysis Organizations.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2020Article
- The current and future landscape of dialysis.Nature reviews. Nephrology · 2020Review
- Impact of initial dialysis modality on the survival of patients with ESRD in eastern China: a propensity-matched study.BMC nephrology · 2020Observational
- Early Delays in Insurance Coverage and Long-term Use of Home-based Peritoneal Dialysis.Medical care · 2020Article
- Conflicts of interest in dialysis: A barrier to policy reforms.Seminars in dialysis · 2020Article
- Patient-reported advantages and disadvantages of peritoneal dialysis: results from the PDOPPS.BMC nephrology · 2019Article
- Dialysis Reimbursement: What Impact Do Different Models Have on Clinical Choices?Journal of clinical medicine · 2019Article
- Health Insurance and the Use of Peritoneal Dialysis in the United States.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2018Article
- A View of the Bundle from a Home Dialysis Perspective: Present at the Creation.Clinical journal of the American Society of Nephrology : CJASN · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
The ESRD Prospective Payment System introduced two incentives to increase home dialysis use: bundling injectable medications into a single payment for treatment and paying for home dialysis training. We evaluated the effects of the ESRD Prospective Payment System on home dialysis use by patients starting dialysis in the United States from January 1, 2006 to August 31, 2013. We analyzed data on dialysis modality, insurance type, and comorbidities from the United States Renal Data System. We estimated the effect of the policy on home dialysis use with multivariable logistic regression and compared the effect on Medicare Parts A/B beneficiaries with the effect on patients with other types of insurance. The ESRD Prospective Payment System associated with a 5.0% (95% confidence interval [95% CI], 4.0% to 6.0%) increase in home dialysis use by the end of the study period. Home dialysis use increased by 5.8% (95% CI, 4.3% to 6.9%) among Medicare beneficiaries and 4.1% (95% CI, 2.3% to 5.4%) among patients covered by other forms of health insurance. The difference between these groups was not statistically significant (1.8%; 95% CI, -0.2% to 3.8%). Conversely, in both populations, the training add-on did not associate with increases in home dialysis use beyond the effect of the policy. The ESRD Prospective Payment System bundling, but not the training add-on, associated with substantial increases in home dialysis, which were identical for both Medicare and non-Medicare patients. These spill-over effects suggest that major payment changes in Medicare can affect all patients with ESRD.
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Registered trials
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.