Evidence map›Paper›PMID 28560726›Full record

ArticleHealth services research2018

Payment Reform and Health Disparities: Changes in Dialysis Modality under the New Medicare Dialysis Payment System.

Marc Turenne, Regina Baker, Jeffrey Pearson, Chad Cogan, Purna Mukhopadhyay, Elizabeth Cope

Abstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
  2. Peritoneal Dialysis Initiation Patterns by Health Service Area during an Era of Expansion.Journal of the American Society of Nephrology : JASN · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Homeward Bound? PD Expansion and Equity in the United States.Clinical journal of the American Society of Nephrology : CJASN · 2024
    Article
  7. Article
  8. 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 · 2022
    Observational
  9. Article
  10. Article
  11. Article
  12. Paying for Frequent Dialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2019
    Article
  13. 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

6 authors.

Marc TurenneArbor Research Collaborative for Health, Ann Arbor, MI.
Regina BakerArbor Research Collaborative for Health, Ann Arbor, MI.
Jeffrey PearsonArbor Research Collaborative for Health, Ann Arbor, MI.
Chad CoganArbor Research Collaborative for Health, Ann Arbor, MI.
Purna MukhopadhyayArbor Research Collaborative for Health, Ann Arbor, MI.
Elizabeth CopeArbor Research Collaborative for Health, Ann Arbor, MI.

Funding

Evaluating Payment Reform and Provider Practices to Improve Health Outcomes in ChR01MD006247 · NIMHD · ARBOR RESEARCH COLLABORATIVE FOR HEALTH · PI TURENNE, MARC · 2011 to 2015
$1.4M
NIMHD NIH HHS R01 MD006247
6 · The paper itself

Abstract

objectiveTo evaluate the effect of the Medicare dialysis payment reform on potential disparities in the selection of peritoneal dialysis (PD) for the treatment of end-stage renal disease (ESRD). DATA SOURCES: Centers for Medicare & Medicaid Services (CMS) ESRD Medical Evidence Form, Medicare claims, and other CMS data for 2008-2013. STUDY

designWe examined the association of patient age, race/ethnicity, urban/rural location, pre-ESRD care, comorbidities, insurance, and other factors with the selection of PD as initial dialysis modality across prereform (2008-2009), interim (2010), and postreform (2011-2013) time periods. PRINCIPAL

findingsSelection of PD increased among diverse patient subgroups following the payment reform. However, the lower PD selection observed with older age, black race, Hispanic ethnicity, less pre-ESRD care, and Medicaid insurance before the reform largely remained in the initial postreform years.

conclusionsDespite recent growth in PD, there may be ongoing disparities in access to PD that have largely not been mitigated by the payment reform. There is potential for modifying provider financial incentives to achieve policy goals related to cost and quality of care. However, even with a substantial shift in financial incentives, separate initiatives to reduce existing disparities in care may be needed.

Indexed as

AdolescentAdultAgedAge FactorsCenters for Medicare and Medicaid Services, U.S.ComorbidityEthnicityFemaleHealth ExpendituresHealth StatusHumansInsurance Claim ReviewKidney Failure, ChronicMaleMedicareMiddle Agedhealth care disparitiesMedicarePayment systemsprovider incentivestreatment options

Identifiers

PMID28560726
PMCPMC5980208

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.