ArticleJournal of the American Society of Nephrology : JASN2019
Survival among Veterans Obtaining Dialysis in VA and Non-VA Settings.
Article in Journal of the American Society of Nephrology : JASN, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Veterans Health Administration (VA) vs. Non-VA Healthcare Quality: A Systematic Review.Journal of general internal medicine · 2023Pooled it
- Barriers and Opportunities in Access to Peritoneal Dialysis across Veterans Health Administration.Clinical journal of the American Society of Nephrology : CJASN · 2026Article
- Renin Angiotensin Inhibition and Lower Risk of Kidney Failure in Patients with Heart Failure.The American journal of medicine · 2025Article
- Lower Risk of Death and Kidney Failure Associated with Higher Target (vs Below-Target) Doses of RAS Inhibitors in Octogenarians with HFrEF.The American journal of medicine · 2025Article
- VA-Based Peritoneal Dialysis Program Feasibility Considerations and Process Outline.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023Article
- Impact of the COVID-19 Pandemic on the Provision of Dialysis Service and Mortality in Veterans Receiving Maintenance Hemodialysis in the VA: An Interrupted Time-Series Analysis.American journal of nephrology · 2023Article
- Depression screening and clinical outcomes among adults initiating maintenance hemodialysis.Clinical kidney journal · 2021Article
- The dialysis facility levels and sizes are associated with outcomes of incident hemodialysis patients.Scientific reports · 2021Article
- Facility-Level Variation in Dialysis Use and Mortality Among Older Veterans With Incident Kidney Failure.JAMA network open · 2021Article
- Medication Reconciliation: The Foundation of Medication Safety for Patients Requiring Dialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2020Review
- Authors' Reply.Journal of the American Society of Nephrology : JASN · 2019Article
- Confounding of Race/Ethnicity and Age in the Survival among Veterans Obtaining Dialysis in VA and Non-VA Settings.Journal of the American Society of Nephrology : JASN · 2019Article
Corrections and comments
- Commented on by
- Commented on byAuthors' Reply.2019
Authors and funding
10 authors.
Funding
Abstract
backgroundOutcomes of veterans with ESRD may differ depending on where they receive dialysis and who finances this care, but little is known about variation in outcomes across different dialysis settings and financial arrangements.
methodsWe examined survival among 27,241 Veterans Affairs (VA)-enrolled veterans who initiated chronic dialysis in 2008-2011 at (
resultsOverall, 4% of patients received dialysis in VA, 11% under VA-PC, 67% under Medicare, and 18% in dual settings (nearly half receiving dual VA and VA-PC dialysis). Crude 2-year mortality was 25% for veterans receiving dialysis in the VA, 30% under VA-PC, 42% under Medicare, and 23% in dual settings. After adjustment, dialysis patients in VA or in dual settings had significantly lower 2-year mortality than those under Medicare; mortality did not differ in VA-PC and Medicare dialysis settings.
conclusionsMortality rates were highest for veterans receiving dialysis in Medicare or VA-PC settings and lowest for veterans receiving dialysis in the VA or dual settings. These findings inform institutional decisions about provision of dialysis for veterans. Further research identifying processes associated with improved survival for patients receiving VA-based dialysis may be useful in establishing best practices for outsourced veteran care.
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