Evidence map›Paper›PMID 30922595›Full record

ArticleAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2019

Paying for Frequent Dialysis.

Adam S Wilk, Richard A Hirth, Joseph M Messana

Abstract read
In one paragraph

Article in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

3 authors.

Adam S WilkDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA. Electronic address: adam.s.wilk@emory.edu.
Richard A HirthDepartment of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI.
Joseph M MessanaDepartment of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI; Division of Nephrology, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI.

Funding

The impact of airborne particles and ozone on cognition, mobility, and health care spending at older ages: Evidence from a nationally-representative longitudinal cohortR01ES028694 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ADAR, SARA · 2018 to 2021
$2.3M
Cascading Impacts of Bundled Payment on Peritoneal Dialysis Provision & OutcomesR01DK097165 · NIDDK · DUKE UNIVERSITY · PI WANG, VIRGINIA · 2013 to 2017
$1.9M
NIDDK NIH HHS R01 DK097165NIEHS NIH HHS R01 ES028694NLM NIH HHS HHSN276201400001C
6 · The paper itself

Abstract

In late 2017, the 7 regional contractors responsible for paying dialysis claims in Medicare proposed new payment rules that would restrict payment for hemodialysis treatments in excess of 3 weekly to exceptional acute-care circumstances. Frequent hemodialysis is performed more frequently than the traditional thrice-weekly pattern, and many stakeholders-patients, providers, dialysis machine manufacturers, and others-have expressed concern that these payment rules will inhibit the growth of this treatment modality's use among US dialysis patients. In this Perspective, we explain the role of these contractors in the context of Medicare's in-center hemodialysis-centric dialysis payment system and assess how well this system accommodates the higher treatment frequencies of both peritoneal dialysis and frequent hemodialysis. Then, given the available evidence concerning the relative effectiveness of these modalities versus thrice-weekly in-center hemodialysis and trends in their use, we discuss options for modifying Medicare's payment system to support frequent dialysis.

Indexed as

Reimbursement MechanismsHumansKidney Failure, ChronicMedicareRenal DialysisUnited Statescost of caredialysis modality selectionend-stage renal disease (ESRD)Hemodialysis (HD)home dialysishome hemodialysis (HHD)MedicareMedicare Administrative Contractors (MAC)payment modelspolicyreimbursement ratesUnited States

Identifiers

PMID30922595
PMCPMC7758184

What OpenQuestion holds

Textmetadata
LicenceTDM
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.