ArticleMedical care2020
Early Delays in Insurance Coverage and Long-term Use of Home-based Peritoneal Dialysis.
Article in Medical care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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
8 citing papers in PubMed, 14 citations in OpenAlex.
- Overlap Between Mandatory and Voluntary Value-Based Kidney Care Model Participation and Home Dialysis Use.JAMA health forum · 2026Article
- 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
- How did exposure to critical access hospitals change Medicare's effect on cancer survival?Cancer causes & control : CCC · 2026Article
- Quality Metrics in Dialysis: It Takes a Village.Advances in kidney disease and health · 2025Review
- 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
- 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
- The COVID-19 Pandemic Converges With Kidney Policy Transformation: Implications for CKD Population Health.American journal of kidney diseases : the official journal of the National Kidney Foundation · 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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundUninsured patients with end-stage renal disease face barriers to peritoneal dialysis (PD), a type of home dialysis that is associated with improved quality of life and reduced Medicare costs. Although uninsured patients using PD at dialysis start receive retroactive Medicare coverage for required predialysis services, coverage only applies for the calendar month of dialysis start. Thus, initiating dialysis later in the month yields longer retroactive coverage.
objectivesTo examine whether differences in retroactive Medicare were associated with decreased long-term PD use. RESEARCH
designWe exploited the dialysis start date using a regression discontinuity design on a national cohort from the US Renal Data System. SUBJECTS: 36,256 uninsured adults starting dialysis between January 1, 2006 and December 31, 2014. MEASURES: PD use at dialysis days 1, 90, 180, and 360.
resultsStarting dialysis on the first versus last day of the calendar month was associated with an absolute decrease in PD use of 2.7% [95% confidence interval (CI), 1.5%-3.9%], or a relative decrease of 20% (95% CI, 12%-27%) at dialysis day 360. The absolute decrease was 5.5% (95% CI, 3.5%-7.2%) after Medicare established provider incentives for PD in 2011 and 7.2% (95% CI, 2.5%-11.9%) after Medicaid expansion in 2014. Patients were unlikely to switch from hemodialysis to PD after the first month of dialysis (probability of 6.9% in month 1, 1.5% in month 2, and 0.9% in month 4).
conclusionsExtending retroactive coverage for preparatory dialysis services could increase PD use and reduce overall Medicare spending in the uninsured.
Indexed as
Identifiers
What OpenQuestion holds
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.