ArticleKidney research and clinical practice2023
Hemodialysis facility star rating affects mortality in chronic hemodialysis patients: a longitudinal observational cohort study.
Article in Kidney research and clinical practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Effect of preparedness of emergency equipment on patient survival in hemodialysis facilities: a Korean nationwide cohort study.Kidney research and clinical practice · 2026Article
- Lifesaving power of preparedness in dialysis units.Kidney research and clinical practice · 2026Article
- Gender-specific spKt/V thresholds associated with mortality in maintenance hemodialysis patients: a nationwide Korean cohort study.Scientific reports · 2026Article
- Disease Burden and Disparities of Care for Kidney Health in the Asian Pacific Region: Summary Report From the Diversity and Equity Committee of APSN.Nephrology (Carlton, Vic.) · 2026Review
- Impact of hemodialysis center accreditation on patient mortality: Korean nationwide cohort study.Kidney research and clinical practice · 2026Article
- Systemic Lupus Erythematosus in Hemodialysis: Survival Comparison and Mortality-Related Factors.Medicina (Kaunas, Lithuania) · 2025Article
- Management of high-flow arteriovenous access.Kidney research and clinical practice · 2025Article
- Remaining life expectancy of Korean hemodialysis patients: how much longer can they live?Kidney research and clinical practice · 2024Article
- Importance of dialysis specialists in early mortality in elderly hemodialysis patients: a multicenter retrospective cohort study.Scientific reports · 2024Article
- Regular laboratory testing and patient survival among patients undergoing maintenance hemodialysis: a Korean nationwide cohort study.Scientific reports · 2023Article
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11 authors.
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Abstract
backgroundMany countries have their own hemodialysis (HD) quality assurance programs and star rating systems for HD facilities. However, the effects of HD quality assurance programs on patient mortality are not well understood. Therefore, in the present study, the effects of the Korean HD facility star rating on patient mortality in maintenance HD patients were evaluated.
methodsThis longitudinal, observational cohort study included 35,271 patients receiving HD treatment from 741 facilities. The fivestar ratings of HD facilities were determined based on HD quality assessment data from 2015, which includes 12 quality measures in structural, procedural, and outcome domains. The patients were grouped into high (three to five stars) and low (one or two stars) groups based on HD facility star rating. Cox proportional hazards model was used to evaluate the effects of star rating on patient mortality during the mean follow-up duration of 3 years.
resultsThe patient ratio between high and low HD facility star rating groups was 82.0% vs. 18.0%. The patients in the low star rating group showed lower single-pool Kt/V and higher calcium and phosphorus levels compared with subjects in the high star rating group. After adjusting for sociodemographic and clinical parameters, the HD facility star rating independently increased the mortality risk (hazard ratio, 1.11; 95% confidence interval, 1.04-1.18; p = 0.002).
conclusionThe HD facilities with low star rating showed higher patient mortality.
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