Comorbidity and other factors associated with modality selection in incident dialysis patients: The CHOICE study

Miskulin, Dana C.; Meyer, Klemens B.; Athienites, Nicolaos V.; Martin, Alice; Terrin, Norma; Marsh, Jane; Fink, Nancy E.; Coresh, Josef; Powe, Neil R.; Klag, M. J.; Levey, Andrew S.

doi:10.1053/ajkd.2002.30552

Cited by 136 publications

(109 citation statements)

References 21 publications

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“…(12,13) Clinical evidence as appropriate for each condition (Table 1) or report of a condition (past or present) was sufficient for positive coding. Two trained research nurses abstracted the medical records to determine the diagnoses.…”

Section: Data Collectionmentioning

confidence: 99%

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Accuracy of Patients' Reports of Comorbid Disease and Their Association With Mortality in ESRD

Cavanaugh

Merkin

Plantinga

et al. 2008

American Journal of Kidney Diseases

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Section: Data Collectionmentioning

confidence: 99%

“…The interobserver reliability of the ICED scoring was assessed by comparing the aforementioned process to the scoring of an experienced nephrologist in the Mortality and Morbidity in Hemodialysis Patients (MMHD) Study and resulted in a kappa statistic of 0.77. (13) …”

Section: Data Collectionmentioning

confidence: 99%

Accuracy of Patients' Reports of Comorbid Disease and Their Association With Mortality in ESRD

Cavanaugh

Merkin

Plantinga

et al. 2008

American Journal of Kidney Diseases

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“…In a previous study, patients living far from the nearest dialysis center presented significantly higher chance of being prescribed PD (13), and therefore the distance from the center could potentially influence PD outcome and peritonitis rate (14,15); however, this hypothesis has not been evaluated in detail. Socioeconomic condition has also been described as a factor determining peritonitis risk (16), although isolated analysis of the effect of income has not been studied in depth.…”

Section: Introductionmentioning

confidence: 96%

Geographic and Educational Factors and Risk of the First Peritonitis Episode in Brazilian Peritoneal Dialysis Study (BRAZPD) Patients

Martin

Júnior

Fernandes

et al. 2011

Clinical Journal of the American Society of Nephrology

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SummaryBackground and objectives Peritonitis remains as the most frequent cause of peritoneal dialysis (PD) failure, impairing patient's outcome. No large multicenter study has addressed socioeconomic, educational, and geographic issues as peritonitis risk factors in countries with a large geographic area and diverse socioeconomic conditions, such as Brazil.Design, setting, participants, & measurements Incident PD patients recruited from 114 dialysis centers and reporting to BRAZPD, a multicenter observational study, from December 2004 through October 2007 were included. Clinical, dialysis-related, demographic, and socioeconomic variables were analyzed. Patients were followed up until their first peritonitis. Cox proportional model was used to determine independent factors associated with peritonitis.Results In a cumulative follow-up of 2032 patients during 22.026 patient-months, 474 (23.3%) presented a first peritonitis episode. In contrast to earlier findings, PD modality, previous hemodialysis, diabetes, gender, age, and family income were not risk predictors. Factors independently associated with increased hazard risk were lower educational level, non-white race, region where patients live, shorter distance from dialysis center, and lower number of patients per center.Conclusions Educational level and geographic factors as well as race and center size are associated with risk for the first peritonitis, independent of socioeconomic status, PD modality, and comorbidities.

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“…Choices for Healthy Outcomes in Caring for ESRD study results were similar. Black patients were considerably less likely than white patients to receive PD (10). Recent data directionally corroborate this finding.…”

Section: Discussionmentioning

confidence: 77%

Dialysis Facility and Patient Characteristics Associated with Utilization of Home Dialysis

Walker

Inglese

Sloand

et al. 2010

Clinical Journal of the American Society of Nephrology

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Background and objectives: Nonmedical factors influencing utilization of home dialysis at the facility level are poorly quantified. Home dialysis is comparably effective and safe but less expensive to society and Medicare than in-center hemodialysis. Elimination of modifiable practice variation unrelated to medical factors could contribute to improvements in patient outcomes and use of scarce resources.Design, setting, participants, & measurements: Prevalent dialysis patient data by facility were collected from the 2007 ESRD Network's annual reports. Facility characteristic data were collected from Medicare's Dialysis Facility Compare file. A multivariate regression model was used to evaluate associations between the use of home dialysis and facility characteristics.Results: The utilization of home dialysis was positively associated with facility size, percent patients employed full-or part-time, younger population, and years a facility was Medicare certified. Variables negatively associated include an increased number of hemodialysis patients per hemodialysis station, chain association, rural location, more densely populated zip code, a late dialysis work shift, and greater percent of black patients within a zip code.Conclusions: Improved understanding of factors affecting the frequency of use of home dialysis may help explain practice variations across the United States that result in an imbalanced use of medical resources within the ESRD population. In turn, this may improve the delivery of healthcare and extend the ability of an increasingly overburdened medical financing system to survive.

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Comorbidity and other factors associated with modality selection in incident dialysis patients: The CHOICE study

Cited by 136 publications

References 21 publications

Accuracy of Patients' Reports of Comorbid Disease and Their Association With Mortality in ESRD

Accuracy of Patients' Reports of Comorbid Disease and Their Association With Mortality in ESRD

Geographic and Educational Factors and Risk of the First Peritonitis Episode in Brazilian Peritoneal Dialysis Study (BRAZPD) Patients

Dialysis Facility and Patient Characteristics Associated with Utilization of Home Dialysis

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