Title |
Confounders of mortality and hospitalization rate calculations for profit and nonprofit dialysis facilities: analytic augmentation
|
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Published in |
BMC Nephrology, July 2014
|
DOI | 10.1186/1471-2369-15-121 |
Pubmed ID | |
Authors |
Steven M Brunelli, Steven Wilson, Mahesh Krishnan, Allen R Nissenson |
Abstract |
Patient outcomes have been compared on the basis of the profit status of the dialysis provider (for-profit [FP] and not-for-profit [NFP]). In its annual report, United States Renal Data System (USRDS) provides dialysis provider level death and hospitalization rates adjusted by age, race, sex, and dialysis vintage; however, recent analyses have suggested that other variables impact these outcomes. Our current analysis of hospitalization and mortality rates of hemodialysis patients included adjustments for those used by the USRDS plus other potential confounders: facility geography (end-stage renal disease network), length of facility ownership, vascular access at first dialysis session, and pre-dialysis nephrology care. |
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