Research Library

The authors found that six months of pre–end-stage kidney disease nephrology care did not significantly improve the likelihood that patients would remain employed when they started dialysis. This finding underscores the need to identify effective methods to help patients stay employed when they transition to dialysis.

Expanded “payment bundles” for the treatment of end stage kidney disease did not in general increase the risk of closure by dialysis facilities, the authors conclude.

Consolidated dialysis markets have coincided with both positive and negative trends in health care costs and outcomes. If the underlying mechanisms that contributed to past consolidation persist, dialysis markets may remain highly concentrated over the long term.

In this study, the authors investigate where U.S. patients with limited health insurance coverage receive maintenance dialysis. Journal of the American Society of Nephrology: http://bit.ly/2Q15Jpt

By Kevin F. Erickson, Bo Zhao, Jingbo Niu, Wolfgang C. Winkelmayer, Jay Bhattacharya, Glenn M. Chertow and Vivian Ho The acquisition of independently owned dialysis facilities by facility chains lead to slower decreases in mortality and hospitalization rates, write the authors. JAMA Network Open: https://bit.ly/2WPYGSD

By Eugene Lin, Matthew W. Mell, Wolfgang C. Winkelmayer and Kevin F. Erickson U.S. patients without Medicare who develop end-stage kidney disease become Medicare eligible by their fourth dialysis month. This delay in insurance coverage can lead to disparities in health care that may not fully correct over time, write the authors in the Clinical Journal of American Society of Nephrology: https://bit.ly/2SEW20u

Federal mandates have affected nearly all areas of dialysis care delivery. Nonresident scholar Kevin F. Erickson and Wolfgang C. Winkelmayer evaluate the evidence behind two prior federal mandates to assess how the quality of evidence supporting each policy contributed to its overall success.

In a study published by JAMA Internal Medicine, nonresident scholar Kevin Erickson — an assistant professor of medicine at Baylor College of Medicine — and his co-authors examined associations between dialysis facility performance and patient experience measures as well as patient, facility and geographic characteristics:

By Kevin Erickson, Wolfgang C. Winkelmayer, Vivian Ho, Jay Bhattacharya, and Glenn M. Chertow The authors investigate if dialysis facility consolidation was associated with patient mortality. They find that decreased market competition for these facilities may have led to increased mortality for patients in areas with very few dialysis centers. Read this article in Value in Health at: https://bit.ly/2LXmTUR.

This study examines whether market competition affects quality of care and health outcomes among patients receiving dialysis treatment.