Clinical and Economic Value of Performing Dialysis Vascular Access Procedures in a Freestanding Office-Based Center as Compared with the Hospital Outpatient Department among Medicare ESRD Beneficiaries
| Autor: | Gerald A. Beathard, Aris Urbanes, Matthew T. Shimer, Terry Litchfield, Al Dobson, Joan E. DaVanzo, Audrey M. El-Gamil |
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| Rok vydání: | 2013 |
| Předmět: |
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medicine.medical_specialty Outpatient Clinics Hospital medicine.medical_treatment MEDLINE Demographic profile Medicare Ambulatory Care Facilities Cohort Studies Renal Dialysis medicine Humans Outpatient clinic Propensity Score Intensive care medicine Dialysis Aged Retrospective Studies business.industry Mortality rate Retrospective cohort study Middle Aged United States Treatment Outcome Nephrology Emergency medicine Propensity score matching Kidney Failure Chronic Female business Vascular Access Devices Cohort study |
| Zdroj: | Seminars in Dialysis. 26:624-632 |
| ISSN: | 0894-0959 |
| DOI: | 10.1111/sdi.12120 |
| Popis: | Dialysis vascular access (DVA) care is being increasingly provided in freestanding office-based centers (FOC). Small-scale studies have suggested that DVA care in a FOC results in favorable patient outcomes and lower costs. To further evaluate this issue, data were drawn from incident and prevalent ESRD patients within a 4-year sample (2006-2009) of Medicare claims (USRDS) on cases who receive at least 80% of their DVA care in a FOC or a hospital outpatient department (HOPD). Using propensity score matching techniques, cases with a similar clinical and demographic profile from these two sites of service were matched. Medicare utilization, payments, and patient outcomes were compared across the matched cohorts (n = 27,613). Patients treated in the FOC had significantly better outcomes (p |
| Databáze: | OpenAIRE |
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