Variation in dialysis quality measures by facility, neighborhood, and region.

ABSTRACT: We examined whether dialysis facility characteristics, neighborhood demographics, and region are associated with Centers for Medicare and Medicaid Services (CMS) dialysis facility quality measures in order to determine the most important targets for intervention.We linked US census data to the CMS Dialysis Compare File which contains information for facility outcomes for all CMS-certified dialysis facilities in 2007 (n=5616). We then used linear and logistic regression to characterize the association between dialysis facility quality--worse than expected patient survival, and the proportion of individuals in a facility achieving dialysis adequacy (urea reduction rate >65) or target hemoglobin (10

SUBMITTER: Saunders MR 

PROVIDER: S-EPMC3651911 | biostudies-literature | 2013 May

REPOSITORIES: biostudies-literature