Health Insurance in the First 3 Months of Hemodialysis and Early Vascular Access.

ABSTRACT:

Background and objectives

Patients without Medicare who develop ESKD in the United States become Medicare eligible by their fourth dialysis month. Patients without insurance may experience delays in obtaining arteriovenous fistulas or grafts before obtaining Medicare coverage.

Design, setting, participants, & measurements

In this retrospective cohort study, we used a national registry to compare uninsured patients starting in-center hemodialysis with a central venous catheter between 2010 and 2013 with similar patients with Medicare or Medicaid. We evaluated whether insurance status at dialysis start influenced the likelihoods of switching to dialysis through an arteriovenous fistula or graft and hospitalizations involving a vascular access infection. We used multivariable l

SUBMITTER: Lin E 

PROVIDER: S-EPMC6302322 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature