Peritoneal Dialysis Patient Outcomes under the Medicare Expanded Dialysis Prospective Payment System.

ABSTRACT:

Background and objectives

Peritoneal dialysis (PD) use increased in the United States with the introduction of a new Medicare prospective payment system in January 2011 that likely reduced financial disincentives for facility use of this home therapy. The expansion of PD to a broader population and facilities having less PD experience may have implications for patient outcomes. We assessed the impact of PD expansion on PD discontinuation and patient mortality.

Design, setting, participants, & measurements

A prospective cohort study was conducted of patients treated with PD at 90 days of ESKD. Patients were grouped by study start date relative to the Medicare payment reform: prereform (July 1, 2008 to December 31, 2009; n=10,585), interim (January 1, 2010 to December 3

SUBMITTER: Young EW 

PROVIDER: S-EPMC6777599 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature