Anemia, dialysis, and dollars

Article Abstract:

A number of factors contribute to sub-standard hemodialysis for patients with advanced kidney disease. Patients apparently spend too little time on out-dated, small dialyzers. In addition, nutritional deficiencies, heart conditions, infections, and economic factors may reduce the effect of dialysis. Under-qualified staff supervising dialysis and Medicare reimbursement that has failed to keep up with the cost of labor and equipment may be partially responsible for a mortality rate of 24% among dialysis patients in the US. Efforts should be made to keep mortality below 15%, increase dialysis sessions, provide competent medical care and dietary counseling, and stop reusing dialyzers. Facilities should also provide evidence of their standard of care.

Editorial, Standards, Prevention, Dialysis, Dialysis (Chemical process), Hemodialyzers, Hemodialysis equipment, Renal anemia

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Poor long-term survival after acute myocardial infarction among patients on long-term dialysis

Article Abstract:

Patients receiving dialysis who have a heart attack have a poor prognosis. Researchers used the US Renal Data System database to analyze mortality rates among 34,189 dialysis patients who had a heart attack between 1977 and 1995. Sixty percent had died one year later, 73% two years later and 90% five years later. Over half the deaths were due to heart disease. Older patients and diabetics had higher death rates than other patients.

Prognosis, Heart attack

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Effect of the ownership of dialysis facilities on patients' survival and referral for transplantation

Article Abstract:

Patients with end-stage kidney disease may have a worse prognosis if they are treated at a for-profit dialysis center. In a study of over 3,000 such patients, the mortality rate was higher in those treated at for-profit dialysis centers. Patients treated at for-profit dialysis centers were less likely to be placed on a waiting list for a kidney transplant than those treated at a non-profit dialysis center.

Health aspects, Statistical Data Included, Economic aspects, Medical referral, Hemodialysis facilities, Dialysis facilities

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