Ethnic differences in the use of peritoneal dialysis as initial treatment for end-stage renal disease
Article Abstract:
Cultural differences between ethnic groups could influence treatment decisions even when barriers to health care are removed. Researchers analyzed data reported to the Medicare End-Stage Renal Disease (ESRD) program from North and South Carolina and Georgia between Jan 1989 and Dec 1991 to determine differences in the use of peritoneal dialysis (PD) by patients with chronic kidney failure. During that time, 10,726 white or African-American patients began receiving treatment at an ESRD center. A total of 1,337 white patients began PD, which involves placing a permanent catheter in the abdomen. Only 996 African-American patients did so. African-American patients were only half as likely to receive PD as whites. Patients with little education and no job were less likely to receive PD. Renters and those who lived alone were also less likely to receive PD.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1995
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Does greater pediatric experience influence treatment choices in chronic disease management? Dialysis modality choice for children with end-stage renal disease
Article Abstract:
Children with end-stage kidney disease may be more likely to receive peritoneal dialysis (PD) when they attend treatment centers with pediatric experience. PD uses an abdominal membrane and a solution to remove undesirable elements from the blood; hemodialysis (HD) purifies the blood in a machine. Researchers evaluated the facilities used by 1,256 children dialyzed in 1990. Those who attended centers with more than 10% pediatric patients were 60% more likely to receive PD. PD is less expensive than HD, and it can be performed at home.
Publication Name: Archives of Pediatrics & Adolescent Medicine
Subject: Health
ISSN: 1072-4710
Year: 1997
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