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Trends in Timing of Initiation of Chronic Dialysis in the United States

Trends in Timing of Initiation of Chronic Dialysis in the United States ORIGINAL INVESTIGATION LESS IS MORE Trends in Timing of Initiation of Chronic Dialysis in the United States Ann M. O’Hare, MD, MA; Andy I. Choi, MD, MS†; W. John Boscardin, PhD; Walter L. Clinton, PhD; Ilan Zawadzki, MD; Paul L. Hebert, PhD; Manjula Kurella Tamura, MD, MPH; Leslie Taylor, PhD; Eric B. Larson, MD, MPH Background: During the past decade, a trend has been istics of new US dialysis patients from 1997 to 2007, we observed in the United States toward initiation of chronic estimate that chronic dialysis was initiated a mean of 147 dialysis at higher levels of estimated glomerular filtration days earlier (95% confidence interval, 134-160) in the rate. This likely reflects secular trends in the composition later compared with the earlier year. Differences in tim- ing were consistent across a range of patient subgroups of the dialysis population and a tendency toward initia- but were most pronounced for those aged 75 years or tion of dialysis earlier in the course of kidney disease. older; the mean difference in timing in that subgroup was 233 days (95% confidence interval, 206-267). Methods: The goal of this study was to generate model- based estimates of the magnitude of changes http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Trends in Timing of Initiation of Chronic Dialysis in the United States

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References (34)

Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinternmed.2011.436
pmid
21987197
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL INVESTIGATION LESS IS MORE Trends in Timing of Initiation of Chronic Dialysis in the United States Ann M. O’Hare, MD, MA; Andy I. Choi, MD, MS†; W. John Boscardin, PhD; Walter L. Clinton, PhD; Ilan Zawadzki, MD; Paul L. Hebert, PhD; Manjula Kurella Tamura, MD, MPH; Leslie Taylor, PhD; Eric B. Larson, MD, MPH Background: During the past decade, a trend has been istics of new US dialysis patients from 1997 to 2007, we observed in the United States toward initiation of chronic estimate that chronic dialysis was initiated a mean of 147 dialysis at higher levels of estimated glomerular filtration days earlier (95% confidence interval, 134-160) in the rate. This likely reflects secular trends in the composition later compared with the earlier year. Differences in tim- ing were consistent across a range of patient subgroups of the dialysis population and a tendency toward initia- but were most pronounced for those aged 75 years or tion of dialysis earlier in the course of kidney disease. older; the mean difference in timing in that subgroup was 233 days (95% confidence interval, 206-267). Methods: The goal of this study was to generate model- based estimates of the magnitude of changes

Journal

JAMA Internal Medicine – American Medical Association

Published: Oct 10, 2011

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