Skip to main content
Journal cover image

Trends in Regional Supply of Peritoneal Dialysis in an Era of Health Reform, 2006 to 2013.

Publication ,  Journal Article
Sloan, CE; Coffman, CJ; Sanders, LL; Maciejewski, ML; Lee, S-YD; Hirth, RA; Wang, V
Published in: Med Care Res Rev
June 2021

Peritoneal dialysis (PD), a home-based treatment for kidney failure, is associated with similar mortality, higher quality of life, and lower costs compared with hemodialysis. Yet <10% of patients receive PD. Access to this alternative treatment, vis-à-vis providers' supply of PD services, may be an important factor but has been sparsely studied in the current era of national payment reform for dialysis care. We describe temporal and regional variation in PD supply among Medicare-certified dialysis facilities from 2006 to 2013. The average proportion of facilities offering PD per hospital referral region increased from 40% (2006) to 43% (2013). PD supply was highest in hospital referral regions with higher percentage of facilities in urban areas (p = .004), prevalence of PD use (p < .0001), percentage of White end-stage renal disease patients (p = .02), and per capita income (p = .02). Disparities in PD access persist in rural, non-White, and low-income regions. Policy efforts to further increase regional PD supply should focus on these underserved communities.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Med Care Res Rev

DOI

EISSN

1552-6801

Publication Date

June 2021

Volume

78

Issue

3

Start / End Page

281 / 290

Location

United States

Related Subject Headings

  • United States
  • Quality of Life
  • Peritoneal Dialysis
  • Medicare
  • Kidney Failure, Chronic
  • Humans
  • Health Policy & Services
  • Health Care Reform
  • Aged
  • 4203 Health services and systems
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Sloan, C. E., Coffman, C. J., Sanders, L. L., Maciejewski, M. L., Lee, S.-Y., Hirth, R. A., & Wang, V. (2021). Trends in Regional Supply of Peritoneal Dialysis in an Era of Health Reform, 2006 to 2013. Med Care Res Rev, 78(3), 281–290. https://doi.org/10.1177/1077558720910633
Sloan, Caroline E., Cynthia J. Coffman, Linda L. Sanders, Matthew L. Maciejewski, Shoou-Yih D. Lee, Richard A. Hirth, and Virginia Wang. “Trends in Regional Supply of Peritoneal Dialysis in an Era of Health Reform, 2006 to 2013.Med Care Res Rev 78, no. 3 (June 2021): 281–90. https://doi.org/10.1177/1077558720910633.
Sloan CE, Coffman CJ, Sanders LL, Maciejewski ML, Lee S-YD, Hirth RA, et al. Trends in Regional Supply of Peritoneal Dialysis in an Era of Health Reform, 2006 to 2013. Med Care Res Rev. 2021 Jun;78(3):281–90.
Sloan, Caroline E., et al. “Trends in Regional Supply of Peritoneal Dialysis in an Era of Health Reform, 2006 to 2013.Med Care Res Rev, vol. 78, no. 3, June 2021, pp. 281–90. Pubmed, doi:10.1177/1077558720910633.
Sloan CE, Coffman CJ, Sanders LL, Maciejewski ML, Lee S-YD, Hirth RA, Wang V. Trends in Regional Supply of Peritoneal Dialysis in an Era of Health Reform, 2006 to 2013. Med Care Res Rev. 2021 Jun;78(3):281–290.
Journal cover image

Published In

Med Care Res Rev

DOI

EISSN

1552-6801

Publication Date

June 2021

Volume

78

Issue

3

Start / End Page

281 / 290

Location

United States

Related Subject Headings

  • United States
  • Quality of Life
  • Peritoneal Dialysis
  • Medicare
  • Kidney Failure, Chronic
  • Humans
  • Health Policy & Services
  • Health Care Reform
  • Aged
  • 4203 Health services and systems