Dialysis facility profit status and early steps in Kidney Tr
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New research indicates that patients with kidney failure who receive care at for-profit dialysis facilities are less likely to be referred for kidney transplants than those receiving care at non-profit facilities. The findings will appear in an upcoming issue of CJASN.

Previous studies have reported that patients treated at for-profit dialysis facilities are less likely than those treated at non-profit facilities to be placed on a transplant waitlist and to receive a transplant.

To investigate, a team examined referral and evaluation data from all 9 transplant centers in the Southeastern United States, as well as information from the United States Renal Data System. The analysis included 33,651 patients with kidney failure who initiated dialysis in the Southeast from 2012 to 2016.

--Eighty-five percent of patients received dialysis treatments at for-profit facilities, and 15% were treated at non-profit facilities.

--A total of 44% of patients were referred for transplant during the 4-year study period.

--After adjustments, patients at for-profit facilities were 16% less likely to receive a referral than patients at non-profit facilities.

--Rates of starting medical evaluations within 6 months of referral and placing patients on a waitlist within 6 months of evaluations did not meaningfully different between the groups.

Findings suggest lower access to referral among patients dialyzing in for-profit facilities, but no difference in starting the evaluation and waitlisting by facility profit status.

Source: https://cjasn.asnjournals.org/content/early/2021/05/26/CJN.17691120
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