Category Archives: Cost Factors
Estimating Prevalence of CKD Stages 3-5 Using Health System Data
Hemodialysis.com Authors’ Interview:
Rajiv Saran, MD, MRCP, MS
Senior and Corresponding Author
Principal investigator of the CKD Surveillance Project,
along with Dr. Neil Powe, UCSF.
Dr. Vahakn Shahinian, MD, MS
Associate Professor, First Author
Rajiv Saran, MBBS, DTCD, MD, MRCP, MS
Professor of Medicine
Division of Nephrology, Department of Internal Medicine
Associate Director, University of Michigan Kidney Epidemiology and Cost Center
Henry F. Vaughan School of Public Health
Ann Arbor, MI 48109-2029
The project’s website is www.cdc.gov/ckd/surveillance.
Hemodialysis.com: What are the main findings of the study?
Answer: In this US Centers for Disease Control and Prevention (CDC) funded study, databases from the Veterans Health Administration and a managed care organization in Southeast Michigan (M-CARE) were used to examine the feasibility of applying electronically available health care data for the estimation of the prevalence of chronic kidney disease (CKD). After statistical adjustment for differences in population characteristics such as age and comorbidities (diabetes mellitus and hypertension), we found that estimates of prevalence in the health care data were somewhat lower than those expected based on gold standard data from the National Health and Nutrition Examination Survey (NHANES). This discrepancy was due to under testing for CKD in the health care systems as well as limitations in the quality of the health care system data.
Marie Benz, MD on Google+CMS National Provider Call End -Stage Renal Disease QIP Payment Year 2015 Final Rule
- Promote patient health by encouraging renal dialysis facilities to deliver high-quality patient care
- Authorizes payment reductions if a facility does not meet or exceed the minimum Total Performance Score (TPS) as set forth by CMS
- Allows payment reductions of up to 2%
Cost Analysis of Hemodialysis and Peritoneal Dialysis Access Costs in Incident Dialysis Patients
Hemodialysis.com: Dr.Luis Coentrão
Nephrology Research and Development Unit
Faculty of Medicine, University of Porto & São João Hospital Centre
Alameda Professor Hernani Monteiro, Porto, 4202-451, Portugal
Hemodialysis.com: What are the main findings of the study?
Dr. Coentrão: Both peritoneal catheters and arteriovenous fistulae are safe and effective dialysis accesses for incident dialysis patients.
Hemodialysis.com: Were any of the findings unexpected?
Dr. Coentrão: Peritoneal dialysis patients had fewer dialysis access-related invasive procedures in comparison with hemodialysis patients with central venous catheters and fistulae.
