Race-and ethnicity-related disparities in predialysis nephrology care, kidney disease education, and home dialysis utilization

AM Shukla, G Scheiffele, W Huang… - Journal of the …, 2024 - journals.lww.com
Background Predialysis nephrology care and KRT-directed education (KDE) are essential
for incident home dialysis use. However, there are substantial disparities in these care
parameters among patients with advanced CKD. The effect of these disparities on home
dialysis underuse has not been examined. Methods We analyzed the 2021 United States
Renal Database System to identify all adult patients with kidney failure with over 6 months of
predialysis Medicare coverage initiating their first-ever dialysis between 2010 and 2019. We …
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