Seasonal Differences in Home Dialysis Uptake and Initiating Dialysis in the Hospital

University of Southern California

Status: Completed

Conditions: Dialysis; Peritoneal Dialysis; Hospitalizations

Treatments: Other: Season of Year; Other: Hospitalized 14 days prior to dialysis

Study type: Observational

Funder types: Other; NIH

Identifiers

NCT04935827

HS-18-00530-2

K08DK118213 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This study will investigate whether home dialysis uptake varies by the season of year. We will also investigate whether hospitalizations around the time of dialysis also vary by season of year and whether hospitalizations are associated with reduced home dialysis starts and sustained home dialysis uptake.

Enrollment: 400,000 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Started dialysis in the USA for end-stage kidney disease from 12/1/2007-11/30/2017
• No transplant or death prior to day 90 of dialysis
• Medicare Parts A/B as primary payer 30 days prior to starting dialysis
• Valid Medicare Evidence Form (Form 2728)

Exclusion criteria

• As above

Trial design

400,000 participants in 1 patient group

Patients initiating dialysis for end-stage kidney disease

Description:

Patients whose start of dialysis is from 12/1/2007-11/30/2017. We use the following inclusion criteria: * Adult (\>= 18 years old) * Did not die or have a transplant prior to the 90th day of dialysis * Valid medical evidence form * Medicare Part A/B as primary payer in the 30 days prior to initiating dialysis * Initiating dialysis in the USA

Treatment:

Other: Hospitalized 14 days prior to dialysis

Other: Season of Year