Planned Creation of Vascular Access Saves Medical Expenses for Incident Dialysis Patients

Kaohsiung Journal of Medical Sciences

Volumn 25, Issue 10, 2009, Pages 521-529

  Wu, Ling Chu ^a   Lin, Ming Yen ^a   Hsieh, Chong Chao ^b   Chiu, Herng Chia ^a   Mau, Lih Wen ^c   Chiu, Yi Wen ^a,d   Chen, Hung Chun ^a,d   Hwang, Shang Jyh ^a,d  

^a KAOHSIUNG MEDICAL UNIVERSITY   (Taiwan)

^b KAOHSIUNG MEDICAL UNIVERSITY HOSPITAL   (Taiwan)

^c MINNEAPOLIS MEDICAL RESEARCH FOUNDATION   (United States)

^d KAOHSIUNG MEDICAL UNIVERSITY   (Taiwan)

Author keywords

hemodialysis; inpatient expenses; length of stay; timing of creation; vascular access

Indexed keywords

ADULT; ARTERIOVENOUS FISTULA; ARTICLE; COMORBIDITY; DIABETES MELLITUS; FEMALE; GLOMERULONEPHRITIS; GRAFT OCCLUSION; HEALTH CARE COST; HEMODIALYSIS; HEMODIALYSIS PATIENT; HOSPITAL COST; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; KAPLAN MEIER METHOD; KIDNEY DISEASE; KIDNEY FAILURE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MULTIPLE REGRESSION; PATIENT MONITORING; SURVIVAL RATE; TAIWAN; THERAPY DELAY; TREATMENT PLANNING; VASCULAR ACCESS;

ADULT; AGED; CATHETERIZATION, CENTRAL VENOUS; FEMALE; HOSPITAL COSTS; HOSPITALIZATION; HUMANS; KIDNEY FAILURE; MALE; MIDDLE AGED; RENAL DIALYSIS; RETROSPECTIVE STUDIES;

EID: 70349758230     PISSN: 1607551X     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1607-551X(09)70544-3     Document Type: Article

References (22)

1. Yang W.C., Hwang S.J., and Chen Y.M. Taiwan renal registry of end-stage renal disease patients and establishment of clinical performance measures. Acta Nephrologica TSN 18 Suppl 1 (2004) S31-S35
2. Hwang S.J., Mau L.W., Chiu M.C., et al. Impact of timing of nephrology referral and pre-ESRD care on dialysis related service utilization in Taiwan. Acta Nephrologica TSN 19 (2005) 294
3. Bureau of National Health Insurance. National Health Insurance Annual Statistical Report in Taiwan, 2004. Available at: http://www.nhi.gov.tw [Date accessed: October 4, 2008]
4. Khan F.A., and Vesely T.M. Arterial problems associated with dysfunctional hemodialysis grafts: evaluation of patients at high risk for arterial disease. J Vasc Interv Radiol 13 (2002) 1109-1114
5. Silver M.R., and Cain J.A. Managing the lifeline: preemptive access management for better outcomes for hemodialysis patients and programs. Adv Ren Replace Ther 7 (2000) S45-S55
6. Ifudu O., Mayers J.D., Cohen L.S., et al. Correlates of vascular access and nonvascular access-related hospitalizations in hemodialysis patients. Am J Nephrol 16 (1996) 118-123
7. Xue J.L., Dahl D., Ebben J.P., et al. The association of initial hemodialysis access type with mortality outcomes in elderly Medicare ESRD patients. Am J Kidney Dis 42 (2003) 1013-1019
8. Khosla N., and Ahya S.N. Improving dialysis access management. Semin Nephrol 22 (2002) 507-514
9. Arora P., Kausz A.T., Obrador G.T., et al. Hospital utilization among chronic dialysis patients. J Am Soc Nephrol 11 (2000) 740-746
10. Yang W.C., Hwang S.J., Chiang S.S., et al. The impact of diabetes on economic costs in dialysis patients: experiences in Taiwan. Diabetes Res Clin Pract 54 Suppl 1 (2001) S47-S54
11. Lhotta K., Zoebl M., Mayer G., et al. Late referral defined by renal function: association with morbidity and mortality. J Nephrol 16 (2003) 855-861
12. St Peter W.L., Schoolwerth A.C., McGowan T., et al. Chronic kidney disease: issues and establishing programs and clinics for improved patient outcomes. Am J Kidney Dis 41 (2003) 903-924
13. Stack A.G. Impact of timing of nephrology referral and pre-ESRD care on mortality risk among new ESRD patients in the United States. Am J Kidney Dis 41 (2003) 310-318
14. Mondry A., Zhu A.L., Loh M., et al. Active collaboration with primary care providers increases specialist referral in chronic renal disease. BMC Nephrol 5 (2004) 16
15. Mishler R., Sands J.J., Ofsthun N.J., et al. Dedicated outpatient vascular access center decreases hospitalization and missed outpatient dialysis treatments. Kidney Int 69 (2006) 393-398
16. Manns B., Tonelli M., Yilmaz S., et al. Establishment and maintenance of vascular access in incident hemodialysis patients: a prospective cost analysis. J Am Soc Nephrol 16 (2005) 201-209
17. Lok C.E., and Oliver M.J. Overcoming barriers to arteriovenous fistula creation and use. Semin Nephrol 16 (2003) 189-196
18. Lee H., Manns B., Taub K., et al. Cost analysis of ongoing care of patients with end-stage renal disease: the impact of dialysis modality and dialysis access. Am J Kidney Dis 40 (2002) 611-622
19. Mendelssohn D.C., Ethier J., Elder S.J., et al. Haemodialysis vascular access problems in Canada: results from the dialysis outcomes and practice patterns study (DOPPS II). Nephrol Dial Transplant 21 (2006) 721-728
20. Kizilisik A.T., Kim S.B., Nylander W.A., et al. Improvements in dialysis access survival with increasing use of arteriovenous fistulas in a Veterans Administration medical center. Am J Surg 188 (2004) 614-616
21. Merrill D., Brouwer D., and Briones P. Hemodialysis access: a guide for caregivers and patients. Dial Transplant 34 (2005) 200-208
22. Wei SY, Hwang SJ, Yang WC, et al. A National Project of Chronic Kidney Disease Prevention in Taiwan. Poster presented at the World Congress of Nephrology, April 21-25, 2007, Brazil.