Outpatient dialysis for patients with AKI

A policy approach to improving care

American Society of Nephrology Acute Kidney Injury Advisory Group

Research output: Contribution to journalComment/debate

13 Citations (Scopus)

Abstract

The rate of AKI requiring dialysis has increased significantly over the past decade in the United States. At the same time, survival from AKI seems to be improving, and thus, more patients with AKI are surviving to discharge while still requiring dialysis. Currently, the options for providing outpatient dialysis in patients with AKI are limited, particularly after a 2012 revised interpretation of the Centers for Medicare and Medicaid Services guidelines, which prohibited Medicare reimbursement for acute dialysis at ESRD facilities. This article provides a historical perspective on outpatient dialysismanagement of patientswith AKI, reviews the current clinical landscape of care for these patients, and highlights key areas of knowledge deficit. Lastly, policy changes that have the opportunity to significantly improve the care of this at-risk population are suggested.

Original languageEnglish (US)
Pages (from-to)1868-1874
Number of pages7
JournalClinical Journal of the American Society of Nephrology
Volume10
Issue number10
DOIs
StatePublished - Oct 7 2015

Fingerprint

Dialysis
Outpatients
Centers for Medicare and Medicaid Services (U.S.)
Medicare
Chronic Kidney Failure
Patient Care
Guidelines
Survival

ASJC Scopus subject areas

  • Epidemiology
  • Critical Care and Intensive Care Medicine
  • Nephrology
  • Transplantation

Cite this

Outpatient dialysis for patients with AKI : A policy approach to improving care. / American Society of Nephrology Acute Kidney Injury Advisory Group.

In: Clinical Journal of the American Society of Nephrology, Vol. 10, No. 10, 07.10.2015, p. 1868-1874.

Research output: Contribution to journalComment/debate

American Society of Nephrology Acute Kidney Injury Advisory Group. / Outpatient dialysis for patients with AKI : A policy approach to improving care. In: Clinical Journal of the American Society of Nephrology. 2015 ; Vol. 10, No. 10. pp. 1868-1874.
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