It turns out that the relationship between blood pressure management and mortality is very different for ESRD patients than for the population as a whole. First, systolic blood pressure has a more significant correlation (than diastole) with mortality. And, the relationship is U-shaped (higher mortality at low systolic pressures for older patients and higher mortality for high systole for younger patients; 140/90 seems acceptable for all age cohorts). Continue reading
Before Medicare began underwriting dialysis care, home dialysis treatment was a significant modality. New criteria also arose that led to shortened (4 h) treatment that was considered superior. Current research indicates that noctural, more frequent dialysis (at home) is actually superior. Continue reading
For the first time in 40 years, dialysis will be reimbursed using a bundled approach. Moreover, quality measurements will be employed that must be met- or penalties (lower payments) will ensue. This may provide clues as to how HHS may regulate payments under the recently passed health care legislation. Continue reading
