TY - JOUR
T1 - Outpatient dialysis for patients with AKI
T2 - A policy approach to improving care
AU - American Society of Nephrology Acute Kidney Injury Advisory Group
AU - Heung, Michael
AU - Faubel, Sarah
AU - Watnick, Suzanne
AU - Cruz, Dinna N.
AU - Koyner, Jay L.
AU - Mour, Girish
AU - Liu, Kathleen D.
AU - Cerda, Jorge
AU - Okusa, Mark D.
AU - Lukaszewski, Mark
AU - Vijayan, Anitha
N1 - Publisher Copyright:
© 2015 by the American Society of Nephrology.
PY - 2015/10/7
Y1 - 2015/10/7
N2 - 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.
AB - 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.
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U2 - 10.2215/CJN.02290215
DO - 10.2215/CJN.02290215
M3 - Comment/debate
C2 - 26220818
AN - SCOPUS:85018482349
SN - 1555-9041
VL - 10
SP - 1868
EP - 1874
JO - Clinical Journal of the American Society of Nephrology
JF - Clinical Journal of the American Society of Nephrology
IS - 10
ER -