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10.1111/sdi.12601 http://scihub22266oqcxt.onion/10.1111/sdi.12601 C5418081!5418081 !28421638     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28421638 &cmd=llinks): Failed to open stream: HTTP request failed! 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Renal Replacement Therapy and Incremental Hemodialysis for Veterans with Advanced Chronic Kidney Disease |pdf=|usr=}}{{28421638 }} gab.com Text Renal Replacement Therapy and Incremental Hemodialysis for Veterans with Advanced Chronic Kidney Disease JO: Semin Dial http://www.kidney.de/pget.php?&tw=1&pmid=28421638 #FOAvip Each year approximately 13,000 Veterans transition to maintenance dialysis, mostly in the traditional form of thrice-weekly hemodialysis from the start. Among >6000 dialysis units nationwide, there are currently approximately 70 Veterans Affairs (VA) dialysis centers. Given this number of VA dialysis centers and their limited capacity, only 10% of all incident dialysis Veterans initiate treatment in a VA center. Evidence suggests that, among Veterans, the receipt of care within the VA system is associated with favorable outcomes, potentially because of the enhanced access to healthcare resources. Data from the United States Renal Data System Special Study Center "Transition-of-Care-in-CKD" suggest that Veterans who receive dialysis in a VA unit exhibit greater survival compared with the non-VA centers. Substantial financial expenditures arise from the high volume of outsourced care and higher dialysis reimbursement paid by the VA than by Medicare to outsourced providers. Given the exceedingly high mortality and abrupt decline in residual kidney function (RKF) in the first dialysis year, it is possible that incremental transition to dialysis through an initial twice-weekly hemodialysis regimen might preserve RKF, prolong vascular access longevity, improve patients' quality of life, and be a more patient-centered approach, more consistent with "personalized" dialysis. Broad implementation of incremental dialysis might also result in more Veterans receiving care within a VA dialysis unit. Controlled trials are needed to examine the safety and efficacy of incremental hemodialysis in Veterans and other populations; the administrative and health care as well as provider structure within the VA system would facilitate the performance of such trials. Twit Text FOAVip Renal Replacement Therapy and Incremental Hemodialysis for Veterans with Advanced Chronic Kidney Disease ????Semin Dial http://www.kidney.de/pget.php?&tw=1&pmid=28421638 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28421638 #FOAvip English Wikipedia <ref>{{Cite pmid|28421638 }}</ref> Renal Replacement Therapy and Incremental Hemodialysis for Veterans with Advanced Chronic Kidney Disease #MMPMID28421638 Kalantar-Zadeh K ; Crowley ST ; Beddhu S ; Chen JLT ; Daugirdas JT ; Goldfarb DS ; Jin A ; Kovesdy CP ; Leehey DJ ; Moradi H ; Navaneethan SD ; Norris KC ; Obi Y ; O'Hare A ; Shafi T ; Streja E ; Unruh ML ; Vachharajani TJ ; Weisbord S ; Rhee CM Semin Dial 2017[May]; 30 (3 ): 251-261 PMID28421638 show ga Each year approximately 13,000 Veterans transition to maintenance dialysis, mostly in the traditional form of thrice-weekly hemodialysis from the start. Among >6000 dialysis units nationwide, there are currently approximately 70 Veterans Affairs (VA) dialysis centers. Given this number of VA dialysis centers and their limited capacity, only 10% of all incident dialysis Veterans initiate treatment in a VA center. Evidence suggests that, among Veterans, the receipt of care within the VA system is associated with favorable outcomes, potentially because of the enhanced access to healthcare resources. Data from the United States Renal Data System Special Study Center "Transition-of-Care-in-CKD" suggest that Veterans who receive dialysis in a VA unit exhibit greater survival compared with the non-VA centers. Substantial financial expenditures arise from the high volume of outsourced care and higher dialysis reimbursement paid by the VA than by Medicare to outsourced providers. Given the exceedingly high mortality and abrupt decline in residual kidney function (RKF) in the first dialysis year, it is possible that incremental transition to dialysis through an initial twice-weekly hemodialysis regimen might preserve RKF, prolong vascular access longevity, improve patients' quality of life, and be a more patient-centered approach, more consistent with "personalized" dialysis. Broad implementation of incremental dialysis might also result in more Veterans receiving care within a VA dialysis unit. Controlled trials are needed to examine the safety and efficacy of incremental hemodialysis in Veterans and other populations; the administrative and health care as well as provider structure within the VA system would facilitate the performance of such trials. |*Kidney Failure, Chronic/physiopathology/psychology/therapy [MESH] |*Quality of Life [MESH] |*Veterans [MESH] |Humans [MESH] |Kidney/*physiopathology [MESH] |Renal Dialysis/*methods [MESH] |Renal Replacement Therapy/*methods [MESH]Renal Replacement Therapy and Incremental Hemodialysis for Veterans wi(epmc).pdf DeepDyve Pubget Overpricing