Rebecca L. Wingard|Kee Chan|J. Michael Lazarus|Raymond M. Hakim
The “Right” of Passage
Fresenius Medical Care (United States)|Fresenius Medical Care (United States)|Fresenius Medical Care (United States)|Fresenius Medical Care (United States)
mortality risk dialysis patients highest first year previously showed 41 mortality benefit associated pilot case management program incident hemodialysis patients n 918 rightstart program rsp provided prompt medical management selfmanagement education recently expanded facilities conducted matched cohort analysis validate expanded programs continued effectiveness death risk reduced rs patients n 4308 versus matched controls c n 4308 34 hazard ratio 066 p 00001 120 22 1 yr hazard ratio 078 p 00001 rs patients lower hospitalization first year rs 155 days per patient year versus c 169 p 001 120 rs patients achieved hemoglobin 11 12 gdl rs 224 versus c 197 p 001 ektv 12 rs 66 versus c 535 p 001 albumin 40 gdl rs 26 versus c 22 p 001 phosphorus 35 55 mgdl rs 524 versus c 454 120 rs patients greater reduction catheter use rs 32 versus c 25 p 001 vitamin orders rs 60 versus c 55 p 001 expansion rs larger incident patient population results significant reduction morbidity mortality associated improvement intermediate outcomes