More Deaths In For-Profit Dialysis Centers
2,500 More Die Each Year Than In Non-Profit Facilities
Moreover, Warnock says, new treatment guidelines have greatly improved the quality of dialysis care over the last five years.
Devereaux hopes this is true. But he says there's not yet any evidence to support this claim.
Meanwhile, Warnock says patients should ask hard questions of their dialysis centers. They are required to give this information.
"What is the individual dialysis patient to do?" Warnock asks. "They can certainly ask to see the specific outcome indicators for their individual dialysis unit: How does their unit compare to local, regional and national norms?"
Dialysis centers can be rated on the following numbers. Patients can contact the National Kidney Foundation to find out how their center ranks with other centers.
- How frequently do the center's patients die? This is listed as the Standardized Mortality Rate for the dialysis unit.
- How well does the center manage patients' anemia? This is judged by the percentage of patients with hemoglobin measurements above 11 gm/dL.
- How well does the center provide nutritional support and help fight infections? This is judged by the percentage of patients with albumin measurements above 3.5 gm/dL.
- How often does the center use permanent catheters? No more than 15% of the clinic's patients should be using temporary catheters.
- How well does the center control patients' phosphate levels? This is judged by the percentage of patients with phosphate measurements below 6.5 mg/dL.