An extra doctor visit may help prevent rehospitalization of kidney failure patients

May 8, 2014

More frequent face-to-face physician visits in the month following hospital discharge may help reduce a kidney failure patient's chances of needing to be sent back to the hospital. That's the conclusion of a study appearing in an upcoming issue of the Journal of the American Society of Nephrology (JASN). The study also found that closer outpatient monitoring of kidney failure patients following hospital discharge could cut health care costs significantly.

A major goal of has been to reduce hospital readmissions within a month after patients are discharged. Individuals with represent one group of patients at increased risk of being readmitted.

Kevin Erickson, MD (Stanford University) and his colleagues looked to see if more outpatient physician visits to patients might cut down on readmissions among kidney failure patients.

Among the major findings:

  • In 26,613 patients who were on dialysis between 2004 and 2009, one additional provider visit in the month following hospital discharge was estimated to reduce the probability of 30-day hospital readmission by 3.5%.
  • The reduction in 30-day hospital readmission ranged from 0.5% to 4.9% in an additional four groups of patients tested, depending on population density around facilities, facility profit status, and patient Medicaid eligibility.
  • At current Medicare reimbursement rates, the effort to see patients one additional time in the month following could lead to 31,370 fewer hospitalizations per year, and $240 million per year saved.

"This research is important by highlighting the role that outpatient nephrology providers have in preventing hospital readmissions for patients receiving hemodialysis," said Dr. Erickson.

In an accompanying editorial, Raymond Hakim, MD (Vanderbilt University) and Allan Collins, MD, FACP (University of Minnesota, Minneapolis) noted that the study's findings should be considered in any plan to reduce rehospitalizations in the dialysis population. They also noted several other interventions and services by the health care team that can lead to reduced rehospitalization. "Reducing the high rates of rehospitalization in [kidney failure] patients is clearly in the best interests of patients and in the financial interests of dialysis facilities providing maintenance dialysis services, as well as the hospitals to which are occasionally admitted to receive acute services," they wrote.

Explore further: Hospitalized patients with acute kidney injury may not be receiving sufficient care after discharge

More information: The article, entitled "Physician Visits and 30-Day Hospital Readmissions in Patients Receiving Hemodialysis," will appear online at jasn.asnjournals.org/ on May 8, 2014.

The editorial, entitled "Reducing Avoidable Rehospitalization in ESRD: A Shared Accountability," will appear online at jasn.asnjournals.org/ on May 8, 2014.

Related Stories

Recommended for you

New drug to fight fatal but neglected tropical disease

August 31, 2016

In a breakthrough for those infected by the parasites that cause sleeping sickness, a young Queensland researcher has identified a compound that kills the parasites in the lab without having any toxic effect on human cells.

Traces of Ebola virus linger longer than expected in semen

August 31, 2016

Initial data from a Liberian public health program show about 9 percent (38) of 429 male Ebola survivors had fragments of Ebola virus in their semen. Of those, 63 percent had semen samples that tested positive for Ebola fragments ...

Researchers discover a drug for a tropical disease

August 30, 2016

Researchers at the University of Georgia are working to find the fastest way possible to treat and cure human African trypanosomiasis, long referred to as sleeping sickness. By working to improve chemical entities already ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.