alexa Regional Impact of Geography on Home Dialysis Utilization | OMICS International | Abstract
ISSN: 2161-0959

Journal of Nephrology & Therapeutics
Open Access

Like us on:

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Regional Impact of Geography on Home Dialysis Utilization

Eric L. Wallace1*, Russell L. Griffin2, Kelly L. Koenig3 and Lauren A. Crain3

1Department of Medicine, Division of Nephrology, University of Alabama, Birmingham, England, UK

2Department of Epidemiology, University of Alabama at Birmingham, Birmingham, England, UK

3Department of Geography, University of Alabama, Birmingham, England, UK

*Corresponding Author:
Eric L. Wallace
Department of Medicine, Division of Nephrology
University of Alabama, 728 Richard Arrington Blvd
229 Paula Building, Birmingham, AL 35294, UK
Tel: (205) 975-9676
Fax: (205) 975-8879
E-mail: [email protected]

Received Date: June 17, 2014; Accepted Date: July 10, 2014; Published Date: July 15, 2014

Citation: Wallace EL, Griffin RL, Koenig KL, Crain LA (2014) Regional Impact of Geography on Home Dialysis Utilization. J Nephrol Ther 4:176. doi:10.4172/2161-0959.1000176

Copyright: © 2014 Wallace EL, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Objectives: Studies evaluating geographic barriers to home dialysis utilization in the United States have shown increased rates of utilization of home therapies in rural areas and increased distance to a home dialysis unit (HDU). These large studies may not capture unique regional variation in access to home dialysis. We performed this study to evaluate geographic barriers to home dialysis in the rural Southeastern US.

Methods: We extracted residential zip code and dialysis modality on point-prevalent dialysis patients living in Alabama, Mississippi, and Tennessee. Facility location was identified as well. Data were stratified by patient zip code using Rural Urban Continuum Codes (RUCC) and by circumferential zones differentiated by distance around existing (HDU). 2010 U.S. census data was used for socioeconomic characteristics of each zone. Poisson regression was used to compare prevalence of home dialysis by circumferential zone and RUCC.

Results: Patients more rural or remote from a HDU had higher end-stage renal disease rates, lower median per capita income, higher poverty levels, and were older compared to those within 20 miles of a HDU or urban (all p values <0.001). The adjusted prevalence ratio of home modalities (PD and HHD) was 1.14(95%CI 1.03-1.26) in RUCC codes 4-7, and 1.00 (95%CI, 0.80-1.24) for RUCC code 8-9 when compared to the most urban (RUCC 1-3).There was no difference in adjusted prevalence ratio of home modality utilization regardless of distance to the closest HDU (1.02; 95%CI 0.90-1.16, 0.87; 95% CI 0.72-1.05, and 0.96; 95% CI 0.69-1.34 for 20-30,30-40, and >40 miles respectively) when compared to patients within 20 miles of an HDU.

Conclusions: Prevalence ratio of home dialysis did not differ with distance from an HDU and did not increase in rural areas versus metropolitan areas. Further studies are needed to address if regional variation exists in access to home dialysis care.

Keywords

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

bornova escort

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version