Dialysis in nursing homes – a trend innovation
Kidney failure is a crisis in the United States, especially as the population ages. Of the 786,000 Americans with ESRD (end-stage kidney disease), 80% were 65 years of age or older in 2018. In the same year, Medicare spending on dialysis and kidney transplants was $ 49 billion. The effects of this problem are wide and extensive.
Today, 86% of dialysis treatment takes place in outpatient clinics. This is difficult for many seniors, especially those living in nursing homes. Outpatient dialysis clinics are not designed to meet them. Treatment poses a risk of infection, transportation there is disruptive and time consuming, and very acute patients may struggle with placement in these clinics.
If nursing homes had to provide on-site dialysis, they would be able to receive higher sharpness patients while eliminating transportation costs. On-site 3-day dialysis eliminates the disadvantages of outpatient care. 98% of nursing home dialysis patients are already accustomed to 3-day dialysis, so continuity of treatment would benefit them.
Three-day dialysis also wins daily dialysis. 3-day dialysis requires a 17% shorter treatment period than daily dialysis. In addition, daily dialysis increases the risk of complications, which can lead to hospitalization and surgery for residents. Another reason to use 3-day dialysis instead of daily is coverage; For the same initial investment, on-site 3-day dialysis offers 3 times more treatment to patients than daily dialysis could. Large providers have not been able to provide effective and flexible care for nursing home residents. There is a need for another model that takes into account the needs of patients.