More Provider Visits May Not Improve Vascular Access Outcomes in Patients on Dialysis

A study of US dialysis patients found that more frequent face-to-face visits with physicians and advanced practitioners were linked with a 13% greater likelihood of undergoing more procedures and therapeutic interventions aimed at preserving vascular accesses, but were not associated with prolonged vascular access survival. One additional provider visit was associated with a 9% lower likelihood of hospitalization for vascular access infection and a 9% higher likelihood of outpatient intravenous antibiotic administration. However, the changes in absolute probabilities of hospitalization and antibiotic administration were small. The CJASN findings come from an analysis of 63,488 Medicare beneficiaries on hemodialysis.

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A study of US dialysis patients found that more frequent face-to-face visits with physicians and advanced practitioners were linked with a 13% greater likelihood of undergoing more procedures and therapeutic interventions aimed at preserving vascular accesses, but were not associated with prolonged vascular access survival. One additional provider visit was associated with a 9% lower likelihood of hospitalization for vascular access infection and a 9% higher likelihood of outpatient intravenous antibiotic administration. However, the changes in absolute probabilities of hospitalization and antibiotic administration were small. The CJASN findings come from an analysis of 63,488 Medicare beneficiaries on hemodialysis.

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