Association Between Dialysis Facility Ownership and Access to Kidney Transplantation

JenniferC.Gander,PhD; XingyuZhang,PhD; KatherineRoss,MPH; AdamS.Wilk,PhD; LauraMcPherson,MPH; TeriBrowne,PhD; StephenO.Pastan,MD; ElizabethWalker,MS; ZhenshengWang,PhD; RachelE.Patzer,PhD,MPH

In this retrospective cohort study that included 1 478 564 patients with end -stage kidney disease treated at 6511 US dialysis facilities from 2000 – 2016, patients receiving dialysis at for -profit facilities vs nonprofit facilities had significantly lower 5 -year cumulative incidence rates for placement on the deceased donor kidney transplantation waiting list (−13.2%), receipt of a living donor kidney transplant (−2.3%), and receipt of a deceased donor kidney transplant (−4.3%). Adjusted Cox analyses showed lower relative rates for each outcome among patients treated at all for-profit vs all nonprofit dialysis facilities: deceased donor waiting list (hazard ratio [HR], 0.36 [95% CI, 0.35 to 0.36]); receipt of a living donor kidney transplant (HR, 0.52 [95% CI, 0.51 to 0.54]); and receipt of a deceased donor kidney transplant (HR, 0.44 [95% CI, 0.44 to 0.45]).

Read full article online: https://www.ncbi.nlm.nih.gov/pubmed/31503308