More physician visits could help prevent re-hospitalization of dialysis patients

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, according to 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.

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

Highlights of the study

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 hospital discharge 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. Erickson.

In an accompanying editorial, Raymond Hakim, MD, from Vanderbilt University, and Allan Collins, MD, FACP, from the 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 patients are occasionally admitted to receive acute services,” they wrote.

Study co-authors include Jay Bhattacharya, MD, PhD, Wolfgang Winkelmayer, MD, ScD, and Glenn Chertow, MD, MPH.

The article, entitled “Physician Visits and 30-Day Hospital Readmissions in Patients Receiving Hemodialysis,” appears online at http://jasn.asnjournals.org/