Registry analysis observes persistent disparities in home dialysis utilization among Black and Hispanic patients, indicating ongoing inequities in access to home-based kidney care.
There has been an increase in home dialysis utilization rates in the United States. A 2012 regional analysis1 of home dialysis utilization rates of all Centers for Medicare & Medicaid Services’s Medicare fee-for-service patients who received dialysis found that—using the White race as the reference group—home dialysis utilization rates were in the range of 0.51-0.68 for African Americans and 0.69-0.80 for Hispanics. The latest US Renal Data System data2 showed that, in 2018, 11.7% of White incident dialysis patients and 9.1% of African American incident dialysis patients were on peritoneal dialysis (PD), reflecting a PD utilization rate of ∼0.77.
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Shamy et al. (2022) studied this question.
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