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THURSDAY, July 18, 2019 (HealthDay News) — Home dialysis use increased from 2005 to 2013, and racial\/ethnic differences narrowed over time, according to a study published online July 17 in the Clinical Journal of the American Society of Nephrology<\/i>.<\/p>\n
Jenny I. Shen, M.D., from the Harbor-UCLA Medical Center in Torrance, California, and colleagues conducted an observational cohort study of 523,536 patients initiating dialysis from 2005 to 2013 to estimate racial\/ethnic differences in home dialysis initiation over time.<\/p>\n
The researchers found that from 2005 to 2007, 8.0 and 9.2 percent of white and Asian patients, respectively, initiated dialysis with home modalities compared with a lower proportion of blacks and Hispanics (5.2 and 5.7 percent, respectively). Home dialysis use increased in all groups over time, and racial\/ethnic differences decreased (2011 to 2013, 10.6 percent of whites, 8.3 percent of blacks, 9.6 percent of Hispanics, and 14.2 percent of Asians). The risk for transferring to in-center hemodialysis was higher for blacks, similar for Hispanics, and lower for Asians compared with whites; over time, these differences were stable. Minority patients had a lower mortality rate than whites; this difference increased over time.<\/p>\n
“We found that racial and ethnic differences in the initiation of dialysis with home dialysis have narrowed without any deleterious impact in relative rates of transfer to in-center hemodialysis and death,” Shen said in a statement.<\/p>\n
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