DaVita® Medical Insights

Study: The Impact of Missed Dialysis Treatments on Clinical Outcomes

A study conducted by DaVita Clinical Research worked to identify the prevalence of in-center hemodialysis absenteeism and its effects on clinical outcomes. It found that in-center hemodialysis patients miss treatments approximately 15 times per year; half of these are for non-medical reasons. One absence due to a non-medical reason is associated with a 40 percent greater risk of hospitalization and a more than double risk of mortality in the subsequent 30 days. Therefore, absenteeism creates a significant burden in terms of patient health and associated costs. It may be worthwhile to implement programs to reduce absenteeism to help improve outcomes among hemodialysis patients.

For more information, read the research poster here.

Steven M. Brunelli, MD, MSCE

Steven M. Brunelli, MD, MSCE

Steven M. Brunelli, MD, is vice president and medical director of health analytics and insights at DaVita Clinical Research. Before joining DaVita, he was a faculty member at Harvard Medical School and the Brigham and Women’s Hospital, where he directed an active clinical research group that focused on chronic kidney disease, pharmacoepidemiology and pharmacoeconomics, dialysis outcomes epidemiology and the hospital’s dialysis service. Dr. Brunelli also served on the American Society of Nephrology’s Dialysis Advisory Group and its Comparative Effectiveness Taskforce. He has published more than 120 peer-reviewed articles, and serves on editorial boards at the Journal of the American Society of Nephrology, the Journal of Nephrology and the American Journal of Kidney Diseases. He completed medical school and earned a master of science degree in clinical epidemiology at the University of Pennsylvania.