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The price of emergency dialysis is estimated to be eight instances that of in-center dialysis. A brand new examine reveals {that a} transitional dialysis program piloted in Travis County (Austin, Texas) resulted in a major lower in emergency division visits and hospital admissions for emergency dialysis by offering a pathway for outpatient dialysis in uninsured sufferers.
The findings have been offered at ASN Kidney Week 2025, held November 5–9.
Central Well being, a corporation that gives well being and wellness companies for uninsured sufferers in Travis County, piloted the transitional dialysis program in November 2022. The aim was to offer in-center/outpatient dialysis for Travis County residents who lacked insurance coverage protection.
When investigators reviewed information from November 2022 to December 2024 on the 101 sufferers who enrolled in this system, they noticed that there was a major decline within the variety of days sufferers utilized emergency dialysis within the hospital previous to discovering an outpatient facility. Moreover, inside one 12 months of beginning dialysis, most sufferers have been capable of get hold of everlasting dialysis entry with both an arteriovenous fistula or a peritoneal dialysis catheter.
As soon as accepted into this system, Central Well being supplied an insurance coverage plan to cowl outpatient dialysis and transplantation. Up to now, 18 sufferers have been listed for kidney transplantation, and two have obtained dwelling donor transplants.
“The program has successfully facilitated dialysis access placement and transplant evaluation,” mentioned corresponding creator Michelle Lubetzky, MD, of The College of Texas, Austin.
“Since Texas has no safety-net plan for patients who do not qualify for Medicare or Medicaid, the program has the potential to provide a cost-effective solution and decrease in utilization of health care resources for those without medical coverage who develop kidney failure. It can be a model for other states and cities that also lack safety net plans.”
Extra data:
Advantages of a devoted dialysis program for uninsured sufferers with ESKD in Texas
Offered by
American Society of Nephrology
Quotation:
Research finds outpatient dialysis program cuts emergency hospital visits in Texas (2025, November 8)
retrieved 8 November 2025
from https://medicalxpress.com/information/2025-11-outpatient-dialysis-emergency-hospital-texas.html
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