Patients at For-Profit Dialysis Chains Suffer Higher Fatality Rates

Treatment at for-profit dialysis clinics comes with a higher risk of death than the same treatment at non-profit facilities, a new study shows.

The study, published in the journal Health Services Research, found that the fatality rate at the for-profit clinics is 13 percent higher than at non-profits. What’s more, the risk of death in treatment at the two largest U.S. for-profit chains was found to be 19 and 24 percent higher, respectively, than the risk at the nation’s largest non-profit chain.

As reported by the investigative news organization ProPublica, roughly 80 percent of American dialysis patients are treated at for-profit clinics. Though the study doesn’t mention any chain by name, Fresenius Medical Care North America and DaVita Inc. are the two largest companies in the U.S., together controlling close to two-thirds of the market. The largest non-profit chain is Dialysis Clinic Inc.

The difference in fatality rates between the for-profits and non-profits “is very significant,” said Yi Zhang, who led the study conducted by the Medical Technology & Practice Patterns Institute of  Bethesda, Md. “It’s not five or seven percent. It’s pretty dramatic.”

Dialysis is a life-sustaining process that removes toxins from the blood of patients suffering from kidney failure.

The U.S. has one of the highest fatality rates of any dialysis network in the developed world, with 20 percent of dialysis patients dying each year. Those results notwithstanding, American taxpayers fork over some $77,000 per patient per year for dialysis treatment, possibly the costliest treatment in the world.

The study included about 34,900 Medicare patients who started dialysis in 2004 at 3,601 free-standing clinics, and tracked them for two years.

While Fresenius didn’t offer any comment on the study to ProPublica, DaVita responded with a written statement: “This study examines seven-year-old data, and significant changes in the way dialysis care is delivered have been made in the more than half a decade since, with continued overall improvement in patient outcomes.”

Dialysis Clinic released a statement that its “non-profit status allows us to devote a larger proportion of our resources to improving the care we offer to our patients.”

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