1. 37: Inpatient Use of Erythropoiesis Stimulating Agents (ESA) Among Commercially-Insured Dialysis Patients
- Author
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Donald F. Brophy, Matthew Gitlin, Gregory W. Daniel, Tracy J. Mayne, Brian McNeeley, Benjamin Chastek, and Carolyn Harley
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medicine.medical_specialty ,Nephrology ,business.industry ,Patient demographics ,Emergency medicine ,medicine ,Retrospective analysis ,Erythropoiesis ,Managed care ,Inpatient setting ,Low hemoglobin ,business ,Dialysis patients - Abstract
INPATIENT USE OF ERYTHROPOIESIS STIMULATING AGENTS (ESA) AMONG COMMERCIALLY-INSURED DIALYSIS PATIENTS Donald Brophy, Carolyn Harley, Benjamin Chastek, Gregory Daniel, Brian McNeeley, Matthew Gitlin, Tracy J Mayne. Virginia Commonwealth Univ, Richmond, VA; i3 Innovus, Eden Prairie, MN; HealthCore, Inc, Wilmington, DE, Amgen Inc., Thousand Oaks, CA. There is evidence that dialysis patients return from hospitalizations with low hemoglobin levels (Yaqub, 2001; Turenne 2007). Dialysis patients receive outpatient ESAs and one possible factor may be that patients do not receive ESA therapy during hospitalization. This study descriptively evaluates inpatient ESA use from 2004 2005 among privately insured dialysis patients. This was a cross-sectional retrospective analysis of claims from two large US managed care organizations (MCO) covering a combined 20 million lives over two years. ESRD patients were identified by ≥1 ESRDspecific claim in the inpatient setting, or ≥3 dialysis-related claims on separate days during each 12-month period. We examined patient demographics and hospitalization characteristics, including the percent of patients receiving ESAs during hospitalization by length of stay (LOS). Patient demographics were similar across years and MCOs. The mean (+SD) number of hospitalizations over both years were ~1.1 (+1.3) for MCO#1 and ~1.6 (+ 1.7) for MCO#2. Table 1:% of hospitalizations with ESA use by LOS
- Published
- 2008
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