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Agreement of reported vascular access on the medical evidence report and on medicare claims at hemodialysis initiation.
- Source :
-
BMC nephrology [BMC Nephrol] 2014 Feb 08; Vol. 15, pp. 30. Date of Electronic Publication: 2014 Feb 08. - Publication Year :
- 2014
-
Abstract
- Background: The choice of vascular access type is an important aspect of care for incident hemodialysis patients. However, data from the Centers for Medicare & Medicaid Services (CMS) Medical Evidence Report (form CMS-2728) identifying the first access for incident patients have not previously been validated. Medicare began requiring that vascular access type be reported on claims in July 2010. We aimed to determine the agreement between the reported vascular access at initiation from form CMS-2728 and from Medicare claims.<br />Methods: This retrospective study used a cohort of 9777 patients who initiated dialysis in the latter half of 2010 and were eligible for Medicare at the start of renal replacement therapy to compare the vascular access type reported on form CMS-2728 with the type reported on Medicare outpatient dialysis claims for the same patients. For each patient, the reported access from each data source was compiled; the percent agreement represented the percent of patients for whom the access was the same. Multivariate logistic analysis was performed to identify characteristics associated with the agreement of reported access.<br />Results: The two data sources agreed for 94% of patients, with a Kappa statistic of 0.83, indicating an excellent level of agreement. Further, we found no evidence to suggest that agreement was associated with the patient characteristics of age, sex, race, or primary cause of renal failure.<br />Conclusion: These results suggest that vascular access data as reported on form CMS-2728 are valid and reliable for use in research studies.
- Subjects :
- Aged
Aged, 80 and over
Evidence-Based Medicine
Female
Humans
Male
Reproducibility of Results
Sensitivity and Specificity
United States
Arteriovenous Shunt, Surgical statistics & numerical data
Catheterization, Central Venous statistics & numerical data
Mandatory Reporting
Medical Errors statistics & numerical data
Medicare statistics & numerical data
Renal Dialysis classification
Renal Dialysis statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2369
- Volume :
- 15
- Database :
- MEDLINE
- Journal :
- BMC nephrology
- Publication Type :
- Academic Journal
- Accession number :
- 24507475
- Full Text :
- https://doi.org/10.1186/1471-2369-15-30