Outpatient dialysis for patients with AKI: A policy approach to improving care

American Society of Nephrology Acute Kidney Injury Advisory Group

Research output: Contribution to journalComment/debate

23 Scopus citations


The rate of AKI requiring dialysis has increased significantly over the past decade in the United States. At the same time, survival from AKI seems to be improving, and thus, more patients with AKI are surviving to discharge while still requiring dialysis. Currently, the options for providing outpatient dialysis in patients with AKI are limited, particularly after a 2012 revised interpretation of the Centers for Medicare and Medicaid Services guidelines, which prohibited Medicare reimbursement for acute dialysis at ESRD facilities. This article provides a historical perspective on outpatient dialysismanagement of patientswith AKI, reviews the current clinical landscape of care for these patients, and highlights key areas of knowledge deficit. Lastly, policy changes that have the opportunity to significantly improve the care of this at-risk population are suggested.

Original languageEnglish
Pages (from-to)1868-1874
Number of pages7
JournalClinical Journal of the American Society of Nephrology
Issue number10
StatePublished - Oct 7 2015


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