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Disease management improves ESRD outcomes.

¹Fresenius Medical Care North America, Celebration, FL 34747, USA. Jeffrey.Sands@fmc-na.com

The International Journal of Artificial Organs

|March 23, 2006

Summary

Disease management programs for end-stage renal disease (ESRD) significantly reduce mortality and hospitalizations while cutting costs. These programs improve patient satisfaction and quality of life, demonstrating their effectiveness in ESRD care.

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Area of Science:

Nephrology
Healthcare Management
Public Health Policy

Background:

Renal disease management organizations report success in reducing mortality and hospitalizations.
Key components include risk assessment, predictive modeling, evidence-based guidelines, and nurse care managers.
Patient self-management education is crucial for program success.

Purpose of the Study:

To evaluate the impact of disease management programs on clinical outcomes and healthcare costs in end-stage renal disease (ESRD).
To define the full implications of disease management by measuring clinical outcomes and total healthcare costs.
To inform United States healthcare policy regarding ESRD management.

Main Methods:

Standardized use of risk assessment and predictive modeling.
Implementation of evidence-based guidelines and process/outcomes measurement.
Inclusion of patient self-management education and individual nurse care managers.

Main Results:

Significant decreases in mortality and hospitalization rates reported by management organizations.
Improvements in patient satisfaction and quality of life observed.
Evidence suggests disease management is realizing its promise of improved care at reduced cost in ESRD.

Conclusions:

Disease management programs are effective in improving care and reducing costs for patients with end-stage renal disease (ESRD).
The comprehensive measurement of clinical outcomes and total healthcare costs is essential for fully defining the impact of these programs.
Findings have significant implications for shaping future United States healthcare policy for ESRD.

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