Differences in Hospitalization Outcomes of Kidney Disease between Patients Who Received Care by Nephrologists and Non-Nephrologist Physicians: A Propensity-Score-Matched Study

The influence of physician specialty on the outcomes of kidney diseases (KDs) remains underexplored. We aimed to compare the complications and mortality of patients with admissions for KD who received care by nephrologists and non-nephrologist (NN) physicians. We used health insurance research data...

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Autores principales:	Chien-Wun Wang, Yu Yang, Chun-Chieh Yeh, Yih-Giun Cherng, Ta-Liang Chen, Chien-Chang Liao
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	complications hospitalization kidney disease mortality nephrologists Medicine R
Acceso en línea:	https://doaj.org/article/38671096b97b48b492b11de6d69fce27
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spelling	oai:doaj.org-article:38671096b97b48b492b11de6d69fce272021-11-25T18:01:06ZDifferences in Hospitalization Outcomes of Kidney Disease between Patients Who Received Care by Nephrologists and Non-Nephrologist Physicians: A Propensity-Score-Matched Study10.3390/jcm102252692077-0383https://doaj.org/article/38671096b97b48b492b11de6d69fce272021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5269https://doaj.org/toc/2077-0383The influence of physician specialty on the outcomes of kidney diseases (KDs) remains underexplored. We aimed to compare the complications and mortality of patients with admissions for KD who received care by nephrologists and non-nephrologist (NN) physicians. We used health insurance research data in Taiwan to conduct a propensity-score matched study that included 17,055 patients with admissions for KD who received care by nephrologists and 17,055 patients with admissions for KD who received care by NN physicians. Multivariable logistic regressions were conducted to calculate adjusted odds ratios (ORs) with 95% confidence intervals (CIs) for 30-day mortality and major complications associated with physician specialty. Compared with NN physicians, care by nephrologists was associated with a reduced risk of 30-day mortality (OR 0.29, 95% CI 0.25–0.35), pneumonia (OR 0.82, 95% CI 0.76–0.89), acute myocardial infarction (OR 0.68, 95% CI 0.54–0.87), and intensive care unit stay (OR 0.78, 95% CI 0.73–0.84). The association between nephrologist care and reduced admission adverse events was significant in every age category, for both sexes and various subgroups. Patients with admissions for KD who received care by nephrologists had fewer adverse events than those who received care by NN physicians. We suggest that regular nephrologist consultations or referrals may improve medical care and clinical outcomes in this vulnerable population.Chien-Wun WangYu YangChun-Chieh YehYih-Giun CherngTa-Liang ChenChien-Chang LiaoMDPI AGarticlecomplicationshospitalizationkidney diseasemortalitynephrologistsMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5269, p 5269 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	complications hospitalization kidney disease mortality nephrologists Medicine R
spellingShingle	complications hospitalization kidney disease mortality nephrologists Medicine R Chien-Wun Wang Yu Yang Chun-Chieh Yeh Yih-Giun Cherng Ta-Liang Chen Chien-Chang Liao Differences in Hospitalization Outcomes of Kidney Disease between Patients Who Received Care by Nephrologists and Non-Nephrologist Physicians: A Propensity-Score-Matched Study
description	The influence of physician specialty on the outcomes of kidney diseases (KDs) remains underexplored. We aimed to compare the complications and mortality of patients with admissions for KD who received care by nephrologists and non-nephrologist (NN) physicians. We used health insurance research data in Taiwan to conduct a propensity-score matched study that included 17,055 patients with admissions for KD who received care by nephrologists and 17,055 patients with admissions for KD who received care by NN physicians. Multivariable logistic regressions were conducted to calculate adjusted odds ratios (ORs) with 95% confidence intervals (CIs) for 30-day mortality and major complications associated with physician specialty. Compared with NN physicians, care by nephrologists was associated with a reduced risk of 30-day mortality (OR 0.29, 95% CI 0.25–0.35), pneumonia (OR 0.82, 95% CI 0.76–0.89), acute myocardial infarction (OR 0.68, 95% CI 0.54–0.87), and intensive care unit stay (OR 0.78, 95% CI 0.73–0.84). The association between nephrologist care and reduced admission adverse events was significant in every age category, for both sexes and various subgroups. Patients with admissions for KD who received care by nephrologists had fewer adverse events than those who received care by NN physicians. We suggest that regular nephrologist consultations or referrals may improve medical care and clinical outcomes in this vulnerable population.
format	article
author	Chien-Wun Wang Yu Yang Chun-Chieh Yeh Yih-Giun Cherng Ta-Liang Chen Chien-Chang Liao
author_facet	Chien-Wun Wang Yu Yang Chun-Chieh Yeh Yih-Giun Cherng Ta-Liang Chen Chien-Chang Liao
author_sort	Chien-Wun Wang
title	Differences in Hospitalization Outcomes of Kidney Disease between Patients Who Received Care by Nephrologists and Non-Nephrologist Physicians: A Propensity-Score-Matched Study
title_short	Differences in Hospitalization Outcomes of Kidney Disease between Patients Who Received Care by Nephrologists and Non-Nephrologist Physicians: A Propensity-Score-Matched Study
title_full	Differences in Hospitalization Outcomes of Kidney Disease between Patients Who Received Care by Nephrologists and Non-Nephrologist Physicians: A Propensity-Score-Matched Study
title_fullStr	Differences in Hospitalization Outcomes of Kidney Disease between Patients Who Received Care by Nephrologists and Non-Nephrologist Physicians: A Propensity-Score-Matched Study
title_full_unstemmed	Differences in Hospitalization Outcomes of Kidney Disease between Patients Who Received Care by Nephrologists and Non-Nephrologist Physicians: A Propensity-Score-Matched Study
title_sort	differences in hospitalization outcomes of kidney disease between patients who received care by nephrologists and non-nephrologist physicians: a propensity-score-matched study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/38671096b97b48b492b11de6d69fce27
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Differences in Hospitalization Outcomes of Kidney Disease between Patients Who Received Care by Nephrologists and Non-Nephrologist Physicians: A Propensity-Score-Matched Study

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