Editor's note: At least they're not getting worse. These goals — not dead and not in the hospital — are the foundation of the sick-patient model of care that has failed US dialysis patients for decades.
Unfortunately, abysmal employment and rehabilitation rates are strong evidence that US nephrology is still ignoring and denying the harm it is doing to patients' hearts and minds. Without a well-patient model of care as a foundation, US dialysis care and technology will remain largely stagnant and self-defeating.
"Our observations confirm the need for interventions to reduce the negative impact of dialysis on the heart."
Editor's note: The U.S. model of junk-bond dialysis care relies upon having a majority of nephrologists that are willing to ignore the damage done to patients' hearts and minds by physiologically brutal treatment regimens (which nephrologists would never accept for themselves).
Why are employment and rehabilitation rates so low?
Editor's note: Unfortunately, this article contains no mention of patient engagement by the large for-profit dialysis providers. Until there are substantial financial incentives for these corporations to engage patients and value their feedback in improving dialysis care and technology, little change will occur.
See this recent article by Dr. Allen Nissenson, the Chief Medical Officer of DaVita. Is there any mention of patient engagement in these factory-like standardized practices that dominate U.S. dialysis care?