Background

1. Background Results ESRD has meant “Loss of kidney function, with need for kidney replacement treatments”, however, as evidence will show, some patients may not actually be afflicted with ESRD in the first place, and may instead be individuals suffering from types of acute kidney injury. Characteristics of patients Multivariate model for persistent recovery of renal function Methods A total of 205,399 incident ESRD hemodialysis patients from 2008 & 2009 were tracked over two years in the CMS SIMS registry. Start dates were initialized with incident dialysis. Recovery, if reported, was marked from dialysis facility updates transmitted through ESRD Networks and entered into the SIMs central repository on a daily basis. Patients who were restarted on dialysis during the period were excluded from our primary analysis. Cessation of Renal Replacement Therapies with Improved Kidney Function in the ESRD Medicare Program The Fistula First Breakthrough Initiative Data Committee Diagnoses with highest rates of recovery of renal function Geographical Variation in rates of Renal Recovery Discussion Conclusions In the US ESRD program 6.6% of patients experienced renal recovery with a median time to recovery of 74 days. Approx 14.5% of patients subsequently were restarted on dialysis. Patients with persistent recovery of renal function, tended to be white, below 65 years of age, with temporary accesses (catheters or other) and the etiology of their kidney disease was acute injury (AIN, ATN, cholesterol emboli or hepatorenal syndrome) or exposure to a nephrotoxic agent.