Comparative effectiveness studies to improve clinical outcomes in end stage renal disease: the DEcIDE patient outcomes in end stage renal disease study.

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Boulware, L Ebony

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Tangri, Navdeep

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Ephraim, Patti L

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Scialla, Julia J

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Sozio, Stephen M

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Crews, Deidra C

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Shafi, Tariq

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Miskulin, Dana C

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Liu, Jiannong

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St Peter, Wendy

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Jaar, Bernard G

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Wu, Albert W

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Powe, Neil R

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Navaneethan, Sankar D

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Bandeen-Roche, Karen

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DEcIDE ESRD Patient Outcomes in Renal Disease Study Investigators

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England

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2014-01-30T09:55:14Z

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2014-01-30T09:55:42Z

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2014-01-30T09:55:59Z

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2014-01-30T09:56:15Z

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2014-01-30T09:56:33Z

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2014-01-30T09:56:49Z

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2014-01-30T09:57:08Z

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2014-01-30T09:57:25Z

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2014-01-30T09:57:42Z

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2014-01-30T09:57:58Z

dc.date.issued

2012-12-06

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BACKGROUND: Evidence is lacking to inform providers' and patients' decisions about many common treatment strategies for patients with end stage renal disease (ESRD). METHODS/DESIGN: The DEcIDE Patient Outcomes in ESRD Study is funded by the United States (US) Agency for Health Care Research and Quality to study the comparative effectiveness of: 1) antihypertensive therapies, 2) early versus later initiation of dialysis, and 3) intravenous iron therapies on clinical outcomes in patients with ESRD. Ongoing studies utilize four existing, nationally representative cohorts of patients with ESRD, including (1) the Choices for Healthy Outcomes in Caring for ESRD study (1041 incident dialysis patients recruited from October 1995 to June 1999 with complete outcome ascertainment through 2009), (2) the Dialysis Clinic Inc (45,124 incident dialysis patients initiating and receiving their care from 2003-2010 with complete outcome ascertainment through 2010), (3) the United States Renal Data System (333,308 incident dialysis patients from 2006-2009 with complete outcome ascertainment through 2010), and (4) the Cleveland Clinic Foundation Chronic Kidney Disease Registry (53,399 patients with chronic kidney disease with outcome ascertainment from 2005 through 2009). We ascertain patient reported outcomes (i.e., health-related quality of life), morbidity, and mortality using clinical and administrative data, and data obtained from national death indices. We use advanced statistical methods (e.g., propensity scoring and marginal structural modeling) to account for potential biases of our study designs. All data are de-identified for analyses. The conduct of studies and dissemination of findings are guided by input from Stakeholders in the ESRD community. DISCUSSION: The DEcIDE Patient Outcomes in ESRD Study will provide needed evidence regarding the effectiveness of common treatments employed for dialysis patients. Carefully planned dissemination strategies to the ESRD community will enhance studies' impact on clinical care and patients' outcomes.

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http://www.ncbi.nlm.nih.gov/pubmed/23217181

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1471-2369-13-167

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1471-2369

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https://hdl.handle.net/10161/8345

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eng

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Springer Science and Business Media LLC

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BMC Nephrol

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10.1186/1471-2369-13-167

dc.relation.replaces

http://hdl.handle.net/10161/8336

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10161/8336

dc.relation.replaces

http://hdl.handle.net/10161/8337

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10161/8337

dc.relation.replaces

http://hdl.handle.net/10161/8338

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10161/8338

dc.relation.replaces

http://hdl.handle.net/10161/8339

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10161/8339

dc.relation.replaces

http://hdl.handle.net/10161/8340

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10161/8340

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http://hdl.handle.net/10161/8341

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10161/8341

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http://hdl.handle.net/10161/8342

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10161/8342

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http://hdl.handle.net/10161/8343

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10161/8343

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http://hdl.handle.net/10161/8344

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10161/8344

dc.subject

Adult

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Aged

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Aged, 80 and over

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Antihypertensive Agents

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Combined Modality Therapy

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Female

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Humans

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Injections, Intravenous

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Iron

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Kidney Failure, Chronic

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Male

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Middle Aged

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Prevalence

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Quality Improvement

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Registries

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Renal Dialysis

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Risk Factors

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Survival Analysis

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Survival Rate

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Treatment Outcome

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United States

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Young Adult

dc.title

Comparative effectiveness studies to improve clinical outcomes in end stage renal disease: the DEcIDE patient outcomes in end stage renal disease study.

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Journal article

duke.contributor.orcid

Boulware, L Ebony|0000-0002-8650-4212

pubs.author-url

http://www.ncbi.nlm.nih.gov/pubmed/23217181

pubs.begin-page

167

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Clinical Science Departments

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Community and Family Medicine

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Duke

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Duke Clinical Research Institute

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Institutes and Centers

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Medicine

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Medicine, General Internal Medicine

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Medicine, Nephrology

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School of Medicine

pubs.publication-status

Published online

pubs.volume

13

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