{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T14:53:15Z","timestamp":1786373595159,"version":"build-2736575974"},"reference-count":104,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["CJASN"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Among individuals with kidney disease hospitalization rates are up to 38% higher than the general population, increase proportionally with each stage of CKD, and significantly contribute to over $130 billion in annual care costs in the United States (US). Many hospitalizations, including readmissions, are potentially preventable, and their avoidance could substantially lessen the burden and cost of kidney disease. Across the spectrum of types of kidney disease, shared drivers of preventable hospitalizations include clinical complexity and difficulty with self-management at the patient level; clinical inertia, under-recognition of kidney disease, and lack of awareness of guidelines at the provider level; and fragmented care and underinvestment in supportive strategies for individuals with social needs at the system level. The mechanisms by which these drivers lead to preventable hospitalizations, however, differ by the categories of kidney disease. Although community-acquired AKI, because of environmental exposures and infectious disease, frequently leads to incident hospitalization, hospital-acquired AKI raises the risk of readmission after index hospitalization for another cause. Among individuals with CKD, complex comorbidities, polypharmacy, and barriers to timely and coordinated ambulatory care lead to emergency department visits for ambulatory care needs at which point admissions occur at higher rates than the general population. Among individuals with kidney failure, preventable hospitalizations are most commonly related to fluid overload, dialysis access dysfunction, and infections. Accessible and timely ambulatory care combined with multidisciplinary collaboration, postdischarge transitional care programs to prevent readmissions, and support for patient self-management are strategies to reduce the rate of preventable hospitalizations. In this article, we review the drivers of preventable hospitalizations for AKI, CKD, and dialysis-dependent kidney failure. We also explore the evidence for multi-level models of care that target risks of preventable hospitalizations and readmissions, and federal programs that financially incentivize such models.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2215\/cjn.0000000879","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T16:02:20Z","timestamp":1756828940000},"page":"692-702","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Preventable Hospitalizations and Kidney Care"],"prefix":"10.2215","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1558-4718","authenticated-orcid":false,"given":"Katherine E.","family":"Di Palo","sequence":"first","affiliation":[{"name":"Division of Hospital Medicine, Department of Medicine, Montefiore Medical Center, Bronx, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4349-5266","authenticated-orcid":false,"given":"Deepa","family":"Jayaram","sequence":"additional","affiliation":[{"name":"Section of Nephrology, Department of Medicine, Yale School of Medicine, New Haven, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9912-5684","authenticated-orcid":false,"given":"Lilia","family":"Cervantes","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Colorado Anschutz Medical Center, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1635-8068","authenticated-orcid":false,"given":"Ladan","family":"Golestaneh","sequence":"additional","affiliation":[{"name":"Section of Nephrology, Department of Medicine, Yale School of Medicine, New Haven, Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,2]]},"reference":[{"issue":"7","key":"B1-20260417","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1038\/s41581-024-00820-6","article-title":"Chronic kidney disease and the global public health agenda: an international consensus","volume":"20","author":"Francis","year":"2024","journal-title":"Nat Rev Nephrol."},{"issue":"13","key":"B3-20260417","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1056\/NEJMoa041031","article-title":"Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization","volume":"351","author":"Go","year":"2004","journal-title":"N Engl J Med."},{"issue":"12","key":"B4-20260417","doi-asserted-by":"crossref","first-page":"e1003470","DOI":"10.1371\/journal.pmed.1003470","article-title":"Hospitalizations among adults with chronic kidney disease in the United States: a cohort study","volume":"17","author":"Schrauben","year":"2020","journal-title":"PLoS Med."},{"key":"B7-20260417","doi-asserted-by":"crossref","first-page":"20543581211018528","DOI":"10.1177\/20543581211018528","article-title":"Cost of potentially preventable hospitalizations among adults with chronic kidney disease: a population-based cohort study","volume":"8","author":"Chong","year":"2021","journal-title":"Can J Kidney Health Dis."},{"issue":"8","key":"B8-20260417","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1161\/CIRCRESAHA.122.321762","article-title":"Hypertension as cardiovascular risk factor in chronic kidney disease","volume":"132","author":"Burnier","year":"2023","journal-title":"Circ Res."},{"issue":"2","key":"B9-20260417","doi-asserted-by":"crossref","first-page":"328","DOI":"10.2215\/CJN.02300220","article-title":"Strategies to reduce rehospitalization in patients with CKD and kidney failure","volume":"16","author":"Doshi","year":"2021","journal-title":"Clin J Am Soc Nephrol."},{"issue":"10","key":"B10-20260417","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.1001\/jamainternmed.2016.4975","article-title":"Emergency department use and hospital admissions among patients with end-stage renal disease in the United States","volume":"176","author":"Lovasik","year":"2016","journal-title":"JAMA Intern Med."},{"issue":"4","key":"B12-20260417","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1097\/MNH.0000000000000882","article-title":"Community- vs hospital-acquired AKI: two diseases divided by a common definition","volume":"32","author":"Kumar","year":"2023","journal-title":"Curr Opin Nephrol Hypertens."},{"issue":"9987","key":"B13-20260417","doi-asserted-by":"crossref","first-page":"2616","DOI":"10.1016\/S0140-6736(15)60126-X","article-title":"International Society of Nephrology's 0by25 initiative for acute kidney injury (zero preventable deaths by 2025): a human rights case for nephrology","volume":"385","author":"Mehta","year":"2015","journal-title":"Lancet."},{"issue":"1","key":"B14-20260417","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1053\/j.ajkd.2022.12.008","article-title":"Readmission and mortality after hospitalization with acute kidney injury","volume":"82","author":"Schulman","year":"2023","journal-title":"Am J Kidney Dis."},{"issue":"4","key":"B15-20260417","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1038\/nrneph.2017.2","article-title":"Acute kidney disease and renal recovery: consensus report of the acute disease quality initiative (ADQI) 16 workgroup","volume":"13","author":"Chawla","year":"2017","journal-title":"Nat Rev Nephrol."},{"issue":"3","key":"B16-20260417","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1007\/s40620-021-01174-z","article-title":"Use of a hospital administrative database to identify and characterize community-acquired, hospital-acquired and drug-induced acute kidney injury","volume":"35","author":"Rey","year":"2022","journal-title":"J Nephrol."},{"issue":"1","key":"B17-20260417","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/s42399-022-01127-y","article-title":"Trends in hospital admissions associated with an acute kidney injury in England 1998\u20132020: a repeated cross-sectional study","volume":"4","author":"Bien","year":"2022","journal-title":"SN Compr Clin Med."},{"issue":"10","key":"B18-20260417","doi-asserted-by":"crossref","first-page":"289","DOI":"10.15585\/mmwr.mm6710a2","article-title":"Trends in hospitalizations for acute kidney injury - United States, 2000-2014","volume":"67","author":"Pavkov","year":"2018","journal-title":"MMWR Morb Mortal Wkly Rep."},{"issue":"8","key":"B19-20260417","doi-asserted-by":"crossref","first-page":"1220","DOI":"10.2215\/CJN.11290821","article-title":"Drug-induced acute kidney injury","volume":"17","author":"Perazella","year":"2022","journal-title":"Clin J Am Soc Nephrol."},{"issue":"2","key":"B20-20260417","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.amjmed.2016.09.016","article-title":"30-day readmissions after an acute kidney injury hospitalization","volume":"130","author":"Silver","year":"2017","journal-title":"Am J Med."},{"issue":"7","key":"B21-20260417","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.2215\/CJN.17331120","article-title":"Nephrologist follow-up versus usual care after an acute kidney injury hospitalization (FUSION): a randomized controlled trial","volume":"16","author":"Silver","year":"2021","journal-title":"Clin J Am Soc Nephrol."},{"issue":"5","key":"B22-20260417","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1053\/j.ajkd.2022.10.011","article-title":"Association of an acute kidney injury Follow-up clinic with patient outcomes and care processes: a cohort study","volume":"81","author":"Silver","year":"2023","journal-title":"Am J Kidney Dis."},{"issue":"4","key":"B23-20260417","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.1681\/ASN.2014121218","article-title":"Predictors of recurrent AKI","volume":"27","author":"Siew","year":"2016","journal-title":"J Am Soc Nephrol."},{"issue":"7","key":"B24-20260417","doi-asserted-by":"crossref","first-page":"1594","DOI":"10.1681\/ASN.2019121308","article-title":"Health care costs by eGFR stage with\/without CVD and HF","volume":"31","author":"Nichols","year":"2020","journal-title":"J Am Soc Nephrol."},{"issue":"3","key":"B25-20260417","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1159\/000501539","article-title":"Hospitalization risk among older adults with chronic kidney disease","volume":"50","author":"Wong","year":"2019","journal-title":"Am J Nephrol."},{"issue":"11","key":"B26-20260417","doi-asserted-by":"crossref","first-page":"1946","DOI":"10.2215\/CJN.04480415","article-title":"Rate of kidney function decline and risk of hospitalizations in stage 3A CKD","volume":"10","author":"Xie","year":"2015","journal-title":"Clin J Am Soc Nephrol."},{"issue":"1","key":"B27-20260417","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1186\/s12916-021-02147-6","article-title":"Hospitalisation events in people with chronic kidney disease as a component of multimorbidity: parallel cohort studies in research and routine care settings","volume":"19","author":"Sullivan","year":"2021","journal-title":"BMC Med."},{"issue":"6","key":"B28-20260417","doi-asserted-by":"crossref","first-page":"1592","DOI":"10.1016\/j.ekir.2021.03.883","article-title":"Hospitalization trajectories and risks of ESKD and death in individuals with CKD","volume":"6","author":"Srivastava","year":"2021","journal-title":"Kidney Int Rep."},{"issue":"1","key":"B29-20260417","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.kint.2020.10.012","article-title":"The case for early identification and intervention of chronic kidney disease: conclusions from a Kidney Disease: improving Global Outcomes (KDIGO) Controversies Conference","volume":"99","author":"Shlipak","year":"2021","journal-title":"Kidney Int."},{"issue":"20","key":"B30-20260417","doi-asserted-by":"crossref","first-page":"1606","DOI":"10.1161\/CIR.0000000000001184","article-title":"Cardiovascular-kidney-metabolic health: a presidential advisory from the American Heart Association","volume":"148","author":"Ndumele","year":"2023","journal-title":"Circulation."},{"key":"B31-20260417","doi-asserted-by":"crossref","first-page":"100438","DOI":"10.1016\/j.lanepe.2022.100438","article-title":"Prevalence, outcomes, and cost of chronic kidney disease in a contemporary population of 2\u00b74 million patients from 11 countries: the CaReMe CKD study","volume":"20","author":"Sundstr\u00f6m","year":"2022","journal-title":"Lancet Reg Health Eur."},{"key":"B32-20260417","doi-asserted-by":"crossref","first-page":"101345","DOI":"10.1016\/j.eclinm.2022.101345","article-title":"Avoidable hospitalizations and access to primary care: comparisons among Italians, resident immigrants and undocumented immigrants in administrative hospital discharge records","volume":"46","author":"Allegri","year":"2022","journal-title":"EClinicalMedicine."},{"issue":"11","key":"B33-20260417","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1161\/CIRCULATIONAHA.120.050686","article-title":"Cardiovascular disease in chronic kidney disease: pathophysiological insights and therapeutic options","volume":"143","author":"Jankowski","year":"2021","journal-title":"Circulation."},{"issue":"6","key":"B34-20260417","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1016\/j.cardfail.2007.03.011","article-title":"High prevalence of renal dysfunction and its impact on outcome in 118,465 patients hospitalized with acute decompensated heart failure: a report from the ADHERE database","volume":"13","author":"Heywood","year":"2007","journal-title":"J Card Fail."},{"issue":"18","key":"B35-20260417","doi-asserted-by":"crossref","first-page":"6105","DOI":"10.3390\/jcm12186105","article-title":"Heart failure in patients with chronic kidney disease","volume":"12","author":"Xanthopoulos","year":"2023","journal-title":"J Clin Med."},{"issue":"13","key":"B36-20260417","doi-asserted-by":"crossref","first-page":"3665","DOI":"10.3390\/jcm11133665","article-title":"Loop diuretics are associated with increased risk of hospital-acquired acute kidney injury in adult patients: a retrospective study","volume":"11","author":"Zhou","year":"2022","journal-title":"J Clin Med."},{"issue":"7","key":"B37-20260417","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1097\/HJH.0000000000003136","article-title":"Epidemiology and outcomes of hypertensive crisis in patients with chronic kidney disease: a nationwide analysis","volume":"40","author":"Pothuru","year":"2022","journal-title":"J Hypertens."},{"issue":"7","key":"B38-20260417","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1093\/ndt\/gfx335","article-title":"Burden and correlates of readmissions related to pulmonary edema in US hemodialysis patients: a cohort study","volume":"33","author":"Plantinga","year":"2018","journal-title":"Nephrol Dial Transplant."},{"issue":"6","key":"B39-20260417","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.1038\/ki.2015.307","article-title":"Reducing hospital readmissions in patients with end-stage kidney disease","volume":"88","author":"Mathew","year":"2015","journal-title":"Kidney Int."},{"issue":"4","key":"B40-20260417","doi-asserted-by":"crossref","first-page":"e007231","DOI":"10.1161\/JAHA.117.007231","article-title":"Readmissions following a hospitalization for cardiovascular events in dialysis patients: a retrospective cohort study","volume":"7","author":"Wetmore","year":"2018","journal-title":"J Am Heart Assoc."},{"issue":"11","key":"B41-20260417","doi-asserted-by":"crossref","first-page":"2610","DOI":"10.1681\/ASN.2018040438","article-title":"Addressing financial disincentives to improve CKD care","volume":"29","author":"Berns","year":"2018","journal-title":"J Am Soc Nephrol."},{"issue":"5","key":"B42-20260417","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1053\/j.ajkd.2014.11.030","article-title":"Outcomes of infection-related hospitalization in medicare beneficiaries receiving in-center hemodialysis","volume":"65","author":"Dalrymple","year":"2015","journal-title":"Am J Kidney Dis."},{"issue":"11","key":"B43-20260417","doi-asserted-by":"crossref","first-page":"1996","DOI":"10.2215\/CJN.08961209","article-title":"Change in vascular access and hospitalization risk in long-term hemodialysis patients","volume":"5","author":"Lacson","year":"2010","journal-title":"Clin J Am Soc Nephrol."},{"issue":"1","key":"B44-20260417","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1053\/j.ajkd.2016.10.020","article-title":"Dialysis modality and readmission following hospital discharge: a population-based cohort study","volume":"70","author":"Perl","year":"2017","journal-title":"Am J Kidney Dis."},{"issue":"1","key":"B45-20260417","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.kint.2024.02.026","article-title":"Frailty in patients on dialysis","volume":"106","author":"Chan","year":"2024","journal-title":"Kidney Int."},{"issue":"8","key":"B46-20260417","doi-asserted-by":"crossref","first-page":"e0220966","DOI":"10.1371\/journal.pone.0220966","article-title":"Emergency department visits and hospitalizations among hemodialysis patients by day of the week and dialysis schedule in the United States","volume":"14","author":"Zhang","year":"2019","journal-title":"PLoS One."},{"key":"B47-20260417","first-page":"100418","article-title":"Patients' experiences of medication management while navigating ongoing care between outpatient services: a qualitative case study of patients on hemodialysis","volume":"13","author":"Zhang","year":"2024","journal-title":"Explor Res Clin Soc Pharm."},{"issue":"6","key":"B48-20260417","doi-asserted-by":"crossref","first-page":"1309","DOI":"10.1681\/ASN.V1061309","article-title":"Hematocrit levels and hospitalization risks in hemodialysis patients","volume":"10","author":"Xia","year":"1999","journal-title":"J Am Soc Nephrol."},{"issue":"6","key":"B49-20260417","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.2215\/CJN.11611115","article-title":"Predictors of 30-day hospital readmission among maintenance hemodialysis patients: a hospital's perspective","volume":"11","author":"Flythe","year":"2016","journal-title":"Clin J Am Soc Nephrol."},{"issue":"4","key":"B50-20260417","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/j.jamda.2011.01.001","article-title":"Factors associated with potentially preventable hospitalization among nursing home residents in New York State with chronic kidney disease","volume":"13","author":"Mathew","year":"2012","journal-title":"J Am Med Dir Assoc."},{"issue":"4","key":"B51-20260417","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1001\/jamainternmed.2015.7863","article-title":"Preventability and causes of readmissions in a national cohort of general medicine patients","volume":"176","author":"Auerbach","year":"2016","journal-title":"JAMA Intern Med."},{"issue":"11","key":"B52-20260417","doi-asserted-by":"crossref","first-page":"2022","DOI":"10.2215\/CJN.04690416","article-title":"Potentially preventable hospitalization among patients with CKD and high inpatient use","volume":"11","author":"Ronksley","year":"2016","journal-title":"Clin J Am Soc Nephrol."},{"issue":"2","key":"B53-20260417","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1053\/j.ajkd.2014.03.012","article-title":"Potentially preventable hospitalization as a complication of CKD: a cohort study","volume":"64","author":"Wiebe","year":"2014","journal-title":"Am J Kidney Dis."},{"issue":"4","key":"B54-20260417","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1016\/j.xkme.2021.03.014","article-title":"Patient awareness of CKD: a systematic review and meta-analysis of patient-oriented questions and study setting","volume":"3","author":"Chu","year":"2021","journal-title":"Kidney Med."},{"issue":"6","key":"B55-20260417","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1111\/sdi.12925","article-title":"Breaking the adherence barriers: strategies to improve treatment adherence in dialysis patients","volume":"33","author":"Murali","year":"2020","journal-title":"Semin Dial."},{"issue":"9","key":"B56-20260417","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.1007\/s00228-024-03704-7","article-title":"Characteristics and preventability of medication-related admissions for acute kidney injury and dehydration in elderly patients","volume":"80","author":"Coppes","year":"2024","journal-title":"Eur J Clin Pharmacol."},{"issue":"3","key":"B57-20260417","doi-asserted-by":"crossref","first-page":"A7","DOI":"10.1053\/j.ajkd.2015.12.014","article-title":"US renal data system 2015 annual data report: epidemiology of kidney disease in the United States","volume":"67","author":"Saran","year":"2016","journal-title":"Am J Kidney Dis."},{"issue":"1","key":"B58-20260417","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1186\/s12913-016-1697-7","article-title":"Hospital discharge communications during care transitions for patients with acute kidney injury: a cross-sectional study","volume":"16","author":"Greer","year":"2016","journal-title":"BMC Health Serv Res."},{"issue":"1","key":"B59-20260417","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1186\/s12882-020-01792-y","article-title":"Kidney disease progression and all-cause mortality across estimated glomerular filtration rate and albuminuria categories among patients with vs. without type 2 diabetes","volume":"21","author":"Nichols","year":"2020","journal-title":"BMC Nephrol."},{"issue":"7","key":"B60-20260417","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1007\/s10157-019-01730-9","article-title":"Analysis of 2897 hospitalization events for patients with chronic kidney disease: results from CKD-JAC study","volume":"23","author":"Iimuro","year":"2019","journal-title":"Clin Exp Nephrol."},{"issue":"6","key":"B61-20260417","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1007\/s11897-018-0411-y","article-title":"Improving provider adherence to guideline recommendations in heart failure","volume":"15","author":"Di Palo","year":"2018","journal-title":"Curr Heart Fail Rep."},{"issue":"12","key":"B62-20260417","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.1001\/jamainternmed.2018.4749","article-title":"Association of angiotensin-converting enzyme inhibitor or angiotensin receptor blocker use with outcomes after acute kidney injury","volume":"178","author":"Brar","year":"2018","journal-title":"JAMA Intern Med."},{"issue":"1","key":"B63-20260417","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1186\/s12882-022-03048-3","article-title":"Potentially preventable hospitalizations and super-utilization of inpatient services among patients with chronic kidney disease in Hawai'i","volume":"23","author":"Prabhudesai","year":"2022","journal-title":"BMC Nephrol."},{"issue":"11","key":"B64-20260417","doi-asserted-by":"crossref","first-page":"2649","DOI":"10.1681\/ASN.2013111207","article-title":"Neighborhood socioeconomic status, race, and mortality in young adult dialysis patients","volume":"25","author":"Johns","year":"2014","journal-title":"J Am Soc Nephrol."},{"issue":"2","key":"B65-20260417","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.ekir.2020.10.014","article-title":"The role of place in disparities affecting black men receiving hemodialysis","volume":"6","author":"Golestaneh","year":"2021","journal-title":"Kidney Int Rep."},{"issue":"6","key":"B66-20260417","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1053\/j.ajkd.2020.05.019","article-title":"Community racial composition and hospitalization among patients receiving In-Center hemodialysis","volume":"76","author":"Golestaneh","year":"2020","journal-title":"Am J Kidney Dis."},{"issue":"2","key":"B67-20260417","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1159\/000479481","article-title":"Current state and future trends to optimize the care of chronic kidney disease in African Americans","volume":"46","author":"Harding","year":"2017","journal-title":"Am J Nephrol."},{"issue":"11","key":"B68-20260417","doi-asserted-by":"crossref","first-page":"e2344448","DOI":"10.1001\/jamanetworkopen.2023.44448","article-title":"Unstable housing and mortality among US veterans receiving dialysis","volume":"6","author":"Novick","year":"2023","journal-title":"JAMA Netw Open."},{"issue":"4","key":"B69-20260417","doi-asserted-by":"crossref","first-page":"547","DOI":"10.2215\/CJN.0000000657","article-title":"Food insecurity and risk of hospitalization among adults receiving in-center hemodialysis","volume":"20","author":"Taylor","year":"2025","journal-title":"Clin J Am Soc Nephrol."},{"issue":"3","key":"B70-20260417","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1111\/sdi.12675","article-title":"Decreasing hospitalizations in patients on hemodialysis: time for a paradigm shift","volume":"31","author":"Golestaneh","year":"2018","journal-title":"Semin Dial."},{"issue":"1","key":"B71-20260417","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1053\/j.ajkd.2019.06.007","article-title":"Patient navigation: addressing social challenges in dialysis patients","volume":"76","author":"Cervantes","year":"2020","journal-title":"Am J Kidney Dis."},{"issue":"12","key":"B72-20260417","doi-asserted-by":"crossref","first-page":"3141","DOI":"10.1681\/ASN.2014060614","article-title":"Rehospitalizations and emergency department visits after hospital discharge in patients receiving maintenance hemodialysis","volume":"26","author":"Harel","year":"2015","journal-title":"J Am Soc Nephrol."},{"issue":"3","key":"B73-20260417","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1038\/ki.2009.145","article-title":"Preventing repeat hospitalizations in dialysis patients: a call for action","volume":"76","author":"Plantinga","year":"2009","journal-title":"Kidney Int."},{"issue":"12","key":"B74-20260417","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1001\/jamainternmed.2022.5002","article-title":"Association between nephrologist ownership of dialysis facilities and clinical outcomes","volume":"182","author":"Lin","year":"2022","journal-title":"JAMA Intern Med."},{"issue":"7","key":"B75-20260417","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1002\/jhm.666","article-title":"Post-hospitalization transitions: examining the effects of timing of primary care provider follow-up","volume":"5","author":"Misky","year":"2010","journal-title":"J Hosp Med."},{"issue":"2","key":"B76-20260417","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1161\/HHF.0000000000000006","article-title":"Transitions of care in heart failure: a scientific statement from the American Heart Association","volume":"8","author":"Albert","year":"2015","journal-title":"Circ Heart Fail."},{"key":"B78-20260417","doi-asserted-by":"crossref","DOI":"10.1681\/ASN.0000000709","article-title":"Effect of peer mentorship on hospitalizations among patients receiving maintenance hemodialysis: a pragmatic randomized controlled trial","author":"Golestaneh","year":"2025","journal-title":"J Am Soc Nephrol."},{"issue":"1","key":"B79-20260417","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1053\/j.ajkd.2024.01.521","article-title":"Addressing housing issues among people with kidney disease: importance, challenges, and recommendations","volume":"84","author":"Novick","year":"2024","journal-title":"Am J Kidney Dis."},{"issue":"4","key":"B80-20260417","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1016\/j.xkme.2021.03.005","article-title":"Health-related social needs and kidney risk factor control in an urban population","volume":"3","author":"Novick","year":"2021","journal-title":"Kidney Med."},{"issue":"2","key":"B81-20260417","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1053\/j.ajkd.2024.06.015","article-title":"The need for culturally tailored CKD education in older Latino patients and their families","volume":"85","author":"Porteny","year":"2025","journal-title":"Am J Kidney Dis."},{"issue":"5","key":"B82-20260417","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1053\/j.ajkd.2022.10.012","article-title":"Consensus recommendations for sick day medication guidance for people with diabetes, kidney, or cardiovascular disease: a modified Delphi process","volume":"81","author":"Watson","year":"2023","journal-title":"Am J Kidney Dis."},{"issue":"12","key":"B84-20260417","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1136\/heartjnl-2018-314158","article-title":"Change in renal function associated with drug treatment in heart failure: national guidance","volume":"105","author":"Clark","year":"2019","journal-title":"Heart."},{"issue":"9","key":"B85-20260417","doi-asserted-by":"crossref","first-page":"100527","DOI":"10.1016\/j.xkme.2022.100527","article-title":"Medication holds in CKD during acute volume-depleting illnesses: a randomized controlled trial of a \u201cSick-Day\u201d protocol","volume":"4","author":"Fink","year":"2022","journal-title":"Kidney Med."},{"issue":"2","key":"B86-20260417","doi-asserted-by":"crossref","first-page":"231","DOI":"10.2215\/CJN.06790617","article-title":"Medication therapy management after hospitalization in CKD: a randomized clinical trial","volume":"13","author":"Tuttle","year":"2018","journal-title":"Clin J Am Soc Nephrol."},{"issue":"9","key":"B87-20260417","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.34067\/KID.0003672021","article-title":"Post-discharge mortality and rehospitalization among participants in a comprehensive acute kidney injury rehabilitation program","volume":"2","author":"Singh","year":"2021","journal-title":"Kidney360."},{"issue":"6","key":"B88-20260417","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1159\/000477325","article-title":"Right TraC\u2122 post-hospitalization care transitions program to reduce readmissions for hemodialysis patients","volume":"45","author":"Wingard","year":"2017","journal-title":"Am J Nephrol."},{"issue":"7","key":"B89-20260417","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.2215\/CJN.01760210","article-title":"Dry-weight: a concept revisited in an effort to avoid medication-directed approaches for blood pressure control in hemodialysis patients","volume":"5","author":"Agarwal","year":"2010","journal-title":"Clin J Am Soc Nephrol."},{"key":"B90-20260417","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.ajem.2021.02.035","article-title":"Fast track dialysis: improving emergency department and hospital throughput for patients requiring hemodialysis","volume":"45","author":"O'Donnell","year":"2021","journal-title":"Am J Emerg Med."},{"issue":"9","key":"B91-20260417","doi-asserted-by":"crossref","first-page":"2079","DOI":"10.1681\/ASN.2013080879","article-title":"Physician visits and 30-day hospital readmissions in patients receiving hemodialysis","volume":"25","author":"Erickson","year":"2014","journal-title":"J Am Soc Nephrol."},{"issue":"11","key":"B92-20260417","first-page":"e326","article-title":"CKD quality improvement intervention with PCMH integration: health plan results","volume":"25","author":"Vassalotti","year":"2019","journal-title":"Am J Manag Care."},{"issue":"6","key":"B93-20260417","doi-asserted-by":"crossref","first-page":"1613","DOI":"10.1007\/s11606-020-06272-5","article-title":"A system-wide population health value approach to reduce hospitalization among chronic kidney disease patients: an observational study","volume":"36","author":"Gupta","year":"2021","journal-title":"J Gen Intern Med."},{"issue":"3","key":"B94-20260417","doi-asserted-by":"crossref","first-page":"278","DOI":"10.3747\/pdi.2012.00268","article-title":"Effects of post-discharge nurse-led telephone supportive care for patients with chronic kidney disease undergoing peritoneal dialysis in China: a randomized controlled trial","volume":"34","author":"Li","year":"2014","journal-title":"Perit Dial Int."},{"issue":"9","key":"B95-20260417","doi-asserted-by":"crossref","first-page":"1486","DOI":"10.1377\/hlthaff.2019.01793","article-title":"The beneficial effects of medicare advantage special needs plans for patients with end-stage renal disease","volume":"39","author":"Powers","year":"2020","journal-title":"Health Aff (Millwood)."},{"issue":"9","key":"B96-20260417","doi-asserted-by":"crossref","first-page":"e262","DOI":"10.37765\/ajmc.2023.89428","article-title":"Predicting hospitalizations for patients with chronic kidney disease","volume":"29","author":"Karpinski","year":"2023","journal-title":"Am J Manag Care."},{"issue":"13","key":"B97-20260417","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1056\/NEJMoa2311708","article-title":"Pragmatic trial of hospitalization rate in chronic kidney disease","volume":"390","author":"Vazquez","year":"2024","journal-title":"N Engl J Med."},{"issue":"8","key":"B98-20260417","doi-asserted-by":"crossref","first-page":"100511","DOI":"10.1016\/j.xkme.2022.100511","article-title":"Effectiveness of a web-based provider communications platform in reducing hospital readmissions among patients receiving dialysis: a pilot pre-post study","volume":"4","author":"Plantinga","year":"2022","journal-title":"Kidney Med."},{"issue":"1","key":"B99-20260417","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jchf.2019.07.012","article-title":"The hospital readmissions reduction program: nationwide perspectives and recommendations: a JACC: heart failure position paper","volume":"8","author":"Psotka","year":"2020","journal-title":"JACC Heart Fail."},{"issue":"3","key":"B100-20260417","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1056\/NEJMsa1801569","article-title":"Evaluation of medicare's bundled payments initiative for medical conditions","volume":"379","author":"Joynt Maddox","year":"2018","journal-title":"N Engl J Med."},{"issue":"5","key":"B101-20260417","doi-asserted-by":"crossref","first-page":"2341","DOI":"10.1111\/poms.13724","article-title":"Impact of the hospital readmission reduction program on hospital readmission and mortality: an economic analysis","volume":"31","author":"Qiu","year":"2022","journal-title":"Prod Operations Manag."},{"issue":"4","key":"B102-20260417","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1177\/1077558718795733","article-title":"The financial impact of an avoided readmission for teaching and safety-net hospitals under medicare's hospital readmission reduction program","volume":"77","author":"Hoffman","year":"2020","journal-title":"Med Care Res Rev."},{"key":"B103-20260417","doi-asserted-by":"crossref","first-page":"m1780","DOI":"10.1136\/bmj.m1780","article-title":"Spending and quality after three years of Medicare's bundled payments for medical conditions: quasi-experimental difference-in-differences study","volume":"369","author":"Rolnick","year":"2020","journal-title":"BMJ."},{"issue":"1","key":"B104-20260417","doi-asserted-by":"crossref","first-page":"190","DOI":"10.2215\/CJN.02770315","article-title":"Quality measurement in wonderland: the curious case of a dialysis readmissions measure","volume":"11","author":"Fishbane","year":"2016","journal-title":"Clin J Am Soc Nephrol."},{"issue":"2","key":"B105-20260417","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1053\/j.ajkd.2016.08.033","article-title":"Hemodialysis hospitalizations and readmissions: the effects of payment reform","volume":"69","author":"Erickson","year":"2017","journal-title":"Am J Kidney Dis."},{"issue":"2","key":"B106-20260417","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1007\/s10198-023-01582-x","article-title":"Pay-for-performance programs effectiveness in healthcare: the case of the end-stage renal disease quality incentive program","volume":"25","author":"Piri","year":"2024","journal-title":"Eur J Health Econ."},{"issue":"10","key":"B108-20260417","doi-asserted-by":"crossref","first-page":"1467","DOI":"10.2215\/CJN.11250821","article-title":"Value-based kidney care: a recipe for success","volume":"16","author":"Tummalapalli","year":"2021","journal-title":"Clin J Am Soc Nephrol."},{"issue":"6","key":"B109-20260417","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1001\/jamainternmed.2020.0562","article-title":"Association of the comprehensive end-stage renal disease care model with medicare payments and quality of care for beneficiaries with end-stage renal disease","volume":"180","author":"Marrufo","year":"2020","journal-title":"JAMA Intern Med."},{"issue":"10","key":"B110-20260417","doi-asserted-by":"crossref","first-page":"1522","DOI":"10.2215\/CJN.04020321","article-title":"Organizational characteristics associated with high performance in medicare's comprehensive end-stage renal disease care initiative","volume":"16","author":"Drewry","year":"2021","journal-title":"Clin J Am Soc Nephrol."},{"issue":"2","key":"B112-20260417","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1001\/jama.2023.23649","article-title":"Social risk and dialysis facility performance in the first year of the ESRD treatment choices model","volume":"331","author":"Koukounas","year":"2024","journal-title":"JAMA."}],"container-title":["Clinical Journal of the American Society of Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2215\/CJN.0000000879","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T13:47:09Z","timestamp":1786369629000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2215\/CJN.0000000879"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,2]]},"references-count":104,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2215\/cjn.0000000879","relation":{},"ISSN":["1555-9041","1555-905X"],"issn-type":[{"value":"1555-9041","type":"print"},{"value":"1555-905X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,2]]}}}