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Discussion

Dialysis system in US?

Dear all,

Can someone explain me how does the amercian dialysis system work?

Are dialysis provided by private companies or public?

Thanks for your answers

  • Quote

    • Featured Replies

    • Expert

    Private, investor-owned companies own the vast majority of the outpatient dialysis centers in the US. Sometimes you will find a dialysis unit inside a publicly-owned hospital. However, most hemodialysis treatments are performed at centers owned by corporate shareholders.

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    • Author

    I found a list of some :

    -Davita

    -Fresnius

    -Dialysis corporation of america

    -DCI

    -KRU

    -Liberty

    -FMC

    -Renal care group

    are they the main players? Do you have other names in mind?

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    • Expert

    Davita and Fresenius are the big players.

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    • Author

    Do you know if these groups use their own prefilled syringe of saline flush solution or they use famous brand like excelsior, covidien, hospira...?

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    • Expert

    No prefilled syringes, the RNs and techs fill the syringes themselves.

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    • Author

    What is RNs?

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    • Author

    Are you saying that dialysis centers in the US do not use prefilled syringes? Why? Will it chnage in the future?

    What tye of containers they use to fill syringes (vials or bags), which one is the more widespread?

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    • Expert

    RN - registered nurse. No, I would highly doubt if dialysis will ever use prefilled syringes as they are more expensive than having staff fill them. The staff fills them from 25ml bottles.

  • Quote

    We fill syringes from the liter bag of normal saline.

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