Choi, E. (2019). Assessing the Efficacy of Home-Based Renal Care Using Propensity Scores.

Abstract

This study investigated the efficacy of Home-Based Renal Care (HBRC) in diabetic Zuni Indians with Chronic Kidney Disease (CKD) in New Mexico using propensity scores. Home based intervention as opposed to standard clinical care is a pragmatic treatment approach that incorporates the preference of population in hopes of addressing a cultural barrier to healthcare in this high risk population. This study uses a logistic regression model and a linear regression model to estimate the average effect of HBRC on increasing the likelihood of participants taking a more active role in the management of their chronic condition compared to the control group. We used generalized estimating equations (GEE) to account for household clustering and stabilized inverse probability of treatment weighting (SIPTW) to reduce any estimate bias that may have been introduced.