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To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

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Kidney Week

Abstract: SA-PO647

Evaluating the Impact of the Advancing American Kidney Health Executive Order on Global Search Interest: An Interrupted Time Series Analysis

Session Information

  • Home Dialysis - II
    November 04, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
    Abstract Time: 10:00 AM - 12:00 PM

Category: Dialysis

  • 802 Dialysis: Home Dialysis and Peritoneal Dialysis

Authors

  • Shah, Ankur, Brown University Warren Alpert Medical School, Providence, Rhode Island, United States
  • Chou, Roger, Brown University Warren Alpert Medical School, Providence, Rhode Island, United States
  • Hu, Susie L., Brown University Warren Alpert Medical School, Providence, Rhode Island, United States
  • Raker, Christina A., Brown University Warren Alpert Medical School, Providence, Rhode Island, United States
Background

AAKH aimed to improve kidney health outcomes by transforming the kidney care landscape. Understanding the general impact of such policy interventions is crucial for public health surveillance and policy planning.

Methods

We conducted a retrospective analysis using Google Trends data from for two time periods: January 1, 2013 to December 31, 2018, and January 1 2019 to December 31, 2021. Search interest data were extracted using relevant keywords related to kidney health and care. An interrupted time series analysis was performed to assess the impact of the AAKH executive order on global search interest trends. Segmentation was conducted at the time of policy implementation (July 2019) to compare pre- and post-intervention periods.

Results

Overall, interest in home dialysis, home hemodialysis, and peritoneal dialysis were steadily increasing in both the USA and globally. In the USA and globally, relative interest in peritoneal dialysis outweighed home hemodialysis. Home hemodialysis had the greatest variability in RSV with 2014 and 2015 had zero RSVs, leading to the observed dip in the lowess curve.

Conclusion

AAKH has not increased awareness of home dialysis beyond the nephrology community. More steps must be taken to raise awareness and understanding of home dialysis.

Comparison of USA vs. Global changes in trends pre- and post-AAKH by segmented linear regression.

USA trends in relative search volume, 2012-2021

Funding

  • Clinical Revenue Support