Table 2. Key Findings and Remaining Gaps in Literature by Outcome Category.

Outcome	Key Findings	What Remains Unknown
Prevalence	~ 0.4–0.6% of the ESRD population lives in NHs (data derived from 4 states, from 1990)	Current prevalence of ESRD in NHs and related facility characteristics
Survival Rates	1 year survival rate is 26–42% from NH admission New dialysis patients have lower survival rates Key predictors of survival: age and functional status	How survival compares to non-ESRD residents Modifiable risk factors of mortality
Nursing Home Discharge Disposition	% Discharged Home: 6–37% Hospitalization Rates for Resident on PD: 22–44 days per patient-year Key predictor of NH discharge: functional status	How disposition differs from non- ESRD residents and by dialysis modality
Functional Impairment	80% of ESRD residents have decline in ADLs and cognition 12 months after dialysis initiation	Modifiable risk factors of functional impairment in ESRD residents
Cognitive Impairment	90% of ESRD residents have decline in cognition 12 months after dialysis initiation	Modifiable risk factors of cognitive impairment in ESRD residents
Dialysis-Related Outcomes	Average Peritonitis Rate: 1 episode per 17 patient-months	Risk factors for peritonitis that are unique to NH residents
Advance Care Planning	36% have Do Not Attempt Resuscitation Orders 2–17% Withdraw From Dialysis	Extent of coordination of Advance Directives with Dialysis Units

Abbreviations: ESRD, end-stage renal disease; NH, nursing home; PD, peritoneal dialysis.