Explores the availability of dialysis services in rural America including the prevalence of dialysis use across urban and rural counties, travel distance for services, and dialysis quality outcomes.

Include the following:

• The prevalence of dialysis use did not differ across urban versus rural counties.
• Rural residents travel further for dialysis services.
• Fewer expanded dialysis services (peritoneal dialysis, home hemodialysis training, and after-hours availability) were offered in rural areas.
• Dialysis quality outcomes were similar across rural and urban end stage renal disease facilities.