Table 3.
Association of PD clinic size (>50 vs. ≤50 PD patients) with clinical outcomes
Outcome | Crude Rate | Model | |||
---|---|---|---|---|---|
Unadjusted | +Demographics | +Clinical | +Laboratory | ||
Switching Modality toHD | % switching | Relative Hazard (95% CI) | |||
≤50 PD patients | 37.5% | 1.00 (ref.) | 1.00 (ref.) | 1.00 (ref.) | 1.00 (ref.) |
>50 PD patients | 9.7% | 0.26 (0.14-0.50)* | 0.25 (0.13-0.48)* | 0.20 (0.10-0.42)* | 0.13 (0.06-0.31)* |
Cardiovascular Events | Incidence per pt-yr | Relative Hazard (95% CI) | |||
≤50 PD patients | 0.22 | 1.00 (ref.) | 1.00 (ref.) | 1.00 (ref.) | 1.00 (ref.) |
>50 PD patients | 0.12 | 0.54 (0.35-0.84)* | 0.45 (0.29-0.70)* | 0.57 (0.35-0.93)* | 0.61 (0.38-0.98)* |
Cardiovascular Mortality | Incidence per pt-yr | Relative Hazard (95% CI) | |||
≤50 PD patients | 0.09 | 1.00 (ref.) | 1.00 (ref.) | 1.00 (ref.) | 1.00 (ref.) |
>50 PD patients | 0.05 | 0.69 (0.33-1.44) | 0.63 (0.30-1.34) | 1.03 (0.45-2.34) | 1.05 (0.46-2.40) |
All-cause mortality | Incidence per pt-yr | Relative Hazard (95% CI) | |||
≤50 PD patients | 0.18 | 1.00 (ref.) | 1.00 (ref.) | 1.00 (ref.) | 1.00 (ref.) |
>50 PD patients | 0.15 | 0.91 (0.57-1.46) | 0.78 (0.48-1.26) | 1.31 (0.76-2.24) | 1.35 (0.78-2.35) |
Demographics: age, sex, and race; clinical: ICED score, diabetic status, and BMI; laboratory: albumin and creatinine.
P < 0.05.