Table 3.
Patient Sociodemographic and Clinical Predictors of Chronic Kidney Disease Care*
Kidney disease monitoring, % | Cardiovascular disease management, % | ||||||
---|---|---|---|---|---|---|---|
Predictor | Annual eGFR | Annual urine protein | ACE-I/ ARB use‡ | Blood pressure <130/80 mmHg | Annual LDL cholesterol | Statin use§ | LDL <100 mg/dl |
Patient age | |||||||
≤65 years | 89.2 | 20.7 | 68.9 | 56.9* | 73.7 | 39.2 | 38.7* |
>65 years | 88.5 | 20.0 | 71.5 | 52.9 | 75.8 | 43.1 | 46.1 |
Patient race | |||||||
Black | 87.9 | 22.7 | 73.3 | 46.1* | 72.4* | 41.3 | 32.3* |
Other race | 89.4 | 25.7* | 73.9 | 53.8 | 75.8 | 42.4 | 41.0* |
White (reference) | 89.1 | 19.5 | 70.4 | 54.6 | 75.5 | 41.8 | 45.6 |
Patient gender | |||||||
Male | 89.1 | 24.4* | 72.2 | 56.5* | 76.6* | 39.4 | 51.4* |
Female | 89.0 | 17.7 | 70.1 | 52.2 | 74.5 | 42.9 | 39.7 |
Insurance | |||||||
Medicare | 89.7 | 20.1 | 69.8* | 54.6 | 74.6 | 42.0 | 44.8 |
Medicaid | 90.1 | 23.3 | 76.5 | 48.6 | 82.9* | 42.4 | 48.5 |
Uninsured | 63.6* | 6.2* | 57.5* | 57.9 | 45.1* | 35.7 | 25.7* |
Commercial (reference) | 87.7 | 20.9 | 74.2 | 52.4 | 77.2 | 41.7 | 43.2 |
Comorbid conditions | |||||||
Diabetes | |||||||
Present | 92.8* | 76.1* | 81.7* | 57.0* | 85.6* | 65.6* | 66.0* |
Absent | 88.4 | 8.2 | 62.1 | 52.6 | 69.9 | 37.9 | 35.5 |
Hypertension | |||||||
Present | 91.9* | 23.8* | 73.5* | 50.1* | 78.4* | 47.5* | 48.2* |
Absent | 81.1 | 14.3 | 41.7 | 61.2 | 68.5 | 34.4 | 36.8 |
CAD† | |||||||
Present | 89.9* | 19.8 | 71.7 | 57.0* | 76.4* | 51.8* | 51.9* |
Absent | 88.2 | 20.5 | 70.1 | 50.9 | 74.3 | 37.1 | 37.1 |
*Percentages in bold indicate statistically significant differences with p <0.05 after adjusting for patient age, race, gender, insurance status, diabetes, hypertension, coronary artery disease, nephrology co-management and presence of CKD on the problem list
†Denotes coronary artery disease
‡Among 8,045 patients with coexisting diabetes, hypertension or microalbuminuria. ACE-I denotes angiotensin-converting enzyme inhibitor, ARB denotes angiotensin receptor blocker
§Use of HMG Co-A reductase inhibitors among 4,645 patients with LDL cholesterol >100 mg/dl