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. 2011 Jun;22(6):1113–1121. doi: 10.1681/ASN.2010111155

Table 2.

Results of the piecewise proportional hazards model for the relationship between dialysis modality and death

Adjustedb Time dependenta HR [95% CI] Univariate Time dependenta HR [95% CI] Adjustedb Time dependenta HR [95% CI] Adjustedb Time averagec HR [95% CI]
Overalld
    PD 1.0 PD 1.0 1.0 1.0
    HD 1.0 [1.0, 1.1] HD-CVC 1.7 [1.6, 1.7] 1.2 [1.1, 1.2] 1.2 [1.1 1.2]
HD-AVF/AVG 1.1 [1.0, 1.1] 0.8 [0.8, 0.9] 0.8 [0.8,0.9]
Year 1
    PD 1.0 PD 1.0 1.0 1.0
    HD 1.5 [1.4,1.7] HD-CVC 2.7 [2.4, 2.9] 1.8 [1.6, 1.9] 1.6 [1.5, 1.8]
HD-AVF/AVG 1.1 [1.0, 1.3] 0.9 [0.8, 1.1] 0.9 [0.8,1.1]
Year 2
    PD 1.0 PD 1.0 1.0 1.0
    HD 1.0 [0.9, 1.1] HD-CVC 1.5 [1.4, 1.6] 1.1 [1.0, 1.2] 1.4 [1.3, 1.5]
HD-AVF/AVG 0.9 [0.8, 1.0] 0.8 [0.7, 0.9] 0.8 [0.8,0.9]
Year 3
    PD 1.0 PD 1.0 1.0 1.0
    HD 0.8 [0.7, 0.9] HD-CVC 1.2 [1.1, 1.4] 0.9 [0.8, 1.0] 1.2 [1.2, 1.3]
HD-AVF/AVG 0.9 [0.8, 1.0] 0.7 [0.6, 0.8] 0.8 [0.7, 0.9]
Year 4
    PD 1.0 PD 1.0 1.0 1.0
    HD 0.8 [0.7,1.0] HD-CVC 1.3 [1.1, 1.5] 0.9 [0.8, 1.0] 1.2 [1.1, 1.2]
HD-AVF/AVG 1.1 [0.9, 1.3] 0.8 [0.7, 1.0] 0.8 [0.7,0.9]
Year 5
    PD 1.0 PD 1.0 1.0 1.0
    HD 0.8 [0.7, 0.9] HD-CVC 1.2 [1.1, 1.5] 0.9 [0.7, 1.0] 1.2 [1.1,1.2]
HD-AVF/AVG 1.1 [0.9, 1.3] 0.8 [0.7, 1.0] 0.8 [0.8,0.9]

aTime-dependent hazard ratios within each year were used to assess annual mortality risk.

bIntention to treat, adjusted for age, race, gender, era of dialysis initiation, end-stage renal disease comorbidity index, primary renal diagnosis, serum albumin, estimated glomerular filtration rate, province of treatment, and late referral.

cTime-averaged hazard ratios from a proportional hazards model were used to assess the cumulative treatment effect from day 0 through the end of years 1 to 5, respectively.

dOverall model and time average models constructed using 29,647 subjects using proportional hazards model, remainder of time-dependent models using nonproportional hazards model.