Table 1.
Characteristic | All Patients (n=82,993) | eGFR Reporting Cohort | ||
---|---|---|---|---|
Pre-Reporting (n=66,323) | Post-Reporting (n=16,670) | P Valuea | ||
Mean age ± SD (yr) | 71.5 ± 12.3 | 71.5 ± 12.2 | 71.3 ± 12.8 | 0.15 |
Age group, n (%) | <.001 | |||
<50 y | 4979 (6.0) | 3964 (6.0) | 1015 (6.1) | |
50–59 y | 11,059 (13.3) | 8707 (13.1) | 2352 (14.1) | |
60–69 y | 13,293 (16.0) | 10,267 (15.5) | 3026 (18.2) | |
70–79 y | 27,598 (33.3) | 22,725 (34.3) | 4873 (29.2) | |
≥80 y | 26,064 (31.4) | 20,660 (31.2) | 5404 (32.4) | |
Women, n (%) | 21,323 (25.7) | 16,604 (25.0) | 4719 (28.3) | <.001 |
Race, n (%)b | <.001 | |||
Black | 5290 (6.4) | 3977 (6.0) | 1313 (7.9) | |
White | 76,378 (92.0) | 61,306 (92.4) | 15,072 (90.4) | |
Other | 1325 (1.6) | 1040 (1.6) | 285 (1.7) | |
Married, n (%) | 49,767 (60.0) | 40,300 (60.8) | 9467 (56.8) | <.001 |
VA copayment exemption, n (%) | 55,950 (67.4) | 44,006 (66.4) | 11,944 (71.6) | <.001 |
Mean prior outpatient visits ±SDc | 13.7 ± 20.6 | 12.9 ± 19.6 | 16.8 ± 23.8 | <.001 |
Comorbid conditions, n (%) | ||||
Cancer | 11,291 (13.6) | 8753 (13.2) | 2538 (15.2) | <.001 |
Cerebrovascular disease | 8913 (10.7) | 6756 (10.2) | 2157 (12.9) | <.001 |
Chronic lung disease | 17,649 (21.3) | 13,461 (20.3) | 4188 (25.1) | <.001 |
Diabetes mellitus | 24,518 (29.5) | 18,754 (28.3) | 5764 (34.6) | <.001 |
Heart failure | 8561 (10.3) | 6477 (9.8) | 2084 (12.5) | <.001 |
Hypertension | 63,469 (76.5) | 50,185 (75.7) | 13,284 (79.7) | <.001 |
Myocardial infarction | 4233 (5.1) | 3292 (5.0) | 941 (5.6) | <.001 |
Peripheral vascular disease | 9887 (11.9) | 7595 (11.5) | 2292 (13.7) | <.001 |
eGFR, n (%) | <.001 | |||
45–59 ml/min per 1.73 m2 | 60,688 (73.1) | 48,747 (73.5) | 11,941 (71.6) | |
30–44 ml/min per 1.73 m2 | 18,542 (22.3) | 14,641 (22.1) | 3901 (23.4) | |
10–29 ml/min per 1.73 m2 | 3763 (4.5) | 2935 (4.4) | 828 (5.0) | |
Year eGFR reporting began, n (%) | <.001 | |||
2005 | 28,521 (34.4) | 22,482 (33.9) | 6039 (36.2) | |
2006 | 23,262 (28.0) | 18,512 (27.9) | 4750 (28.5) | |
2007 | 12,631 (15.2) | 10,353 (15.6) | 2278 (13.7) | |
2008 | 18,501 (22.3) | 14,925 (22.5) | 3576 (21.5) | |
2009 | 78 (0.1) | 51 (0.1) | 27 (0.2) |
eGFR, estimated GFR; VA, Veterans Affairs.
Statistical significance between the pre-reporting and post-reporting groups was measured with t tests for continuous variables and chi-square tests for dichotomous variables.
To identify patients with CKD detectable through laboratory testing (i.e., eGFR <60 ml/min per 1.73 m2), patients of unknown race (n=13,396 [16.1%]) were assigned to the category “white” for calculations of eGFR.
Prior outpatient visits were defined as the patient’s total number of VA outpatient visits during the 12 months before the creatinine index date.