Table 2.
APOR estimates for dually eligible (Medicare and Medicaid) dialysis patients with chronic atrial fibrillation
Characteristic | APOR | 95% CIs | P-value |
---|---|---|---|
Age >60 years | 3.54 | 3.27–3.84 | <0.0001 |
Male sex | 1.12 | 1.05–1.20 | 0.0005 |
Race/ethnicity | |||
Caucasian | — | — | — |
African American | 0.51 | 0.47–0.55 | <0.0001 |
Hispanic | 0.51 | 0.46–0.56 | <0.0001 |
Other | 0.71 | 0.62–0.81 | <0.0001 |
BMI category | |||
<20 kg/m2 | 1.01 | 0.89–1.15 | 0.87 |
20–24.9 kg/m2 | — | — | — |
25–29.9 kg/m2 | 1.20 | 1.10–1.31 | <0.0001 |
>30 kg/m2 | 1.47 | 1.35–1.59 | <0.0001 |
Smoker | 0.80 | 0.69–0.93 | 0.003 |
Substance abuser | 0.83 | 0.65–1.06 | 0.13 |
Employed | 0.87 | 0.74–1.03 | 0.12 |
Inability to ambulate | 1.28 | 1.10–1.50 | 0.002 |
Inability to transfer | 1.16 | 0.91–1.48 | 0.25 |
Comorbidities | |||
Hypertensiona | 0.79 | 0.72–0.87 | <0.0001 |
Diabetesa | 0.90 | 0.80–1.00 | 0.051 |
CAD | 1.29 | 1.20–1.39 | <0.0001 |
CHF | 1.56 | 1.45–1.67 | <0.0001 |
CVA | 1.11 | 1.00–1.22 | 0.055 |
PVD | 1.05 | 0.96–1.15 | 0.29 |
Cause of ESRD | |||
HTN vs. DMb | 1.26 | 1.13–1.41 | <0.0001 |
HTN vs. GNc | 1.11 | 0.98–1.270 | 0.12 |
HTN vs. Otherc | 1.10 | 0.99–1.22 | 0.089 |
DM vs. GNd | 0.88 | 0.76–1.03 | 0.13 |
DM vs. Otherd | 0.87 | 0.77–0.99 | 0.031 |
Other vs. GNe | 1.02 | 0.88–1.17 | 0.82 |
Self-care dialysis | 0.81 | 0.69–0.95 | 0.011 |
Hb <11.0 g/dl | 0.98 | 0.92–1.06 | 0.67 |
Abbreviations: APOR, adjusted prevalence odds ratio; BMI, body mass index; CAD, coronary artery disease; CHF, congestive heart failure; CI, confidence interval; CVA, cerebrovascular accident; DM, diabetes mellitus; ESRD, end-stage renal disease; GN, glomerulonephritis; Hb, hemoglobin; HTN, hypertension; PVD, peripheral arterial disease.
As patients were classified as having HTN, for analytic purposes, whether HTN was a cause of ESRD or was listed as a comorbidity on the CMS 2728 form, the APOR represents the association of HTN with chronic atrial fibrillation only in individuals who did not have HTN as the cause of ESRD. The APOR for DM is conceptually identical.
Among individuals with both HTN and DM as comorbidities.
Among individuals with HTN.
Among individuals with DM.
Among individuals irrespective of HTN or DM status.