Table 3. Hazard ratios of death and composite endpoint for mid (34.5 to <39.0%) versus low (30.0 to <34.5%) hematocrit target treatment strategies, USRDS 2006-2008.
| Intention-to-treat analysis* | All patients | Patients with Hct >30% at baseline | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Patient months | Events | HR | 95% CI | Patient months | Events | HR | 95% CI | |||
| Death only | ||||||||||
| Low Hct | 79,240 | 2,292 | 1 (ref.) | 68,225 | 1,808 | 1 (ref.) | ||||
| Mid Hct | 86,828 | 2,738 | 1.05 | 0.99 | 1.11 | 79,258 | 2,295 | 1.07 | 1.01 | 1.14 |
| Composite | ||||||||||
| Low Hct | 74,809 | 3,281 | 1 (ref.) | 64,484 | 2,662 | 1 (ref.) | ||||
| Mid Hct | 84,311 | 3,825 | 1.03 | 0.98 | 1.08 | 74,721 | 3,244 | 1.04 | 0.99 | 1.09 |
|
| ||||||||||
| Per-protocol analysis∼ | ||||||||||
| Death only | ||||||||||
| Low Hct | 17,849 | 683 | 1 (ref.) | 15,311 | 529 | 1 (ref.) | ||||
| Mid Hct | 29,811 | 1,044 | 0.98 | 0.78 | 1.24 | 26,998 | 904 | 1.02 | 0.79 | 1.32 |
| Composite | ||||||||||
| Low Hct | 17,295 | 948 | 1 (ref.) | 14,857 | 763 | 1 (ref.) | ||||
| Mid Hct | 28,556 | 1,484 | 1.00 | 0.81 | 1.24 | 25,893 | 1,285 | 1.01 | 0.81 | 1.26 |
USRDS: United States Renal Data System, Hct: hematocrit, HR: hazard ratio, CI: confidence interval.
Composite outcome is death or hospitalization for MI, stroke, or congestive heart failure
Adjusted for baseline variables including age at ESRD onset, race, gender, US geographic region, dialysis chain membership, predialysis epoetin use and hematocrit level, baseline hematocrit level, epoetin dose, and iron dose, baseline patient BMI, diabetes status, Charlson Index score, cardiovascular comorbidities, tobacco use, drug/alcohol dependence, chronic obstructive pulmonary disease, and other severe conditions including amputation, inability to ambulate, and inability to transfer.
Further adjusted (via inverse-probability weighting) for time-varying variables including hematocrit value, change in hematocrit, hospitalization, epoetin withhold, epoetin dose, and iron dose.