Table 4.
Multivariable-adjusted hazard ratios for rate of waitlisting (step 1) and rate of deceased donor transplant among waitlisted patients (step 2) by race and age group
| Hazard ratios (95% confidence intervals) | ||
|---|---|---|
| Transplant steps | Age 0–17 | Age 18–20 |
| Steps 1 and 2: Overall time from ESRD start to deceased donor transplantation1 | ||
| Black versus white | ||
| Model 1: Crude | 0.89 (0.80–0.98) | 0.51 (0.42–0.62) |
| Model 2: clinical + demographic factors | 0.88 (0.79–0.98) | 0.55 (0.45–0.68) |
| Model 3: clinical + demographic + SES factors | 0.90 (0.80–1.00) | 0.60 (0.48–0.75) |
| Hispanic versus white | ||
| Model 1: Crude | 0.94 (0.85–1.03) | 0.45 (0.37–0.56) |
| Model 2: clinical + demographic factors | 0.91 (0.82–1.01) | 0.59 (0.47–0.75) |
| Model 3: clinical + demographic + SES factors | 0.91 (0.81–1.02) | 0.62 (0.48–0.79) |
| Step 1: time from ESRD start to waitlisting1 | ||
| Black versus white | ||
| Model 1: Crude | 0.94 (0.87–1.02) | 0.72 (0.65–0.81) |
| Model 2: clinical + demographic factors | 0.92 (0.85–1.01) | 0.78 (0.68–0.84) |
| Model 3: clinical + demographic + SES factors | 0.92 (0.84–1.01) | 0.84 (0.74–0.96) |
| Hispanic versus white: (pooled estimates N/A)* | ||
| Step 2: time from waitlisting to deceased donor transplantation2 | ||
| Black versus white | ||
| Model 1: Crude | 0.84 (0.76–0.93) | 0.53 (0.44–0.64) |
| Model 2: clinical + demographic factors | 0.92 (0.83–1.02) | 0.60 (0.50–0.81) |
| Model 3: clinical + demographic + SES factors | 0.89 (0.80–0.99) | 0.61 (0.49–0.76) |
| Hispanic versus white | ||
| Model 1: Crude | 0.79 (0.71–0.87) | 0.52 (0.42–0.64) |
| Model 2: clinical + demographic factors | 0.98 (0.88–1.09) | 0.65 (0.50–0.85) |
| Model 3: clinical + demographic + SES factors | 0.97 (0.86–1.08) | 0.66 (0.51–0.86) |
*
Multivariable p-value for interaction between race and insurance p < 0.05 for both age groups.
1
Model 2 adjusted for age, sex, ESRD etiology, BMI, Share 35 era, OPO region, blood type, ESA, albumin and hemoglobin. Model 3 adjusted for all factors in Model 2 plus zip code poverty and insurance.
2
Model 2 adjusted for age, sex, ESRD etiology, BMI, Share 35 era, OPO region, blood type, ESA, albumin, hemoglobin and PPRA. Model 3 adjusted for all factors in Model 2 plus zip code poverty and insurance.