Table 3.
Adjusted hazards ratios for outcomes on dialysis therapy, patients with ADPKD (n = 23,772)
Group | Reference | Death | Listing | Transplant |
---|---|---|---|---|
27.9 %/4.3 years | 53 %/1.8 years | 35.7 %/2.9 years | ||
Initial RRT 2006-2010 | 2001-2005 | 0.86 (0.81-0.92) | 0.99 (0.95-1.04)a | 0.86 (0.82-0.9) |
Age 40-64 yrs. | < 40 | 1.76 (1.52-2.03) | 0.88 (0.81-0.94) | 0.92 (0.86-1)b |
Age ≥ 65 yrs. | < 40 | 7.19 (6.22-8.31) | 0.21 (0.19-0.23) | 0.26 (0.23-0.29) |
Female sex | Male | 0.86 (0.81-0.9) | 0.96 (0.92-1.01)a | 0.93 (0.89-0.97)c |
African American race | White | 1 (0.93-1.08)a | 0.77 (0.71-0.82) | 0.45 (0.41-0.48) |
Other race | White | 0.7 (0.61-0.81) | 1.06 (0.95-1.19)a | 0.68 (0.61-0.77) |
Hispanic ethnicity | Non-Hispanic | 0.73 (0.66-0.81) | 0.96 (0.89-1.03)a | 0.54 (0.5-0.59) |
Ischemic heart disease | Absent | 1.69 (1.58-1.81) | 0.61 (0.55-0.67) | 0.58 (0.53-0.65) |
Diabetes | Absent | 1.52 (1.4-1.64) | 0.69 (0.63-0.76) | 0.53 (0.48-0.59) |
Peritoneal dialysis | Hemodialysis | 0.66 (0.61-0.72) | 1.34 (1.26-1.42) | 1.21 (1.15-1.28) |
Preemptive transplant | ||||
Living donor | Hemodialysis | 0.13 (0.10-0.16)c | - | - |
Deceased donor | Hemodialysis | 0.21 (0.16-0.29)c | - | - |
Nephrology care ≤ 12 mo.d | ≥12 | 1.09 (1.02-1.16)c | 0.87 (0.82-0.92) | 0.69 (0.65-0.73) |
eGFR > 15 mL/min/1.73 m2 | ≤15 | 1.76 (1.57-1.98) | 0.74 (0.65-0.85) | 0.73 (0.63-0.84) |
BMI ≥ 30 kg/m2 | < 30 | 0.84 (0.79-0.89) | 0.97 (0.92-1.02)a | 0.8 (0.76-0.85) |
Albumin < 3.5 g/dL | ≥ 3.5 | 1.86 (1.76-1.97) | 0.67 (0.63-0.72) | 0.68 (0.64-0.73) |
Hemoglobin ≥ 9 g/dL | < 9.0 | 0.87 (0.82-0.92) | 1.22 (1.15-1.29) | 1.19 (1.13-1.26) |
Note: Hazards ratios are adjusted for age, sex, race, and ethnicity and are presented with 95% confidence intervals in parentheses. P ≥ 0.05 unless otherwise indicated. ADPKD, autosomal dominant polycystic kidney disease; BMI, body mass index; eGFR, estimated glomerular filtration rate; RRT, renal replacement therapy.
0.01 ≤P value < 0.05.
0.001 ≤P value< 0.01.
P value < 0.001.
Information available for 58.9% of the cohort (n = 14,002).