Table 2.
Variable | White | Black | Hispanic | Asian | Other |
---|---|---|---|---|---|
No. of subjects | 10,123 | 4094 | 2263 | 713 | 598 |
Initial modality, %a | |||||
In-center HD | 32 | 37 | 30 | 25 | 27 |
PD | 68 | 63 | 70 | 75 | 73 |
Home HD | <1 | <1 | 0 | 0 | 0 |
Interval from start of dialysis to treatment with modality, d | 31 [9–165] | 41 [11–214] | 27 [9–137] | 26 [9–136] | 23 [6–128] |
Age, yr | 59±15 | 51±14 | 50±16 | 55±16 | 54±15 |
Men, % | 60 | 48 | 56 | 53 | 57 |
Primary health insurance, % | |||||
Medicare | 49 | 42 | 45 | 38 | 43 |
Medicaid | 3 | 4 | 11 | 7 | 6 |
Initially uninsured | 3 | 4 | 5 | 4 | 4 |
Veterans Affairs | 1 | 1 | <1 | <1 | <1 |
Otherb | 44 | 50 | 39 | 51 | 47 |
Cause of ESRD, % | |||||
Diabetes | 39 | 36 | 50 | 35 | 49 |
Hypertension | 24 | 38 | 22 | 28 | 24 |
Glomerular disease | 16 | 16 | 14 | 23 | 15 |
Other | 21 | 10 | 13 | 14 | 12 |
H/o previous transplant, % | 3 | 2 | 2 | 3 | 2 |
Comorbidities, % | |||||
Diabetes | 61 | 63 | 70 | 60 | 68 |
Hypertension | 51 | 63 | 47 | 51 | 46 |
Congestive heart failure | 19 | 23 | 18 | 14 | 18 |
Atherosclerotic heart disease | 19 | 14 | 13 | 14 | 16 |
Other cardiovascular | 17 | 13 | 12 | 9 | 14 |
Dyslipidemia | 48 | 43 | 44 | 51 | 42 |
Baseline body mass index, kg/m2 | 28±6 | 29±7 | 27±6 | 24±4 | 28±6 |
Laboratory variables from first 91-d period of treatment with PD | |||||
Hemoglobin, g/dl | 11.6±1.3 | 11.2±1.4 | 11.4±1.3 | 11.5±1.3 | 11.4±1.4 |
Iron saturation, % | 27 [21–35] | 28 [22–35] | 28 [22–36] | 30 [24–40] | 27 [21–35] |
Serum ferritin, ng/ml | 286 [146–536] | 327 [165–612] | 273 [136–530] | 353 [183–637] | 294 [142–581] |
Serum albumin, g/dl | 3.7±0.5 | 3.6±0.5 | 3.6±0.5 | 3.7±0.5 | 3.7±0.5 |
Weekly total Kt/V | 2.5±0.8 | 2.4±0.8 | 2.5±0.8 | 2.6±0.8 | 2.6±0.8 |
Residual renal Kt/V | 1.1±0.8 | 0.9±0.8 | 0.9±0.8 | 1.0±0.8 | 1.0±0.8 |
Serum calcium, mg/dl | 8.9±0.6 | 8.7±0.7 | 8.6±0.7 | 8.8±0.7 | 8.7±0.7 |
Serum phosphorous, mg/dl | 5.0±1.3 | 5.0±1.3 | 5.2±1.3 | 5.1±1.2 | 5.0±1.2 |
Parathyroid hormone, pg/ml | 251 [152–397] | 414 [260–665] | 335 [220–511] | 284 [173–458] | 290 [194–456] |
Alkaline phosphatase, IU/L | 80 [64–104] | 82 [65–107] | 89 [70–115] | 74 [59–96] | 80 [65–105] |
Hemoglobin A1C, % | 6.8 [6.0–7.7] | 6.8 [5.9–7.8] | 6.9 [6.1–7.9] | 6.6 [5.9–7.6] | 6.8 [6.1–8.1] |
Potassium, mEq/L | 4.2±0.5 | 4.1±0.5 | 4.3±0.6 | 4.3±0.6 | 4.2±0.5 |
Bicarbonate, mEq/L | 25±3 | 25±3 | 24±3 | 24±3 | 24±3 |
4-h D/P creatinine ratio | 0.65±0.12 | 0.65±0.12 | 0.65±0.13 | 0.64±0.13 | 0.66±0.11 |
iv Medication from first 91-d period of treatment with PD | |||||
Cumulative iron, mg/mo | 0 [0–325] | 0 [0–300] | 100 [0–400] | 0 [0–300] | 0 [0–350] |
ESA median week dose, units | 4992 [1650–11,971] | 5648 [1886–13,514] | 5067 [1703–11,622] | 4840 [1400–11,000] | 4950 [1800–11,000] |
PD modality, % | |||||
Initial treatment with APD | 58 | 58 | 60 | 58 | 47 |
Ever treated with APD | 86 | 86 | 88 | 84 | 84 |
Geographic location, % | |||||
Northeast | 13 | 11 | 6 | 8 | 7 |
Midwest | 25 | 16 | 6 | 9 | 10 |
West | 20 | 10 | 48 | 60 | 48 |
South | 42 | 63 | 40 | 23 | 36 |
Year of incidence, % | |||||
2007 | 19 | 21 | 19 | 22 | 19 |
2008 | 20 | 20 | 19 | 19 | 22 |
2009 | 22 | 21 | 21 | 21 | 21 |
2010 | 23 | 23 | 23 | 22 | 21 |
2011 | 16 | 15 | 17 | 17 | 16 |
Data are presented as means±SDs, medians [interquartile ranges], or proportions where appropriate. H/o, history of; D/P, 4-hour dialysate to plasma ratio; ESA, eryhtropoiesis stimulating agents; APD, auotmoated peritoneal dialysis.
Of patients with an assigned modality during the first 91-day period of dialysis (n=15,706).
Includes Medicare Advantage plans, managed care Medicaid, and employer–based health insurance.