Table 3.
Baseline characteristics of patients stratified by race/ethnicity treated with home HD at the time of initiation of home HD
Variable | White | Black | Hispanic | Asian | Other |
---|---|---|---|---|---|
No. of subjects | 1,753 | 525 | 139 | 61 | 58 |
Initial modality, %a | |||||
In-center HD | 65 | 74 | 71 | 58 | 67 |
PD | 3 | 5 | 3 | 0 | 0 |
Home HD | 31 | 21 | 26 | 42 | 33 |
Interval from start of dialysis to treatment with modality, d | 243 [85–489] | 375 [158–697] | 291 [112–789] | 224 [45–459] | 320 [111–648] |
Age, yr | 55±14 | 47±12 | 47±15 | 48±15 | 51±15 |
Men, % | 65 | 68 | 67 | 62 | 72 |
Primary health insurance, % | |||||
Medicare | 41 | 33 | 39 | 38 | 52 |
Medicaid | 3 | 4 | 5 | 5 | 5 |
Initially uninsured | 2 | 3 | 2 | 3 | 0 |
Veterans Affairs | 1 | 2 | 1 | 0 | 0 |
Otherb | 53 | 58 | 53 | 54 | 43 |
Cause of ESRD, % | |||||
Diabetes | 35 | 30 | 41 | 39 | 43 |
Hypertension | 18 | 38 | 19 | 18 | 28 |
Glomerular disease | 18 | 20 | 19 | 28 | 7 |
Other | 29 | 12 | 21 | 15 | 22 |
H/o previous transplant, % | 6 | 7 | 5 | 7 | 2 |
Comorbidities, % | |||||
Diabetes | 60 | 60 | 66 | 62 | 60 |
Hypertension | 70 | 85 | 68 | 75 | 69 |
Congestive heart failure | 50 | 50 | 51 | 41 | 48 |
Atherosclerotic heart disease | 27 | 25 | 31 | 30 | 19 |
Other cardiovascular | 23 | 20 | 23 | 25 | 14 |
Dyslipidemia | 44 | 46 | 41 | 48 | 33 |
Access type at start of home HD | |||||
Central venous catheter | 25 | 19 | 23 | 18 | 19 |
AV fistula | 59 | 61 | 63 | 64 | 67 |
AV graft | 8 | 13 | 8 | 11 | 5 |
Unknown | 8 | 7 | 6 | 7 | 9 |
Baseline body mass index, kg/m2 | 30±8 | 30±8 | 29±7 | 26±5 | 29±7 |
Laboratory variables from first 91-d period of treatment with home HD | |||||
Hemoglobin, g/dl | 11.2±1.3 | 11.0±1.3 | 11.4±1.3 | 11.1±1.0 | 11.0±1.3 |
Iron saturation, % | 25 [20–33] | 26 [21–32] | 27 [23–32] | 25 [21–33] | 25 [22–31] |
Serum ferritin, ng/ml | 351 [192–594] | 403 [244–644] | 370 [206–640] | 343 [167–662] | 316 [140–678] |
Serum albumin, g/dl | 3.9±0.5 | 4.0±0.4 | 4.1±0.4 | 4.0±0.4 | 4.0±0.4 |
Urea reduction ratio, % | 42±9 | 40±8 | 42±8 | 44±10 | 42±11 |
Serum calcium, mg/dl | 8.9±0.6 | 8.9±0.6 | 8.9±0.6 | 8.7±0.6 | 8.9±0.6 |
Serum phosphorous, mg/dl | 5.1±1.2 | 5.0±1.1 | 5.2±1.2 | 5.5±1.2 | 5.1±1.3 |
Parathyroid hormone, pg/ml | 305 [191–477] | 502 [319–742] | 346 [195–493] | 425 [259–644] | 290 [189–443] |
Alkaline phosphatase, IU/L | 79 [62–106] | 78 [63–103] | 77 [65–105] | 80 [61–118] | 73 [60–107] |
Hemoglobin A1C, % | 6.7 [5.8–7.8] | 6.8 [5.8–8.4] | 6.5 [5.7–7.8] | 6.5 [5.7–7.9] | 6.1 [5.7–7.0] |
Potassium, mEq/L | 4.4±0.6 | 4.3±0.6 | 4.4±0.6 | 4.6±0.5 | 4.4±0.5 |
Bicarbonate, mEq/L | 24±2 | 24±3 | 23±2 | 23±3 | 23±3 |
iv Medications in first 91-d period of treatment with home HD | |||||
Cumulative iron, mg/mo | 0 [0–300] | 50 [0–400] | 0 [0–200] | 100 [0–200] | 200 [0–400] |
ESA median week dose, units | 5097 [1650–12,099] | 4872 [1941–11,880] | 5371 [2200–11,611] | 2438 [0–8800] | 4180 [1532–11,313] |
Geographic location, % | |||||
Northeast | 17 | 15 | 13 | 13 | 21 |
Midwest | 28 | 24 | 12 | 20 | 9 |
West | 20 | 8 | 40 | 48 | 47 |
South | 35 | 53 | 35 | 20 | 24 |
Year of incidence, % | |||||
2007 | 24 | 30 | 36 | 16 | 28 |
2008 | 27 | 22 | 24 | 36 | 26 |
2009 | 22 | 27 | 15 | 25 | 17 |
2010 | 18 | 14 | 14 | 13 | 17 |
2011 | 10 | 7 | 11 | 10 | 12 |
Data are presented as means±SDs, medians [interquartile ranges], or proportions where appropriate. H/o, history of; AV, arteriovenous; ESA, eryhropoiesis stimulating agents.
Of patients with an assigned modality during the first 91-day period of dialysis (n=1896).
Includes Medicare Advantage plans, managed care Medicaid, and employer–based health insurance.