Table 2.
Changes in mortality of patients on dialysis from 2000 to 2013 by age, sex, race, cause of ESRD, and region
Characteristics | All-Cause Mortality | Predialysis Care | ||||||||||
Prevalent Patients | Incident Patients | Cardiovascular Mortality in Prevalent Patients | Diabetes as ESRD Cause | Nephrologist Care >12 mo | AVF Placement | |||||||
Change, %a | P Value | Change, %a | P Value | Change, %a | P Value | Change, %a | P Value | Change, %a | P Value | Change, %a | P Value | |
Overall model | −2.7 | <0.001 | −2.1 | <0.001 | −5.0 | <0.001 | −0.2 | <0.001 | 2.8 | <0.001 | 2.4 | <0.001 |
Age model | ||||||||||||
Age, yr | ||||||||||||
65–74 | −2.8 | — | −2.3 | — | −5.1 | — | −0.4 | — | 3.1 | — | 2.6 | — |
18–44 | −3.8 | <0.001 | −3.8 | 0.07 | −4.4 | 0.004 | 1.0 | <0.001 | 0.1 | <0.001 | 0.9 | <0.001 |
45–64 | −3.0 | <0.09 | −2.0 | 0.37 | −4.5 | <0.001 | −0.7 | 0.04 | 2.0 | <0.001 | 2.0 | 0.09 |
≥75 | −2.3 | <0.001 | −1.9 | 0.25 | −5.5 | 0.001 | 0.6 | <0.001 | 4.4 | <0.001 | 3.4 | 0.06 |
Sex model | ||||||||||||
Sex | ||||||||||||
Men | −2.8 | — | −2.1 | — | −5.0 | — | −0.2 | — | 2.8 | — | 2.5 | — |
Women | −2.9 | <0.001 | −2.3 | 0.32 | −5.3 | <0.001 | −0.5 | <0.001 | 2.7 | 0.52 | 3.2 | <0.001 |
Race model | ||||||||||||
Race | ||||||||||||
White | −2.6 | — | −1.8 | — | −5.2 | — | 0.0 | — | 2.8 | — | 2.3 | — |
Black | −3.0 | <0.001 | −3.2 | <0.001 | −4.7 | <0.001 | −0.5 | <0.001 | 2.9 | 0.95 | 3.2 | 0.002 |
Other | −3.0 | 0.004 | −1.9 | 0.87 | −4.6 | <0.01 | −1.4 | <0.001 | 1.2 | 0.002 | −0.9 | <0.001 |
ESRD model | ||||||||||||
ESRD cause | ||||||||||||
Diabetes | −3.1 | — | −2.9 | — | −4.9 | — | — | — | 3.1 | — | 2.6 | — |
HTN | −2.4 | <0.001 | −2.3 | 0.09 | −5.0 | 0.60 | — | — | 3.2 | 0.84 | 2.9 | 0.40 |
GN | −2.6 | <0.001 | −4.0 | 0.17 | −4.9 | 0.88 | — | — | 2.2 | 0.04 | 0.5 | <0.001 |
Other | −2.4 | <0.001 | −0.5 | <0.001 | −5.1 | 0.18 | — | — | 1.0 | <0.001 | 0.7 | <0.001 |
Region model | ||||||||||||
Region | ||||||||||||
West | −2.8 | — | −2.0 | — | −5.1 | — | −0.2 | — | 3.2 | — | 2.5 | — |
Northeast | −2.7 | 0.51 | −1.9 | 0.82 | −4.9 | 0.06 | 0.0 | 0.39 | 3.7 | 0.03 | 2.7 | 0.59 |
Midwest | −2.3 | <0.001 | −0.6 | <0.001 | −5.3 | 0.02 | −0.5 | 0.003 | 2.9 | 0.21 | 4.1 | <0.001 |
South | −2.6 | 0.003 | −2.7 | 0.001 | −4.5 | <0.001 | −0.5 | 0.001 | 1.8 | <0.001 | 2.0 | 0.02 |
Overall model is adjusted for age, sex, race, cause of ESRD, and region. Individual models are then constructed separately for each of these factors. AVF, arteriovenous fistula; —, referent or comparator group; HTN, hypertension.
Percentage relative annual change.