Table 3.
Multivariable Analysis of Mortality Risk Factors after Transplantation Stratified by Organ Type.
Organ type | aHR | 95% CI | p Value |
---|---|---|---|
Heart* | |||
Within 2 years | |||
Medicare vs private | 1.18 | 1.07–1.30 | <.001 |
Medicaid vs private | 1.10 | 0.97–1.26 | 0.15 |
After 2 years‖ | |||
Medicare vs private | 1.39 | 1.20–1.60 | <.001 |
Medicaid vs private | 1.77 | 1.49–2.09 | <.001 |
Lung† | |||
Within 2 years | |||
Medicare vs private | 1.10 | 1.01–1.19 | 0.03 |
Medicaid vs private | 1.15 | 1.00–1.33 | 0.05 |
After 2 years‖ | |||
Medicare vs private | 1.18 | 1.06–1.31 | 0.004 |
Medicaid vs private | 1.44 | 1.20–1.72 | <.001 |
Liver‡ | |||
Medicare vs private | 1.24 | 1.18–1.30 | <.001 |
Medicaid vs private | 1.25 | 1.18–1.32 | <.001 |
Renal§ | |||
Medicare vs private | 1.36 | 1.30–1.42 | <.001 |
Medicaid vs private | 1.37 | 1.24–1.51 | <.001 |
adjusted for recipient age, race, gender, heart status, diabetes, hypertension, albumin, creatinine, and transplant year
adjusted for recipient age, race, gender, hypertension, albumin, creatinine, and transplant year
adjusted for age, race, gender, diabetes, hypertension, MELD, and transplant year
adjusted for age, race, gender, years on dialysis, diabetes, hypertension, creatinine, and transplant year
Model splined at 2 years post-transplant to account for violation of the proportional hazards assumption by the Medicare variable. Patients contributed time at risk for the first 2 years at which point they were censored if they were still alive. Those patients who died within 2 years only contributed time-at-risk until death date and were not included in the post-2 year estimate of risk. The post-2 year estimate includes only those who survived for more than 2 years post-transplant with time at risk beginning at 2 years and continuing until death or 5 years post-transplant.
aHR, adjusted hazard ratio