Table 3.
Multivariable association of characteristics with higher scores
| Nephrologist Rating (N = 3294) | Staff Rating (N = 3145) | Dialysis Facility Rating (N = 3153) | NCC Score (N = 3357) | DCO Score (N = 3238) | PIP Score (N = 3185) | |
|---|---|---|---|---|---|---|
| ICC | 0.07 | 0.09 | 0.07 | 0.03 | 0.06 | 0.03 |
| Age, per 5 years | 1.06 (1.02, 1.11) | 1.09 (1.04, 1.14) | 1.10 (1.05, 1.15) | 1.01 (0.98, 1.05) | 1.04 (0.99, 1.09) | 0.87 (0.84, 0.90) |
| Female | 1.00 (0.82, 1.21) | 0.85 (0.68, 1.05) | 0.82 (0.66, 1.02) | 1.18 (1.00, 1.38) | 0.89 (0.71, 1.12) | 1.03 (0.87, 1.22) |
| Race, black vs white | 1.06 (0.86, 1.31) | 0.91 (0.72, 1.16) | 0.88 (0.69, 1.11) | 1.11 (0.93, 1.32) | 0.87 (0.68, 1.12) | 0.81 (0.67, 0.98) |
| Race, other vs white | 0.72 (0.47, 1.11) | 0.98 (0.59, 1.62) | 0.93 (0.56, 1.56) | 0.79 (0.54, 1.16) | 0.64 (0.36, 1.13) | 1.32 (0.90, 1.93) |
| Ethnicity, Hispanic vs non-Hispanic | 1.19 (0.75, 1.88) | 0.94 (0.56, 1.57) | 1.19 (0.70, 2.04) | 0.95 (0.64, 1.41) | 1.19 (0.71, 1.97) | 0.74 (0.49, 1.11) |
| Insurance, Medicare/Medicaid vs Medicare only | 1.00 (0.79, 1.26) | 0.97 (0.75, 1.25) | 1.05 (0.81, 1.36) | 1.07 (0.88, 1.30) | 1.10 (0.84, 1.45) | 0.91 (0.74, 1.12) |
| Insurance, Medicaid only vs Medicare only | 0.99 (0.64, 1.53) | 1.70 (1.00, 2.86) | 1.16 (0.71, 1.90) | 0.96 (0.65, 1.42) | 1.24 (0.73, 2.10) | 0.86 (0.58, 1.28) |
| Insurance, Other vs Medicare only | 0.98 (0.78, 1.24) | 0.94 (0.72, 1.23) | 0.98 (0.75, 1.28) | 1.06 (0.87, 1.29) | 1.12 (0.86, 1.45) | 0.91 (0.74, 1.12) |
| Marital status, married vs single | 0.96 (0.75, 1.24) | 1.12 (0.85, 1.48) | 1.06 (0.80, 1.41) | 1.22 (0.98, 1.53) | 1.26 (0.92, 1.72) | 1.21 (0.96, 1.52) |
| Marital status, divorced/separated vs single | 0.97 (0.74, 1.26) | 0.97 (0.72, 1.29) | 0.94 (0.71, 1.26) | 1.16 (0.92, 1.45) | 1.08 (0.78, 1.50) | 1.00 (0.79, 1.27) |
| Marital status, widowed vs single | 1.18 (0.83, 1.69) | 1.38 (0.92, 2.06) | 1.32 (0.87, 2.00) | 1.07 (0.80, 1.43) | 1.16 (0.78, 1.73) | 1.23 (0.90, 1.67) |
| Education level, grade school vs college or more | 1.15 (0.79, 1.67) | 1.19 (0.77, 1.84) | 1.23 (0.79, 1.93) | 1.14 (0.84, 1.54) | 1.66 (1.12, 2.46) | 1.18 (0.86, 1.63) |
| Education level, high school vs college or more | 1.10 (0.91, 1.34) | 1.13 (0.91, 1.41) | 1.09 (0.88, 1.36) | 1.10 (0.93, 1.29) | 1.41 (1.11, 1.78) | 1.09 (0.92, 1.30) |
| English speaker | 0.20 (0.04, 0.87) | 0.94 (0.33, 2.70) | 0.85 (0.27, 2.69) | 1.46 (0.69, 3.09) | 1.76 (0.68, 4.59) | 1.32 (0.62, 2.84) |
| Hospitalization | 0.92 (0.69, 1.23) | 0.98 (0.70, 1.37) | 0.90 (0.64, 1.26) | 1.03 (0.80, 1.32) | 0.74 (0.51, 1.06) | 1.00 (0.77, 1.31) |
| Active on transplant waitlist | 1.23 (0.95, 1.61) | 1.07 (0.80, 1.42) | 0.91 (0.69, 1.21) | 1.24 (1.00, 1.55) | 0.68 (0.48, 0.95) | 1.36 (1.08, 1.70) |
| BMI, per 2 kg/m2 | 1.02 (1.00, 1.05) | 1.01 (0.98, 1.04) | 1.02 (0.99, 1.05) | 1.00 (0.98, 1.02) | 0.97 (0.95, 1.00) | 1.02 (0.99, 1.04) |
| Cause ESRD, diabetes vs. other | 0.88 (0.71, 1.09) | 1.02 (0.79, 1.30) | 0.98 (0.77, 1.26) | 0.92 (0.77, 1.11) | 0.93 (0.72, 1.19) | 1.05 (0.87, 1.28) |
| Cause ESRD, hypertension vs. other | 0.95 (0.75, 1.20) | 1.09 (0.84, 1.42) | 0.99 (0.76, 1.29) | 0.93 (0.77, 1.14) | 1.03 (0.79, 1.34) | 1.20 (0.98, 1.48) |
| Vascular access, catheter vs. fistula | 0.91 (0.70, 1.18) | 0.87 (0.65, 1.17) | 0.90 (0.67, 1.21) | 0.90 (0.72, 1.13) | 1.32 (0.99, 1.75) | 1.00 (0.79, 1.26) |
| Vascular access, graft vs. fistula | 1.00 (0.79, 1.25) | 1.11 (0.86, 1.44) | 1.21 (0.93, 1.57) | 0.92 (0.77, 1.11) | 0.98 (0.75, 1.27) | 1.18 (0.97, 1.44) |
| Hemoglobin, per 0.5 g/dL | 0.95 (0.92, 0.99) | 0.98 (0.94, 1.03) | 0.97 (0.93, 1.01) | 1.00 (0.96, 1.03) | 0.99 (0.95, 1.04) | 0.99 (0.96, 1.03) |
| Albumin, per 0.2 g/dL | 0.99 (0.94, 1.04) | 0.95 (0.89, 1.00) | 0.94 (0.89, 1.00) | 1.01 (0.97, 1.06) | 1.03 (0.97, 1.09) | 1.03 (0.99, 1.08) |
| Kt/V, per 0.2 | 1.03 (0.96, 1.11) | 1.04 (0.96, 1.13) | 1.09 (1.00, 1.18) | 1.09 (1.02, 1.15) | 1.06 (0.98, 1.15) | 0.95 (0.89, 1.02) |
| ESRD vintage, per 12 months | 1.01 (0.98, 1.05) | 0.97 (0.93, 1.01) | 0.97 (0.93, 1.00) | 1.00 (0.97, 1.03) | 0.95 (0.92, 0.99) | 0.99 (0.96, 1.02) |
| ESRD vintage > 12 months before current facility | 0.91 (0.71, 1.16) | 0.90 (0.69, 1.18) | 1.05 (0.80, 1.39) | 1.15 (0.93, 1.41) | 0.79 (0.58, 1.08) | 0.86 (0.69, 1.07) |
| Unexcused absences | 0.82 (0.64, 1.04) | 0.84 (0.64, 1.09) | 0.84 (0.64, 1.10) | 0.95 (0.76, 1.17) | 0.69 (0.50, 0.96) | 0.86 (0.69, 1.08) |
| Treatments shortened | 0.71 (0.59, 0.85) | 0.77 (0.63, 0.95) | 0.74 (0.60, 0.91) | 0.75 (0.64, 0.87) | 0.90 (0.73, 1.11) | 0.87 (0.74, 1.02) |
| Telephone administration vs mail | 1.51 (1.17, 1.94) | 1.70 (1.28, 2.27) | 1.91 (1.42, 2.58) | 1.21 (0.99, 1.48) | 1.96 (1.53, 2.51) | 1.43 (1.17, 1.75) |
Data shown as odds ratio (OR) (95% CI) adjusted for all other variables in the table. Odds ratio above 1.00 is associated with top box response. Associations with p < 0.01 are in bold. NCC Nephrologists’ Communication and Caring, DCO Quality of Dialysis Center Care and Operations, PIP Providing Information to Patients, ESRD End stage renal disease, BMI Body mass index; Kt/V: Measure of dialysis adequacy. Unexcused absence was defined as missing an entire HD treatment without rescheduling; shortened treatment was defined as treatments that were at least 15 min shorter than prescribed; hospitalization included hospital stays for any reason