Table 3.
Competing risks regression model for transition from CVC to AVF, graft (AVG), and either AVF or AVG stratified by the presence or absence of a maturing AVF/AVG at the time of initiating hemodialysis
Patient Characteristics | No Maturing Access in Place | Maturing Access in Place | ||||
---|---|---|---|---|---|---|
n=65,822 | n=8372 | |||||
AVF | AVG | AVF or AVG | AVF | AVG | AVF or AVG | |
Race/ethnicity (reference: white) | ||||||
Black | 0.90 | 1.82 | 1.17 | 0.80 | 1.71 | 0.98 |
[0.86 to 0.93] | [1.71 to 1.94] | [1.13 to 1.22] | [0.76 to 0.85] | [1.54 to 1.90] | [0.94 to 1.03] | |
Hispanic | 1.28 | 1.06 | 1.24 | 0.96 | 1.04 | 0.96 |
[1.22 to 1.36] | [0.97 to 1.17] | [1.18 to 1.30] | [0.89 to 1.04] | [0.88 to 1.22] | [0.90 to 1.03] | |
Other race | 1.30 | 1.39 | 1.38 | 0.99 | 1.38 | 1.09 |
[1.21 to 1.39] | [1.25 to 1.56] | [1.30 to 1.47] | [0.90 to 1.08] | [1.15 to 1.65] | [1.01 to 1.19] | |
Female sex (reference: male) | 0.80 | 1.49 | 0.96 | 0.83 | 1.47 | 0.95 |
[0.78 to 0.83] | [1.41 to 1.56] | [0.94 to 0.99] | [0.80 to 0.87] | [1.35 to 1.60] | [0.91 to 0.98] | |
Age category (reference: 66–70 yr) | ||||||
Age 71–75 | 0.94 | 1.07 | 0.98 | 0.99 | 1.05 | 1.01 |
[0.91 to 0.98] | [0.99 to 1.14] | [0.95 to 1.02] | [0.93 to 1.04] | [0.94 to 1.18] | [0.96 to 1.06] | |
Age 76–80 | 0.88 | 1.15 | 0.96 | 0.97 | 1.10 | 1.00 |
[0.85 to 0.92] | [1.07 to 1.24] | [0.92 to 0.99] | [0.92 to 1.03] | [0.97 to 1.23] | [0.95 to 1.06] | |
Age 81+ | 0.75 | 1.13 | 0.85 | 0.88 | 1.22 | 0.97 |
[0.72 to 0.78] | [1.06 to 1.21] | [0.82 to 0.88] | [0.83 to 0.94] | [1.09 to 1.38] | [0.92 to 1.02] | |
Received Pre-ESKD nephrology care (reference: no) | 1.18 | 1.23 | 1.24 | 1.16 | 0.98 | 1.13 |
[1.14 to 1.22] | [1.16 to 1.30] | [1.20 to 1.27] | [1.10 to 1.23] | [0.88 to 1.09] | [1.08 to 1.19] |
Exponentiated coefficients; 95% CIs in brackets. Covariates included age, race/ethnicity, sex, body mass index, peripheral arterial disease, congestive heart failure, atherosclerotic heart disease, other cardiac disease, diabetes, creatinine, GFR, pre-ESKD nephrology care, functional status, hospitalization within the past year, institutionalization, income, US Renal Data System network, rurality, and Medicaid enrollment. Standardized hazard ratios and 95% CIs reported.