Table 3. Association Between Characteristics at Time of Dialysis Initiation and Cardiovascular Disease–Related Causes of Death in Children vs Young Adults by Decade of Follow-up.
Risk factor | Young adults, SHR (95% CI) | Children, SHR (95% CI) | ||
---|---|---|---|---|
1995-2004 | 2005-2015 | 1995-2004 | 2005-2015 | |
Age at dialysis initiation per 1-y increase | 1.03 (1.02-1.04) | 1.01 (0.99-1.02) | 1.00 (0.97-1.02) | 0.92 (0.89-0.94) |
Female vs male patients | 1.17 (1.09-1.25) | 1.23 (1.13-1.34) | 1.25 (1.00-1.56) | 1.08 (0.80-1.47) |
Race | ||||
Non-Hispanic White | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] |
Black | 1.51 (1.39-1.64) | 1.30 (1.18-1.44) | 1.85 (1.43-2.39) | 1.38 (0.95-2.01) |
Hispanic White | 0.76 (0.67-0.86) | 0.78 (0.68-0.89) | 0.63 (0.44-0.91) | 0.85 (0.56-1.29) |
Asian | 0.92 (0.74-1.14) | 0.70 (0.55-0.91) | 0.65 (0.28-1.50) | 1.22 (0.56-2.68) |
Median income | 1.00 (1.00-1.00) | 1.00 (1.00-1.00) | 1.00 (1.00-1.00) | 1.00 (1.00-1.00) |
Cause of ESKD vs cystic disease | ||||
GN | 1.00 (0.81-1.25) | 1.11 (0.82-1.51) | 1.03 (0.68-1.56) | 0.98 (0.54-1.79) |
Hypertension | 1.19 (0.95-1.50) | 1.14 (0.84-1.56) | 1.83 (1.01-3.31) | 2.55 (1.27-5.15) |
Diabetes | 1.64 (1.24-2.16) | 1.47 (1.05-2.05) | 1.08 (0.30-3.86) | 1.11 (0.31-4.01) |
Comorbidities at ESKD onset | ||||
CAD | 1.58 (1.30-1.91) | 1.39 (1.08-1.80) | 7.81 (3.55-17.2) | 1.85 (0.74-4.65) |
CHF | 1.54 (1.39-1.70) | 1.72 (1.53-1.94) | 3.37 (2.28-4.98) | 5.09 (2.82-9.17) |
Stroke | 1.64 (1.32-2.05) | 1.53 (1.20-1.94) | 1.94 (0.84-4.44) | 0.94 (0.30-2.91) |
Hypertension | 0.91 (0.84-0.99) | 1.00 (0.90-1.12) | 1.09 (0.86-1.38) | 1.39 (0.98-1.97) |
Diabetes | 1.55 (1.29-1.86) | 2.16 (1.83-2.55) | 1.53 (0.65-3.55) | 2.81 (1.38-5.70) |
Calendar year per 1-y increase | 1.00 (0.99-1.01) | 0.94 (0.92-0.95) | 0.97 (0.93-1.01) | 0.86 (0.81-0.90) |
Abbreviations: CAD, coronary artery disease; CHF, congestive heart failure; ESKD, end-stage kidney disease; GN, glomerulonephritis; SHR, sub-hazard ratio.