Table 1.
% (unless otherwise specified) | DFTC distance cohort | DFTC distance category (miles) | ||
---|---|---|---|---|
<10 | 10 to <50 | ≥50 | ||
No | 178 885 | 57 795 | 64 899 | 56 191 |
Age at dialysis initiation (y), mean (SD)a | 51.6 (12.9) | 51.3 (13.0) | 52.0 (12.8) | 51.5 (13.0) |
Sex, malea | 62.3 | 61.3 | 62.8 | 62.8 |
Race/ethnicitya | ||||
Asian | 6.9 | 7.7 | 8.1 | 4.7 |
Black | 30.2 | 38.9 | 26.8 | 25.2 |
Non-Hispanic White | 44.6 | 34.7 | 46.7 | 52.3 |
Hispanic White | 17.0 | 17.8 | 17.5 | 15.4 |
Other | 1.3 | 0.9 | 0.8 | 2.3 |
Dialysis typea | ||||
Hemodialysis | 83.2 | 82.3 | 84.6 | 82.5 |
Peritoneal dialysis | 16.8 | 17.6 | 15.4 | 17.5 |
Comorbidities | ||||
Inability to ambulate or transfer | 0.9 | 0.9 | 0.8 | 0.9 |
Diabetesa | 48.7 | 47.9 | 49.0 | 49.2 |
CHFa | 14.2 | 14.2 | 13.6 | 14.9 |
CADa | 9.8 | 9.5 | 9.3 | 10.6 |
CVAa | 4.1 | 4.0 | 4.0 | 4.3 |
PADa | 5.6 | 5.0 | 5.3 | 6.5 |
Drug dependencea | 0.6 | 0.8 | 0.5 | 0.6 |
Alcohol dependencea | 1.0 | 0.9 | 0.9 | 1.1 |
Smokera | 4.4 | 4.2 | 3.8 | 5.3 |
Dialysis facility to transplant centera | ||||
Distance (miles), median (IQR) | 20.5 (7.2-68.3) | 4.2 (1.6-7.0) | 20.9 (14.2-32.2) | 107.5 (73.2-185.9) |
Patient residence to transplant centera | ||||
Distance (miles), median (IQR) | 24.6 (9.7-72.1) | 7.1 (4.0-11.9) | 22.6 (14.5-34.7) | 105.1 (71.1-179.8) |
Rural/ urban categorya | ||||
Metropolitan | 85.9 | 96.4 | 91.7 | 68.4 |
Micropolitan | 7.9 | 1.9 | 5.3 | 17.3 |
Rural/small town | 6.1 | 1.7 | 3.0 | 14.3 |
Regiona | ||||
West | 24.4 | 18.6 | 27.4 | 26.9 |
Midwest | 19.5 | 20.3 | 18.5 | 19.8 |
South | 36.8 | 32.6 | 33.3 | 45.0 |
Northeast | 19.4 | 28.4 | 20.9 | 8.3 |
Insurance typea | ||||
None | 10.1 | 11.2 | 8.7 | 10.7 |
Medicare | 28.7 | 26.7 | 28.8 | 30.8 |
Medicaid | 13.6 | 16.2 | 12.3 | 12.4 |
Private | 46.6 | 45.2 | 49.9 | 44.2 |
VA | 0.9 | 0.7 | 0.3 | 1.9 |
Incomea | ||||
Median income ($1000), median (IQR) | 49.7 (38.9–65.2) | 48.4 (36.8–64.2) | 56.5 (44.5–73.1) | 44.6 (36.7–55.1) |
Dialysis facility factors | ||||
For-profita | 80.2 | 73.4 | 84.6 | 81.8 |
Facility size (number of patients), median (IQR)a | 92 (60–134) | 104 (68–152) | 90.0 (60–128) | 83 (53–121) |
aP < 0.05 for difference across DFTC categories using Pearson’s chi-squared, Kruskal-Wallis, or ANOVA tests.
CAD, coronary artery disease; CHF, congestive heart failure; CVA, cerebrovascular disease; DFTC, dialysis facility to transplant center; IQR, interquartile range; PAD, peripheral artery disease; SD, standard deviation; VA, Veterans Affairs.