Table 1.
Prior CVD (n = 89,920)a | Diabetes only (n = 46,032) | CKD only (n = 13,459) |
Diabetes and CKD (n = 13,319) |
|
---|---|---|---|---|
Age, years, mean (SD) | 77.1 (10.3) | 72.0 (11.3) | 81.1 (9.7) | 77.4 (8.9) |
Cohort, % | ||||
MarketScan | 8.2 | 18.9 | 3.5 | 4.1 |
Medicare | 91.8 | 81.1 | 96.5 | 95.9 |
Males, % | 53.3 | 50.1 | 44.6 | 45.4 |
Race/ethnicity, %b | ||||
Black, Non-hispanic | 5.5 | 9.0 | 7.7 | 11.7 |
White, Non-hispanic | 90.4 | 82.8 | 87.7 | 80.1 |
Other | 4.0 | 8.0 | 4.7 | 8.1 |
Geographic region, % | ||||
West | 14.4 | 15.5 | 16.2 | 16.3 |
Midwest | 24.8 | 24.4 | 28.3 | 26.5 |
Northeast | 20.6 | 18.0 | 18.0 | 17.1 |
South | 40.2 | 42.1 | 37.5 | 40.0 |
Area-level income, %b | ||||
< $35,000 | 7.9 | 9.7 | 7.6 | 10.4 |
$35,000–$49,999 | 33.3 | 34.5 | 32.0 | 35.0 |
$50,000–$74,999 | 36.8 | 36.6 | 39.6 | 36.5 |
≥ $75,000 | 22.0 | 19.2 | 20.8 | 18.2 |
Smoking, % | 49.3 | 40.2 | 41.2 | 40.1 |
Hypertension, % | 92.8 | 90.6 | 93.5 | 97.8 |
History of heart failure, % | 40.1 | 31.9 | 46.7 | 54.4 |
Depression, % | 30.2 | 25.8 | 28.3 | 30.3 |
Prior MI hospitalization, % | 18.9 | 0.0 | 0.0 | 0.0 |
Prior CABG/PCI outside of an MI event, % | 5.2 | 0.0 | 0.0 | 0.0 |
CABG/PCI during the MI event related to the index date, % | 52.0 | 66.5 | 45.7 | 51.3 |
Cardiologist care, % | 57.7 | 29.6 | 24.5 | 23.5 |
Endocrinologist care, % | 2.3 | 8.6 | 2.4 | 11.0 |
Use of insulin, % | 0.0 | 25.0 | 0.0 | 40.0 |
Statin use and intensity, % | ||||
No statin | 39.6 | 51.3 | 63.1 | 41.0 |
Low | 5.7 | 6.4 | 5.8 | 7.5 |
Moderate | 34.9 | 32.4 | 25.5 | 38.4 |
High | 19.8 | 9.9 | 5.6 | 13.1 |
Ezetimibe use, % | 4.2 | 2.3 | 1.6 | 2.9 |
Antihypertensive medication use, % | 93.0 | 91.4 | 92.5 | 95.7 |
CABG coronary artery bypass graft, CKD chronic kidney disease, CVD cardiovascular disease, PCI percutaneous coronary intervention, MI myocardial infarction, SD standard deviation
aThis group included patients with prior cardiovascular disease without diabetes or chronic kidney disease. Patients with prior cardiovascular disease and diabetes or chronic kidney disease were excluded from the analysis
bAmong Medicare beneficiaries only