Table 1:
CHARACTERISTIC | Dialysis Modality at Start | Half of Calendar Month at Start | ||||||
---|---|---|---|---|---|---|---|---|
HD | PD | First Half | Second Half | |||||
N | % | N | % | N | % | N | % | |
Patient | ||||||||
Age at Day 1 of Dialysis ‡ | ||||||||
18–45 | 19,440 | 36% | 1,914 | 40% | 10,447 | 37% | 10,907 | 36% |
46–55 | 17,272 | 32% | 1,494 | 31% | 9,067 | 32% | 9,699 | 32% |
56–65 | 15,165 | 28% | 1,366 | 28% | 8,070 | 28% | 8,461 | 28% |
>65 | 1,823 | 3% | 65 | 1% | 929 | 3% | 959 | 3% |
Sex ‡ | ||||||||
Male | 34,182 | 64% | 2,688 | 56% | 18,030 | 63% | 18,840 | 63% |
Female | 19,518 | 36% | 2,151 | 45% | 10,483 | 37% | 11,186 | 37% |
Race ‡ | ||||||||
White | 28,274 | 53% | 3,146 | 65% | 15,170 | 53% | 16,250 | 54% |
Black | 22,548 | 42% | 1,450 | 30% | 11,842 | 42% | 12,156 | 41% |
Asian | 1,640 | 3% | 154 | 3% | 860 | 3% | 934 | 3% |
Other | 1,238 | 2% | 89 | 2% | 641 | 2% | 686 | 2% |
Hispanic Ethnicity ‡ | 12,481 | 23% | 1,039 | 22% | 6,572 | 23% | 6,948 | 23% |
Employment Status ‡ | ||||||||
Unemployed | 32,809 | 61% | 2,516 | 52% | 17,204 | 60% | 18,121 | 60% |
Employed | 5,729 | 11% | 981 | 20% | 3,224 | 11% | 3,486 | 12% |
Retired-Age | 2,479 | 5% | 215 | 4% | 1,295 | 5% | 1,399 | 5% |
Disabled (Short- and Long-term) | 10,826 | 20% | 886 | 18% | 5,727 | 20% | 5,985 | 20% |
Other | 1,857 | 4% | 241 | 5% | 1,063 | 4% | 1,035 | 3% |
Primary Cause of ESRD ‡ | ||||||||
Diabetes | 21,723 | 41% | 1,912 | 40% | 11,485 | 40% | 12,150 | 41% |
Hypertension | 18,054 | 34% | 1,428 | 30% | 9,595 | 34% | 9,887 | 33% |
Other | 13,923 | 26% | 1,499 | 31% | 7,433 | 26% | 7,989 | 27% |
Prior Nephrology Care ‡ § | ||||||||
Yes | 18,513 | 35% | 3,285 | 68% | 10,478 | 37% | 11,320 | 38% |
No | 28,238 | 53% | 1,281 | 27% | 14,442 | 51% | 15,077 | 50% |
Unknown | 6,949 | 13% | 273 | 6% | 3,593 | 13% | 3,629 | 12% |
Comorbid Conditions | ||||||||
Alcohol Dependence ‡ | 1,969 | 4% | 47 | 1% | 982 | 3% | 1,034 | 3% |
Amputation † | 1,109 | 2% | 68 | 1% | 571 | 2% | 606 | 2% |
Atherosclerotic Heart Disease ‡ | 4,446 | 8% | 305 | 6% | 2,339 | 8% | 2,412 | 8% |
Cancer ‡ | 1,341 | 3% | 76 | 2% | 688 | 2% | 729 | 2% |
Congestive Heart Failure ‡ | 11,574 | 22% | 658 | 14% | 5,951 | 21% | 6,281 | 21% |
Chronic Obstructive Pulmondary Disease ‡ | 1,958 | 4% | 126 | 3% | 1,022 | 4% | 1,062 | 4% |
Prior CVA/TIA * | 2,676 | 5% | 208 | 4% | 1,408 | 5% | 1,476 | 5% |
Diabetes: Insulin Dependent | 17,102 | 32% | 1,484 | 31% | 9,041 | 32% | 9,545 | 32% |
Diabetes: Without Medications | 2,914 | 5% | 248 | 5% | 1,547 | 5% | 1,615 | 5% |
Diabetes: Oral Medications * | 5,845 | 11% | 477 | 10% | 3,049 | 11% | 3,273 | 11% |
Diabetes: Retinopathy ‡ | 4,277 | 8% | 470 | 10% | 2,286 | 8% | 2,461 | 8% |
Drug Dependence ‡ | 2,336 | 4% | 48 | 1% | 1,192 | 4% | 1,192 | 4% |
Hypertension ‡ | 47,192 | 88% | 4,347 | 90% | 25,063 | 88% | 26,476 | 88% |
Disability ‡ | 3,786 | 7% | 120 | 3% | 1,895 | 7% | 2,011 | 7% |
Other Cardiac Disease ‡ | 4,838 | 9% | 331 | 7% | 2,479 | 9% | 2,690 | 9% |
Peripheral Vascular Disease ‡ | 3,195 | 6% | 216 | 5% | 1,693 | 6% | 1,718 | 6% |
Smoker ‡ | 6,028 | 11% | 458 | 10% | 3,157 | 11% | 3,329 | 11% |
BMI, kg/m2 ‡ | ||||||||
<18.5 | 1,770 | 3% | 96 | 2% | 902 | 3% | 964 | 3% |
18.5 – <30 | 31,364 | 59% | 2,712 | 57% | 16,549 | 59% | 17,527 | 59% |
30 – <40 | 14,838 | 28% | 1,577 | 33% | 8,029 | 28% | 8,386 | 28% |
40+ | 5,245 | 10% | 400 | 8% | 2,784 | 10% | 2,861 | 10% |
Albumin, g/dl ‡ | ||||||||
<2.5 | 9,097 | 23% | 360 | 10% | 4,594 | 22% | 4,863 | 22% |
2.5 – <3 | 9,236 | 23% | 476 | 13% | 4,743 | 22% | 4,969 | 22% |
3 – <3.5 | 10,229 | 26% | 867 | 24% | 5,465 | 26% | 5,631 | 25% |
3.5+ | 11,587 | 29% | 1,989 | 54% | 6,577 | 31% | 6,999 | 31% |
Hemoglobin, g/dl ‡ | ||||||||
<8 | 9,741 | 20% | 471 | 11% | 5,034 | 20% | 5,178 | 19% |
8 – <9 | 10,280 | 21% | 691 | 16% | 5,336 | 21% | 5,635 | 21% |
9 – <11 | 19,630 | 41% | 1,877 | 44% | 10,410 | 41% | 11,097 | 41% |
11+ | 8,782 | 18% | 1,197 | 28% | 4,857 | 19% | 5,122 | 19% |
Facility | ||||||||
Hospital-Based ‡ ∥ | 7,909 | 15% | 374 | 8% | 4,165 | 15% | 4,118 | 14% |
For-Profit Status ‡ § | ||||||||
For-Profit | 42,236 | 79% | 4,094 | 85% | 22,439 | 79% | 23,891 | 80% |
Non-Profit | 10,263 | 19% | 681 | 14% | 5,433 | 19% | 5,511 | 18% |
Unknown | 1,201 | 2% | 64 | 1% | 641 | 2% | 624 | 2% |
Total facility patients per year ‡ | ||||||||
1–50 | 10,004 | 19% | 667 | 14% | 5,307 | 19% | 5,364 | 18% |
51–100 | 21,954 | 41% | 1,583 | 33% | 11,385 | 40% | 12,152 | 41% |
101–150 | 13,307 | 25% | 1,292 | 27% | 7,062 | 25% | 7,537 | 25% |
151+ | 8,435 | 16% | 1,297 | 27% | 4,759 | 17% | 4,973 | 17% |
Total PD patients per year ‡ ¶ | ||||||||
0 | 31,086 | 58% | 69 | 1% | 15,359 | 54% | 15,796 | 53% |
1–10 | 9,355 | 17% | 671 | 14% | 4,930 | 17% | 5,096 | 17% |
11–25 | 7,687 | 14% | 1,448 | 30% | 4,385 | 15% | 4,750 | 16% |
26–50 | 4,246 | 8% | 1,463 | 30% | 2,707 | 10% | 3,002 | 10% |
50+ | 1,326 | 3% | 1,188 | 25% | 1,132 | 4% | 1,382 | 5% |
Patient : nurse Ratio ‡ | ||||||||
>0–10 | 12,340 | 23% | 990 | 21% | 6,546 | 23% | 6,784 | 23% |
>10–15 | 17,648 | 33% | 1,857 | 39% | 9,468 | 34% | 10,037 | 34% |
>15–20 | 13,283 | 25% | 1,145 | 24% | 7,007 | 25% | 7,421 | 25% |
20+ | 9,550 | 18% | 753 | 16% | 5,019 | 18% | 5,284 | 18% |
Patient : Staff Ratio ‡ § | ||||||||
>0–4 | 5,009 | 10% | 191 | 4% | 2,576 | 9% | 2,624 | 9% |
>4–5 | 7,313 | 14% | 345 | 7% | 3,796 | 14% | 3,862 | 13% |
>5–6 | 13,410 | 25% | 789 | 17% | 6,941 | 25% | 7,258 | 25% |
>6–7 | 13,355 | 25% | 918 | 19% | 7,008 | 25% | 7,265 | 25% |
>7–8 | 8,004 | 15% | 864 | 18% | 4,204 | 15% | 4,664 | 16% |
8+ | 5,757 | 11% | 1,639 | 35% | 3,527 | 13% | 3,869 | 13% |
Geographic | ||||||||
Total population in zipcode ‡ | ||||||||
0 – <5,000 | 1,976 | 4% | 198 | 4% | 1,059 | 4% | 1,115 | 4% |
5,000 – <15,000 | 6,722 | 13% | 661 | 14% | 3,601 | 13% | 3,782 | 13% |
15,000 – <25,000 | 12,435 | 23% | 1,263 | 26% | 6,655 | 23% | 7,043 | 24% |
25,000 – <50,000 | 24,996 | 47% | 2,285 | 47% | 13,236 | 47% | 14,045 | 47% |
50,000+ | 7,512 | 14% | 428 | 9% | 3,930 | 14% | 4,010 | 13% |
Median income of zipcode ($) ‡ | ||||||||
0 – <25,000 | 3,850 | 7% | 369 | 8% | 2,065 | 7% | 2,154 | 7% |
25,000 – <50,000 | 32,845 | 62% | 2,733 | 57% | 17,365 | 61% | 18,213 | 61% |
50,000 – <75,000 | 12,883 | 24% | 1,370 | 29% | 6,904 | 24% | 7,349 | 25% |
75,000 – <100,000 | 2,976 | 6% | 252 | 5% | 1,578 | 6% | 1,650 | 6% |
100,000+ | 779 | 2% | 75 | 2% | 407 | 1% | 447 | 2% |
Portion of zipcode below poverty line ‡ | ||||||||
0 – <15 | 16,979 | 32% | 1,768 | 37% | 9,085 | 32% | 9,662 | 32% |
15 – <25 | 18,930 | 35% | 1,640 | 34% | 10,109 | 36% | 10,461 | 35% |
25 + | 17,540 | 33% | 1,396 | 29% | 9,174 | 32% | 9,762 | 33% |
Portion of zipcode unemployed (%) ‡ | ||||||||
0 – <5 | 13,946 | 26% | 1,528 | 32% | 7,489 | 26% | 7,985 | 27% |
5 – <10 | 33,894 | 63% | 2,917 | 60% | 17,974 | 63% | 18,837 | 63% |
10 – <15 | 5,343 | 10% | 314 | 7% | 2,761 | 10% | 2,896 | 10% |
15 + | 420 | 1% | 71 | 2% | 236 | 1% | 255 | 1% |
Portion of zipcode without high school diploma ‡ | ||||||||
0 – 15 | 22,282 | 42% | 2,579 | 53% | 12,085 | 43% | 12,776 | 43% |
15 – 30 | 24,137 | 45% | 1,877 | 39% | 12,657 | 45% | 13,357 | 45% |
30 + | 7,184 | 13% | 374 | 8% | 3,718 | 13% | 3,840 | 13% |
Median rent of zipcode ($) ‡ | ||||||||
0 – <750 | 22,265 | 42% | 1,957 | 41% | 11,765 | 42% | 12,457 | 42% |
750 – <1000 | 19,667 | 37% | 1,893 | 40% | 10,539 | 37% | 11,021 | 37% |
1000 – <1250 | 7,361 | 14% | 662 | 14% | 3,894 | 14% | 4,129 | 14% |
1250 + | 3,991 | 8% | 279 | 6% | 2,097 | 7% | 2,173 | 7% |
Urban (versus Rural) ‡ | 44,915 | 84% | 4,286 | 89% | 23,966 | 84% | 25,235 | 84% |
Temporal | ||||||||
Year of Dialysis Start ‡ | ||||||||
2005 | 3,032 | 6% | 190 | 4% | 1,547 | 5% | 1,675 | 6% |
2006 | 5,744 | 11% | 373 | 8% | 2,995 | 11% | 3,122 | 10% |
2007 | 5,803 | 11% | 374 | 8% | 3,043 | 11% | 3,134 | 10% |
2008 | 5,860 | 11% | 407 | 8% | 3,064 | 11% | 3,203 | 11% |
2009 | 6,098 | 11% | 453 | 9% | 3,219 | 11% | 3,332 | 11% |
2010 | 6,101 | 11% | 526 | 11% | 3,241 | 11% | 3,386 | 11% |
2011 | 5,900 | 11% | 653 | 14% | 3,191 | 11% | 3,362 | 11% |
2012 | 5,221 | 10% | 587 | 12% | 2,789 | 10% | 3,019 | 10% |
2013 | 5,607 | 10% | 711 | 15% | 3,027 | 11% | 3,291 | 11% |
2014 | 4,334 | 8% | 565 | 12% | 2,397 | 8% | 2,502 | 8% |
Notes:
Abbreviations: ESKD = end-stage kidney disease, HD = hemodialysis, PD = peritoneal dialysis p-values computed using Pearson’s chi-square test
PD versus HD: p < 0.05
PD versus HD: p < 0.01
PD versus HD: p < 0.001
1st half versus 2nd half: p < 0.05
1st half versus 2nd half: p < 0.01
1st half versus 2nd half: p < 0.001