Table 4.
Multivariable Analysis of Time to Functional Use for Patients Who Underwent Graft Placement
Characteristic | HRa (95% CI) | P | Overall Effectb |
---|---|---|---|
Patient | |||
CFI quartile | 0.09 | ||
1 | 1.00 (reference) | – | |
2 | 0.98 (0.89–1.07) | 0.7 | |
3 | 0.94 (0.85–1.03) | 0.2 | |
4 | 0.88 (0.79–0.99) | 0.03 | |
Time to graft creation, per 1 mo longer | 1.00 (1.00–1.01) | 0.3 | – |
Age | 0.1 | ||
18–49 y | 1.00 (reference) | – | |
50–64 y | 1.09 (0.94–1.27) | 0.2 | |
65–74 y | 1.18 (1.01–1.38) | 0.03 | |
75–84 y | 1.23 (1.04–1.45) | 0.01 | |
≥85 y | 1.23 (1.03–1.48) | 0.02 | |
Female sex | 0.98 (0.93–1.04) | 0.5 | – |
Race and ethnicity | 0.2 | ||
White, non-Hispanic | 1.00 (reference) | – | |
Black, non-Hispanic | 1.02 (0.96–1.09) | 0.5 | |
Asian/Pacific Islander, non-Hispanic | 1.18 (1.02–1.36) | 0.03 | |
Hispanic | 1.05 (0.94–1.16) | 0.4 | |
Other | 0.94 (0.72–1.24) | 0.7 | |
Medicare/Medicaid dual eligibility | 1.03 (0.97–1.10) | 0.3 | – |
Dialysis facility | |||
Not-for-profit status | 1.34 (1.19–1.51) | <0.001 | – |
Hospital-based (vs freestanding) | 0.65 (0.53–0.80) | <0.001 | – |
PD recipients per facility | 0.6 | ||
0 | 1.00 (reference) | – | |
1–10 | 1.00 (0.94–1.08) | 0.9 | |
11–25 | 0.96 (0.89–1.03) | 0.3 | |
26–50 | 0.96 (0.86–1.08) | 0.5 | |
>50 | 1.10 (0.90–1.34) | 0.4 | |
Patient to nurse ratio | 0.3 | ||
>0–10 | 1.00 (reference) | – | |
>10–15 | 1.05 (0.94–1.17) | 0.4 | |
>15–20 | 1.08 (0.96–1.22) | 0.2 | |
>20 | 1.02 (0.90–1.16) | 0.8 | |
Patient to staff ratio | 0.8 | ||
>0–4 | 1.00 (reference) | – | |
>4–5 | 0.95 (0.82–1.09) | 0.5 | |
>5–6 | 0.98 (0.85–1.12) | 0.7 | |
>6–7 | 0.96 (0.83–1.10) | 0.5 | |
>7–8 | 0.93 (0.80–1.09) | 0.4 | |
>8 | 0.91 (0.77–1.08) | 0.3 | |
Dialysis facility zip code sociodemographics | |||
Median income | 0.2 | ||
$0–<$25K | 0.97 (0.83–1.13) | 0.7 | |
$25K–<$50K | 1.00 (reference) | – | |
$50K–<$75K | 1.04 (0.95–1.13) | 0.4 | |
$75K–<$100K | 1.18 (1.02–1.37) | 0.02 | |
≥$100K | 1.03 (0.84–1.25) | 0.8 | |
Population below poverty level | 0.6 | ||
0%–<15% | 1.00 (reference) | – | |
15%–<25% | 0.96 (0.89–1.05) | 0.4 | |
≥25% | 0.95 (0.85–1.07) | 0.4 | |
Unemployment | 0.04 | ||
0%–<5% | 1.00 (reference) | – | |
5%–<10% | 1.06 (0.94–1.20) | 0.4 | |
10%–<15% | 1.03 (0.90–1.18) | 0.6 | |
15%–<20% | 1.20 (1.02–1.40) | 0.03 | |
≥20% | 1.20 (0.98–1.47) | 0.08 | |
Population with at least high school diploma | 0.3 | ||
0%–<15% | 1.00 (reference) | – | |
15%–<30% | 0.96 (0.89–1.03) | 0.2 | |
≥30% | 1.01 (0.89–1.15) | 0.8 | |
Median rent | 0.05 | ||
$0–<$500 | 0.97 (0.72–1.31) | 0.8 | |
$500–<$750 | 1.11 (1.00–1.22) | 0.04 | |
$750–<$1,000 | 1.04 (0.95–1.13) | 0.4 | |
$1,000–<$1,250 | 1.00 (reference) | – | |
≥$1,250 | 0.92 (0.82–1.03) | 0.2 |
Abbreviations: CFI, claims-based frailty indicator; HR, hazard ratio; PD, peritoneal dialysis.
Hazard ratios estimated using a Fine and Gray competing risks survival model with death modeled as a competing risk.
Overall effect estimated using Wald χ2 test of overall effects estimated for covariates with more than 2 levels.