TABLE 3.
Adjusted waitlist and posttransplant outcomes, by travel category
| Deceased donor transplant |
Living donor transplant |
Pre-transplant mortality |
Posttransplant mortality |
|||||
|---|---|---|---|---|---|---|---|---|
| Kidney | cHR | 95% CI: | cHR | 95% CI | cHR | 95% CI | HR | 95% CI |
| Travel | ||||||||
| None | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref |
| To neighbor | 1.07 | 1.05, 1.09 | 0.97 | 0.94, 1.00 | 1.00 | 0.97, 1.04 | 1.03 | 0.97, 1.09 |
| Not to neighbor | 1.19 | 1.15, 1.24 | 1.05 | 1.00, 1.10 | 1.00 | 0.93, 1.05 | 0.91 | 0.83, 0.99 |
|
| ||||||||
| Age at listing | 1.00 | 1.00, 1.00 | 0.98 | 0.98, 0.98 | 1.04 | 1.04, 1.04 | 1.02 | 1.01, 1.02 |
|
| ||||||||
| Female | 1.08 | 1.06, 1.10 | 0.91 | 0.89, 0.93 | 1.00 | 0.98, 1.03 | 0.88 | 0.83, 0.94 |
|
| ||||||||
| Race | ||||||||
| NHW | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref |
| NHB | 0.77 | 0.75, 0.79 | 0.32 | 0.31, 0.34 | 0.67 | 0.65, 0.69 | 1.02 | 0.96, 1.10 |
| Hispanic | 0.71 | 0.69, 0.73 | 0.67 | 0.65, 0.70 | 0.63 | 0.60, 0.65 | 0.86 | 0.79, 0.94 |
| Asian | 0.68 | 0.66, 0.71 | 0.43 | 0.41, 0.46 | 0.55 | 0.52, 0.58 | 0.68 | 0.59, 0.78 |
| Other | 0.84 | 0.79, 0.90 | 0.47 | 0.43, 0.53 | 0.75 | 0.68, 0.82 | 1.01 | 0.84, 1.22 |
|
| ||||||||
| Education | ||||||||
| HS diploma or less | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref |
| Some college or more | 0.98 | 0.96, 1.00 | 1.42 | 1.38, 1.46 | 0.99 | 0.96, 1.02 | 0.99 | 0.93, 1.05 |
|
| ||||||||
| High poverty zip code | 0.97 | 0.95, 0.99 | 0.77 | 0.74, 0.79 | 1.05 | 1.02, 1.08 | 0.98 | 0.93, 1.04 |
|
| ||||||||
| Insurance | ||||||||
| Private | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref |
| Medicaid | 0.94 | 0.91, 0.98 | 0.53 | 0.50, 0.56 | 1.10 | 1.04, 1.16 | 1.19 | 1.08, 1.31 |
| Medicare | 1.13 | 1.11, 1.15 | 0.72 | 0.70, 0.74 | 1.20 | 1.16, 1.25 | 1.22 | 1.15, 1.31 |
| Other | 0.93 | 0.87, 0.99 | 0.59 | 0.53, 0.64 | 1.08 | 0.99, 1.17 | 0.95 | 0.76, 1.18 |
|
| ||||||||
| BMI ≥ 35 | 0.88 | 0.86, 0.90 | 0.80 | 0.77, 0.83 | 0.91 | 0.87, 0.95 | 1.14 | 1.05, 1.23 |
|
| ||||||||
| Diabetes type | ||||||||
| None | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref |
| Type I | 0.60 | 0.57, 0.63 | 0.74 | 0.70, 0.79 | 2.53 | 2.38, 2.69 | 1.38 | 1.20, 1.57 |
| Type II | 0.78 | 0.77, 0.80 | 0.64 | 0.63, 0.66 | 1.73 | 1.68, 1.79 | 1.38 | 1.30, 1.46 |
|
| ||||||||
| Time on dialysis prior to listing | ||||||||
| None | Ref | Ref | Ref | Ref | Ref | Ref | Ref | Ref |
| <1 year | 1.35 | 1.30, 1.37 | 0.93 | 0.90, 0.95 | 1.54 | 1.49, 1.60 | 1.18 | 1.09, 1.27 |
| 1–3 years | 1.62 | 1.58, 1.66 | 0.51 | 0.49, 0.53 | 1.77 | 1.70, 1.84 | 1.29 | 1.20, 1.40 |
| 3–5 years | 2.95 | 2.86, 3.05 | 0.38 | 0.35, 0.41 | 2.16 | 2.04, 2.28 | 1.38 | 1.25, 1.52 |
| >5 years | 5.73 | 5.55, 5.93 | 0.27 | 0.24, 0.30 | 2.97 | 2.79, 3.15 | 1.36 | 1.23, 1.50 |
|
| ||||||||
| Donor type | ||||||||
| Deceased | Ref | Ref | ||||||
| Living | 0.50 | 0.46, 0.54 | ||||||