Table 2 Demographic, health and treatment characteristics of incident dialysis patients ≥ 75 years old by CMS-2728 and MDS nursing home status agreement (n = 27,913)
MDS (n = 7,801) | No MDS (n = 20,112) | |||
|---|---|---|---|---|
2728 | No 2728 | 2728 | No 2728 | |
(n = 2,565) | (n = 5,236) | (n = 656) | (n = 19,456) | |
Demographic characteristics | ||||
Age, mean (SD) | 81.7 (4.7) | 81.6 (4.6) | 81.0 (4.5) | 80.5 (4.3) |
Women, (%) | 55.3 | 51.1 | 50.3 | 43.3 |
Hispanic or Latino | 5.8 | 5.7 | 7.0 | 9.7 |
Race | ||||
White | 76.8 | 81.4 | 77.0 | 78.5 |
Black | 20.8 | 15.3 | 19.5 | 16.9 |
American Indian/Alaskan | 0.1 | 0.4 | 0.3 | 0.4 |
Asian | 1.8 | 2.4 | 2.9 | 3.3 |
Other | 0.5 | 0.5 | 0.3 | 0.9 |
Medicaid | 28.8 | 17.5 | 23.8 | 15.1 |
Region of residence | ||||
Northeast | 21.9 | 28.7 | 24.2 | 20.2 |
South | 35.2 | 28.6 | 35.7 | 36.3 |
Midwest | 31.4 | 25.0 | 25.9 | 22.9 |
West | 11.6 | 17.6 | 14.3 | 20.6 |
Health characteristics | ||||
Primary cause of renal failure | ||||
Diabetes | 39.2 | 36.0 | 39.5 | 34.4 |
Glomerular nephritis | 3.0 | 3.8 | 2.1 | 4.7 |
Secondary glomerulonephritis /vasculitis | 0.7 | 1.0 | 0.9 | 0.9 |
Interstitial nephritis | 3.9 | 3.0 | 2.6 | 3.7 |
Hypertension/large vessel | 37.3 | 40.2 | 35.8 | 42.1 |
Cystic/hereditary/congenital | 0.4 | 0.5 | 0.5 | 1.5 |
Neoplasms/tumors | 1.8 | 2.2 | 1.7 | 3.0 |
Other | 13.8 | 13.4 | 16.9 | 9.6 |
CVD Comorbidity | ||||
Congestive heart failure | 53.3 | 52.4 | 54.1 | 41.9 |
Atherosclerotic heart disease | 32.6 | 35.0 | 35.4 | 32.7 |
Cerebrovascular disease | 19.7 | 14.4 | 21.7 | 11.0 |
Peripheral vascular disease | 21.1 | 20.2 | 27.3 | 18.3 |
Other | 30.0 | 23.2 | 35.2 | 21.3 |
Functional impairment | ||||
Inability to ambulate | 41.4 | 8.0 | 51.5 | 5.2 |
Inability to transfer | 25.3 | 3.3 | 34.2 | 2.2 |
Needs assistance with daily activities | 56.3 | 11.7 | 58.8 | 11.3 |
Serum albumin, g/dL, mean (SD) | 2.9 (0.6) | 3.0 (0.6) | 2.8 (0.7) | 3.3 (0.7) |
Serum creatinine, mg/dL, mean (SD) | 5.1 (2.3) | 5.2 (2.4) | 5.0 (2.3) | 5.5 (2.4) |
Hemoglobin, g/dL, mean (SD) | 10.2 (1.6) | 10.2 (1.6) | 10.1 (1.6) | 10.4 (1.6) |
Treatment characteristics | ||||
Primary dialysis setting | ||||
Home | 1.6 | 0.8 | 1.5 | 4.8 |
Dialysis facility/Center | 94.1 | 98.0 | 92.5 | 95.1 |
Skilled nursing facility/Long term care facility | 4.3 | 1.2 | 6.0 | 0.1 |
Primary type of dialysis | ||||
Hemodialysis | 99.1 | 99.4 | 99.4 | 95.4 |
CAPD | 0.7 | 0.4 | 0.2 | 3.1 |
CCPD | 0.2 | 0.2 | 0.5 | 1.5 |
Other | 0.0 | 0.0 | 0.0 | 0.0 |
Predialysis nephrology care | 41.4 | 45.4 | 34.6 | 64.7 |
Initial type of hemodialysis access | ||||
AVF | 4.2 | 5.1 | 3.5 | 16.0 |
Graft | 3.3 | 2.7 | 3.1 | 5.3 |
Catheter | 91.4 | 90.7 | 91.9 | 77.4 |
Other | 1.2 | 1.6 | 1.5 | 1.3 |
CVD = cardiovascular disease | ||||