Quintile of facility-level proportion of patients with ≥ 2 out-of-target biomarkers | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Out-of-target ranges | Above-target ranges | ||||||||||
Overall | Q1: < 9.1 % | Q2: 9.1–< 13.6 % | Q3:13.6–< 18.2 % | Q4: 18.2–< 24.5 % | Q5: ≥ 24.5 % | Q1: 0 % | Q2: 0–< 4.8 % | Q3: 4.8–< 7.7 % | Q4: 7.7–< 11.1 % | Q5: ≥ 11.1 % | |
n of facilities | 1298 | 253 | 259 | 243 | 283 | 260 | 303 | 208 | 262 | 252 | 273 |
n of patients | 39,085 | 5984 | 7635 | 8515 | 9543 | 7408 | 6120 | 8045 | 9125 | 7813 | 7982 |
Age,yrs. | |||||||||||
18–44 | 12.9 | 10.0 | 11.4 | 12.3 | 14.3 | 15.6 | 10.1 | 11.1 | 11.8 | 14.3 | 16.7 |
45–64 | 40.4 | 35.8 | 36.9 | 41.0 | 42.2 | 44.7 | 35.3 | 38.3 | 40.5 | 41.1 | 45.6 |
65–74 | 24.5 | 28.1 | 25.9 | 24.4 | 23.1 | 22.3 | 28.1 | 25.2 | 24.6 | 24.4 | 21.1 |
≥ 75 | 22.2 | 26.1 | 25.8 | 22.3 | 20.5 | 17.4 | 26.4 | 25.4 | 23.1 | 20.2 | 16.5 |
Sex | |||||||||||
Male | 54.9 | 56.4 | 53.9 | 54.4 | 54.9 | 55.4 | 53.9 | 55.2 | 55.0 | 54.4 | 55.7 |
Race | |||||||||||
White | 51.1 | 56.2 | 57.7 | 50.0 | 49.2 | 44.0 | 63.4 | 57.6 | 55.6 | 43.9 | 37.1 |
Black | 42.6 | 37.9 | 35.7 | 44.0 | 45.7 | 47.7 | 30.4 | 34.9 | 39.2 | 49.0 | 57.1 |
Other | 6.3 | 5.9 | 6.5 | 6.0 | 5.0 | 8.3 | 6.1 | 7.5 | 5.1 | 7.1 | 5.8 |
Dialysis duration, yrs. | |||||||||||
< 2 | 18.0 | 21.7 | 20.0 | 18.1 | 15.9 | 15.6 | 23.0 | 19.3 | 17.7 | 16.2 | 15.0 |
2–< 4 | 30.5 | 33.3 | 31.9 | 30.9 | 30.0 | 27.0 | 33.5 | 31.3 | 30.5 | 29.1 | 28.6 |
≥ 4 | 51.5 | 44.9 | 48.1 | 51.1 | 54.1 | 57.4 | 43.4 | 49.4 | 51.8 | 54.7 | 56.4 |
ESRD cause, % | |||||||||||
Diabetes | 45.2 | 48.0 | 46.3 | 45.2 | 43.6 | 43.7 | 48.5 | 46.7 | 45.7 | 44.1 | 41.5 |
Hypertension | 29.7 | 29.7 | 28.4 | 30.6 | 30.6 | 29.0 | 27.5 | 28.7 | 29.6 | 30.2 | 32.1 |
GN | 9.7 | 7.9 | 10.0 | 9.2 | 10.1 | 11.0 | 8.7 | 9.5 | 9.6 | 10.1 | 10.3 |
Other cause | 15.4 | 14.3 | 15.4 | 15.0 | 15.7 | 16.3 | 15.3 | 15.1 | 15.0 | 15.5 | 16.0 |
BMI, kg/m2 | |||||||||||
Mean (SD) | 28.2 (7.3) | 28.4 (7.4) | 27.9 (7.1) | 28.2 (7.4) | 28.2 (7.2) | 28.2 (7.3) | 28.5 (7.6) | 28.0 (7.0) | 28.0 (7.2) | 28.2 (7.3) | 28.3 (7.4) |
Hospital days | |||||||||||
0 | 43.8 | 44.9 | 43.7 | 43.7 | 43.5 | 43.7 | 44.2 | 44.6 | 43.4 | 43.9 | 43.1 |
1–4 | 12.5 | 13.0 | 12.3 | 12.7 | 12.4 | 12.1 | 12.2 | 12.7 | 12.2 | 12.7 | 12.4 |
5–10 | 15.5 | 15.2 | 15.5 | 15.1 | 15.8 | 15.9 | 15.2 | 15.6 | 15.5 | 15.8 | 15.4 |
≥ 11 | 28.2 | 26.9 | 28.5 | 28.5 | 28.4 | 28.3 | 28.3 | 27.1 | 28.8 | 27.5 | 29.0 |
Comorbidity, % | |||||||||||
ASHD | 42.1 | 46.0 | 45.5 | 41.2 | 40.5 | 38.5 | 46.2 | 44.5 | 42.6 | 40.7 | 37.3 |
CHF | 48.5 | 49.8 | 50.6 | 48.4 | 47.5 | 46.4 | 49.7 | 49.6 | 48.7 | 47.9 | 46.6 |
CVA/TIA | 17.5 | 18.1 | 17.8 | 18.1 | 17.0 | 16.4 | 18.4 | 18.0 | 17.6 | 17.2 | 16.2 |
PVD | 36.3 | 37.8 | 37.9 | 35.9 | 35.1 | 35.6 | 37.4 | 37.7 | 38.4 | 35.0 | 33.1 |
Other cardiac | 28.1 | 29.1 | 28.2 | 27.9 | 27.7 | 28.0 | 29.8 | 28.2 | 28.0 | 27.3 | 27.6 |
COPD | 21.4 | 22.1 | 22.2 | 21.5 | 20.9 | 20.6 | 23.1 | 21.2 | 22.6 | 20.0 | 20.3 |
GI bleeding | 5.9 | 5.5 | 5.7 | 6.3 | 5.9 | 6.0 | 5.6 | 5.6 | 6.2 | 5.9 | 6.2 |
Liver disease | 2.6 | 2.6 | 2.3 | 3.1 | 2.5 | 2.5 | 2.6 | 2.3 | 2.8 | 2.8 | 2.5 |
Dysrhythmia | 25.3 | 26.4 | 27.9 | 25.1 | 24.7 | 23.0 | 27.2 | 25.8 | 25.6 | 25.0 | 23.5 |
Cancer | 9.1 | 10.5 | 9.5 | 9.3 | 8.2 | 8.2 | 10.2 | 9.5 | 9.5 | 8.6 | 7.8 |
Diabetes | 63.4 | 65.8 | 64.8 | 64.1 | 62.4 | 60.7 | 67.0 | 64.5 | 64.3 | 62.0 | 60.0 |
Previous CV hospitalization | 25.3 | 25.0 | 25.6 | 25.9 | 25.3 | 24.6 | 24.8 | 25.2 | 25.4 | 24.8 | 26.2 |
Previous PTX | 0.7 | 0.4 | 0.5 | 0.7 | 0.7 | 1.1 | 0.5 | 0.6 | 0.6 | 0.8 | 0.7 |
Laboratory values, mean (SD)a | |||||||||||
PTH, pg/mL | 341.7 (320.3) | 294.2 (221.0) | 308.7 (255.5) | 339.0 (308.7) | 361.9 (358.3) | 391.1 (392.2) | 273.3 (170.2) | 296.7 (233.8) | 326.1 (253.4) | 368.1 (353.3) | 431.3 (435.8) |
Calcium, mg/dL | 9.0 (0.6) | 9.1 (0.5) | 9.0 (0.5) | 9.0 (0.5) | 9.0 (0.6) | 8.9 (0.7) | 9.0 (0.51) | 9.0 (0.5) | 9.0 (0.6) | 9.0 (0.6) | 9.0 (0.6) |
Phosphate, mg/dL | 5.3 (1.3) | 5.1 (1.2) | 5.2 (1.2) | 5.3 (1.3) | 5.3 (1.4) | 5.4 (1.4) | 5.1 (1.2) | 5.2 (1.3) | 5.3 (1.3) | 5.3 (1.3) | 5.5 (1.4) |