From: A mixed-methods investigation of incident Hemodialysis access in a safety-net population
Total n = 241 | AVF/AV Graft n = 29 (12.1%) | Central Venous Catheter (CVC) n = 212 (87.9%) | p value for association with access typea | |
---|---|---|---|---|
Age, mean (SD) | 52.4 (12.2) | 52.6 (11.6) | 52.4 (12.4) | 0.94 |
Female sex, % | 38.2 | 37.9 | 38.2 | >0.99 |
Race/Ethnicity, % | 0.83 | |||
white | 19.5 | 13.8 | 20.3 | |
black | 29.5 | 27.6 | 29.7 | |
Hispanic | 28.6 | 31.0 | 28.3 | |
Asian | 17.4 | 24.1 | 16.5 | |
other/unknown | 5.0 | 3.4 | 5.2 | |
Limited English proficiency, % | 24.1 | 31.0 | 23.0 | 0.36 |
Comorbidity prevalence, % | ||||
congestive heart failure | 20.8 | 20.7 | 20.8 | >0.99 |
hypertension | 86.7 | 93.1 | 85.8 | 0.39 |
COPDb | 6.2 | 3.4 | 6.6 | >0.99 |
peripheral vascular disease | 3.3 | 6.9 | 2.8 | 0.25 |
amputation | 1.7 | 3.4 | 1.4 | 0.40 |
diabetes mellitus | 44.4 | 31.0 | 46.2 | 0.16 |
drug abuse | 28.2 | 24.1 | 28.8 | 0.67 |
cancer | 2.5 | 3.4 | 2.4 | 0.54 |
Body mass index, mean (SD) | 27.5 (7.9) | 29.2 (9.6) | 27.2 (7.7) | 0.20 |
Etiology of renal failure, % | 0.48 | |||
diabetes mellitus | 34.4 | 31.0 | 34.9 | |
hypertension | 12.5 | 17.2 | 11.8 | |
glomerulonephritis | 17.0 | 24.1 | 16.0 | |
other | 36.1 | 27.6 | 37.3 | |
Income quintile, mean (SD) | 2.27 (1.2) | 2.24 (1.1) | 2.28 (1.2) | 0.87 |
Insurance status, % | 0.02* | |||
Medicaid | 38.6 | 55.2 | 36.3 | |
Medicare | 9.5 | 10.3 | 9.4 | |
Medicare and Medi-Cal | 2.9 | 6.9 | 2.4 | |
other | 7.1 | 10.3 | 6.6 | |
none | 41.9 | 17.2 | 45.2 | |
Duration of nephrology care, % | <0.001* | |||
none - 6 months | 60.6 | 20.7 | 66.0 | |
6–12 months | 17.0 | 20.7 | 16.5 | |
> 12 months | 22.4 | 58.6 | 17.6 | |
Period of HD initiationc, % | 0.045* | |||
Pre August, 2012 | 41.9 | 6.9 | 93.1 | |
Post August, 2012 | 58.1 | 15.7 | 84.3 |