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Table 3 Unadjusted and multivariable adjusted Odd Ratios and 95% confidence intervals for Central Venous Catheter use (vs Fistula)

From: Prevalence and correlates of central venous catheter use among haemodialysis patients in the Irish health system - a national study

Variable

Model 1

Model 2

Model 3

Model 4

Model 5

Dialysis Centre

 Centre 1 (Referent)

1.00

1.00

1.00

1.00

1.00

 Centre 2

2.01 (1.08–3.75) *

1.86 (0.99–3.50)

1.91 (1.00–3.65)*

1.98 (1.02–3.81)*

1.98 (1.02–3.84)*

 Centre 3

0.88 (0.59–1.30)

0.85 (0.57–1.26)

0.77 (0.51–1.16)

0.83 (0.54–1.26)

0.79 (0.51–1.24)

 Centre 4

2.56 (1.55–4.25) ***

2.59 (1.55–4.33)***

2.59 (1.53–4.37)***

2.61 (1.54–4.43)***

2.86 (1.67–4.90)***

 Centre 5

0.73 (0.45–1.18)

0.69 (0.42–1.14)

0.71 (0.43–1.18)

0.72 (0.43–1.20)

0.79 (0.47–1.33)

 Centre 6

0.95 (0.57–1.60)

0.96 (0.57–1.63)

0.87 (0.51–1.50)

0.91 (0.52–1.58)

0.60 (0.32–1.11)

 Centre 7

1.51 (0.94–2.43)

1.41 (0.87–2.29)

1.36 (0.83–2.24)

1.47 (0.88–2.45)

1.18 (0.69–2.01)

 Centre 8

1.32 (0.87–2.00)

1.36 (0.89–2.07)

1.23 (0.79–1.91)

1.18 (0.75–1.85)

1.31 (0.83–2.06)

 Centre 9

0.88 (0.54–1.42)

0.83 (0.51–1.36)

0.74 (0.45–1.23)

0.81 (0.48–1.35)

0.86 (0.51–1.45)

 Centre 10

1.02 (0.62–1.68)

0.98 (0.59–1.62)

0.87 (0.52–1.47)

0.90 (0.53–1.52)

0.97 (0.57–1.66)

Demographic Factor

Female (vs male)

 

1.68 (1.31–2.15)****

1.79 (1.39–2.31)****

1.87 (1.44–2.43)****

1.77 (1.34–2.34)****

Age group (years)

  < 65 (Ref)

 

1.00

1.00

1.00

1.00

 65–74

 

1.30 (0.97–1.74)

1.20 (0.89–1.62)

1.19 (0.87–1.61)

1.05 0.76–1.45)

  ≥ 75

 

1.46 (1.10–1.94)**

1.41 (1.05–1.89)*

1.35 (1.00–1.83)

1.15 (0.83–1.60)

Lifestyle factor

Body mass index (BMI) group (kg/m2)

  < 20

 

1.74 (0.91–3.36)

1.81 (0.93–3.53)

1.86 (0.95–3.62)

1.78 (0.91–3.50)

 20–25 (Ref)

 

1.00

1.00

1.00

1.00

 25–30

 

0.81 (0.60–1.09)

0.77 (0.57–1.04)

0.75 (0.55–1.02)

0.77 (0.56–1.05)

  > 30

 

0.82 (0.60–1.13)

0.73 (0.52–1.02)

0.73 (0.52–1.03)

0.76 (0.54–1.08)

Vintage (years)

  < 1 (Ref)

  

1.00

1.00

1.00

 1–4

  

0.45 (0.31–0.65)****

0.46 (0.31–0.67)****

0.48 0.33–0.71)***

  > 4

  

0.36 (0.24–0.52)****

0.39 (0.26–0.57)****

0.40 (0.26–0.60)****

Comorbid conditions

 Atherosclerotic heart disease (yes vs no)

  

1.13 (0.81–1.56)

1.11 (0.80–1.55)

1.09 (0.78–1.52)

 Diabetes (yes vs no)

  

1.40 (1.06–1.86)*

1.50 (1.02–2.23)*

1.38 (0.93–2.06)

 Hypertension (yes vs no)

  

0.78 (0.60–1.01)

0.85 (0.65–1.11)

0.86 (0.65–1.13)

Primary cause of kidney disease

 Glomerulonephritis (Referent group)

   

1.00

1.00

 Cystic kidney disease

   

0.37 (0.21–0.67)***

0.38 (0.21–0.68)**

 Diabetes

   

0.84 (0.50–1.41)

0.85 (0.50–1.43)

 Hypertension

   

0.77 (0.46–1.30)

0.83 (0.49–1.41)

 Other cause

   

1.05 (0.65–1.70)

1.03 (0.63–1.69)

 Other urologic

   

1.15 (0.71–1.85)

1.13 (0.70–1.85)

 Unknown/missing

   

1.29 (0.89–1.87)

1.30 (0.89–1.90)

Laboratory values

 Albumin (per 5 g/L)

    

0.73 (0.59–0.90)**

 Pre-dialysis Creatinine (per 50 μmol/L)

    

0.99 (0.96–1.03)

Model performance

C-Statistic

0.59

0.64

0.67

0.68

0.69

P value of Centre variable

0.0002

0.0002

0.0001

0.0003

0.0001

ANOVA p value for model with and without Centre variable

0.0001

< 0.0001

< 0.0001

< 0.0001

  1. Model 1: dialysis centre only
  2. Model 2: dialysis centre, demographic and lifestyle characteristics (age, sex, and body mass index)
  3. Model 3: dialysis centre, demographic and lifestyle characteristics, dialysis vintage, and comorbid conditions
  4. Model 4: dialysis centre, demographic and lifestyle characteristics (age group, sex, and body mass index), dialysis vintage, and comorbid conditions, and primary cause of kidney disease
  5. Model 5: dialysis centre, demographic and lifestyle characteristics (age group, sex, and body mass index), dialysis vintage, and comorbid conditions, and primary cause of kidney disease, and laboratory indicators (serum albumin, and creatinine measured pre-dialysis)
  6. Asterisks denote significant p values: * < 0.05, ** < 0.01, *** < 0.001, **** < 0.0001