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Table 5 Outcomes on treatment burden. Annual treatment burden of patients choosing dialysis versus patients choosing conservative care, measured from treatment decision (part A). Annual treatment burden of patients started on dialysis—a subgroup of all patients choosing dialysis—measured from start of dialysis (part B)

From: Value-based evaluation of dialysis versus conservative care in older patients with advanced chronic kidney disease: a cohort study

A – from treatment decision

Dialysis (n = 233)

Incidence rate

Conservative care (n = 125)

Incidence rate

Incidence rate ratiob

(95% CI)

P value

 Outpatient visits per person year

11.1

6.6

0.63 (0.53 to 0.75)

<  0.001

 Admissions per person year

2.0

1.1

0.57 (0.42 to 0.78)

<  0.001

 In-hospital days per person year

10.8

6.0

0.43 (0.28 to 0.66)

<  0.001

 In-center haemodialysis days per person year

60.6

–

–

–

 Hospital free days per person yeara

282.7

352.7

1.15 (1.09 to 1.21)

<  0.001

B – from start of dialysis

Haemodialysis (n = 110)

Incidence rate

Peritoneal dialysis (n = 30)

Incidence rate

Incidence rate ratioc

(95% CI)

P value

 Outpatient visits per person year

9.0

15.2

1.80 (1.43 to 2.26)

<  0.001

 Admissions per person year

2.4

2.3

1.03 (0.71 to 1.49)

0.88

 In-hospital days per person year

14.6

14.8

1.46 (0.80 to 2.68)

0.22

 In-center haemodialysis days per person year

150.3

–

–

–

 Hospital free days per person yeara

191.4

335.4

1.72 (1.65 to 1.80)

<  0.001

  1. a= Hospital free days are calculated using the formula: 365.25 – (annual incidence rates of outpatient visits + in-hospital days + in-center haemodialysis days)
  2. b= Adjusted for age, sex, Davies comorbidity score, and estimated glomerular filtration rate
  3. c= Adjusted for age, sex, and Davies comorbidity score