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Table 3 Association between PTH slope/residuals/mean and mortality, by region

From: Mineral and bone disorder management in hemodialysis patients: comparing PTH control practices in Japan with Europe and North America: the Dialysis Outcomes and Practice Patterns Study (DOPPS)

Exposure

Europe + Australia/NZ

Japan

North America

N (%)

Adjusted*

HR (95% CI)

N (%)

Adjusted*

HR (95% CI)

N (%)

Adjusted*

HR (95% CI)

PTH slope (% change per month)

 Decreased > 15%

487 (8%)

1.08 (0.85–1.37)

271 (10%)

1.14 (0.72–1.80)

1431 (8%)

1.12 (0.97–1.30)

 Decreased 5–15%

1166 (20%)

0.92 (0.77–1.09)

566 (22%)

1.25 (0.92–1.71)

3747 (21%)

1.10 (1.00–1.21)

 No change ±5%

2375 (40%)

1 (Ref.)

1152 (44%)

1 (Ref.)

7249 (40%)

1 (Ref.)

 Increased 5–15%

1244 (21%)

1.05 (0.91–1.21)

443 (17%)

0.81 (0.56–1.18)

4063 (22%)

1.07 (0.98–1.18)

 Increased > 15%

638 (11%)

0.94 (0.75–1.17)

195 (7%)

1.57 (0.95–2.59)

1761 (10%)

1.11 (0.98–1.26)

PTH mean squared residuals

  < 0.01

991 (17%)

1.09 (0.92–1.30)

373 (14%)

1.13 (0.75–1.72)

1603 (9%)

0.94 (0.81–1.10)

 0.01–0.05

1576 (27%)

0.95 (0.82–1.10)

728 (28%)

1.09 (0.78–1.53)

3901 (21%)

0.92 (0.83–1.02)

 0.05–0.20

1833 (31%)

1 (Ref.)

901 (34%)

1 (Ref.)

6747 (37%)

1 (Ref.)

 0.20–0.50

920 (16%)

0.91 (0.76–1.09)

384 (15%)

1.17 (0.74–1.88)

3739 (20%)

1.00 (0.91–1.11)

  > 0.50

590 (10%)

1.04 (0.83–1.31)

241 (9%)

1.22 (0.73–2.05)

2261 (12%)

0.94 (0.83–1.06)

PTH geometric mean (pg/mL)

  < 100

862 (15%)

1.04 (0.86–1.25)

983 (37%)

1.22 (0.83–1.79)

1130 (6%)

0.97 (0.83–1.13)

 100–199

1598 (27%)

0.90 (0.76–1.05)

1041 (40%)

1.35 (0.93–1.97)

3756 (21%)

0.93 (0.84–1.02)

 200–399

2120 (36%)

1 (Ref.)

514 (20%)

1 (Ref.)

8253 (45%)

1 (Ref.)

 400–599

774 (13%)

1.23 (1.01–1.51)

65 (2%)

–

2827 (15%)

1.04 (0.93–1.17)

  ≥ 600

556 (9%)

1.26 (0.97–1.62)

24 (1%)

–

2285 (13%)

1.31 (1.14–1.50)

  1. *Adjusted as in Table 2, Model 3