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Table 3 Multivariable association of characteristics with higher scores

From: Hemodialysis patient characteristics associated with better experience as measured by the In-center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH CAHPS) survey

 

Nephrologist Rating (N = 3294)

Staff Rating (N = 3145)

Dialysis Facility Rating (N = 3153)

NCC Score (N = 3357)

DCO Score (N = 3238)

PIP Score (N = 3185)

ICC

0.07

0.09

0.07

0.03

0.06

0.03

Age, per 5 years

1.06 (1.02, 1.11)

1.09 (1.04, 1.14)

1.10 (1.05, 1.15)

1.01 (0.98, 1.05)

1.04 (0.99, 1.09)

0.87 (0.84, 0.90)

Female

1.00 (0.82, 1.21)

0.85 (0.68, 1.05)

0.82 (0.66, 1.02)

1.18 (1.00, 1.38)

0.89 (0.71, 1.12)

1.03 (0.87, 1.22)

Race, black vs white

1.06 (0.86, 1.31)

0.91 (0.72, 1.16)

0.88 (0.69, 1.11)

1.11 (0.93, 1.32)

0.87 (0.68, 1.12)

0.81 (0.67, 0.98)

Race, other vs white

0.72 (0.47, 1.11)

0.98 (0.59, 1.62)

0.93 (0.56, 1.56)

0.79 (0.54, 1.16)

0.64 (0.36, 1.13)

1.32 (0.90, 1.93)

Ethnicity, Hispanic vs non-Hispanic

1.19 (0.75, 1.88)

0.94 (0.56, 1.57)

1.19 (0.70, 2.04)

0.95 (0.64, 1.41)

1.19 (0.71, 1.97)

0.74 (0.49, 1.11)

Insurance, Medicare/Medicaid vs Medicare only

1.00 (0.79, 1.26)

0.97 (0.75, 1.25)

1.05 (0.81, 1.36)

1.07 (0.88, 1.30)

1.10 (0.84, 1.45)

0.91 (0.74, 1.12)

Insurance, Medicaid only vs Medicare only

0.99 (0.64, 1.53)

1.70 (1.00, 2.86)

1.16 (0.71, 1.90)

0.96 (0.65, 1.42)

1.24 (0.73, 2.10)

0.86 (0.58, 1.28)

Insurance, Other vs Medicare only

0.98 (0.78, 1.24)

0.94 (0.72, 1.23)

0.98 (0.75, 1.28)

1.06 (0.87, 1.29)

1.12 (0.86, 1.45)

0.91 (0.74, 1.12)

Marital status, married vs single

0.96 (0.75, 1.24)

1.12 (0.85, 1.48)

1.06 (0.80, 1.41)

1.22 (0.98, 1.53)

1.26 (0.92, 1.72)

1.21 (0.96, 1.52)

Marital status, divorced/separated vs single

0.97 (0.74, 1.26)

0.97 (0.72, 1.29)

0.94 (0.71, 1.26)

1.16 (0.92, 1.45)

1.08 (0.78, 1.50)

1.00 (0.79, 1.27)

Marital status, widowed vs single

1.18 (0.83, 1.69)

1.38 (0.92, 2.06)

1.32 (0.87, 2.00)

1.07 (0.80, 1.43)

1.16 (0.78, 1.73)

1.23 (0.90, 1.67)

Education level, grade school vs college or more

1.15 (0.79, 1.67)

1.19 (0.77, 1.84)

1.23 (0.79, 1.93)

1.14 (0.84, 1.54)

1.66 (1.12, 2.46)

1.18 (0.86, 1.63)

Education level, high school vs college or more

1.10 (0.91, 1.34)

1.13 (0.91, 1.41)

1.09 (0.88, 1.36)

1.10 (0.93, 1.29)

1.41 (1.11, 1.78)

1.09 (0.92, 1.30)

English speaker

0.20 (0.04, 0.87)

0.94 (0.33, 2.70)

0.85 (0.27, 2.69)

1.46 (0.69, 3.09)

1.76 (0.68, 4.59)

1.32 (0.62, 2.84)

Hospitalization

0.92 (0.69, 1.23)

0.98 (0.70, 1.37)

0.90 (0.64, 1.26)

1.03 (0.80, 1.32)

0.74 (0.51, 1.06)

1.00 (0.77, 1.31)

Active on transplant waitlist

1.23 (0.95, 1.61)

1.07 (0.80, 1.42)

0.91 (0.69, 1.21)

1.24 (1.00, 1.55)

0.68 (0.48, 0.95)

1.36 (1.08, 1.70)

BMI, per 2 kg/m2

1.02 (1.00, 1.05)

1.01 (0.98, 1.04)

1.02 (0.99, 1.05)

1.00 (0.98, 1.02)

0.97 (0.95, 1.00)

1.02 (0.99, 1.04)

Cause ESRD, diabetes vs. other

0.88 (0.71, 1.09)

1.02 (0.79, 1.30)

0.98 (0.77, 1.26)

0.92 (0.77, 1.11)

0.93 (0.72, 1.19)

1.05 (0.87, 1.28)

Cause ESRD, hypertension vs. other

0.95 (0.75, 1.20)

1.09 (0.84, 1.42)

0.99 (0.76, 1.29)

0.93 (0.77, 1.14)

1.03 (0.79, 1.34)

1.20 (0.98, 1.48)

Vascular access, catheter vs. fistula

0.91 (0.70, 1.18)

0.87 (0.65, 1.17)

0.90 (0.67, 1.21)

0.90 (0.72, 1.13)

1.32 (0.99, 1.75)

1.00 (0.79, 1.26)

Vascular access, graft vs. fistula

1.00 (0.79, 1.25)

1.11 (0.86, 1.44)

1.21 (0.93, 1.57)

0.92 (0.77, 1.11)

0.98 (0.75, 1.27)

1.18 (0.97, 1.44)

Hemoglobin, per 0.5 g/dL

0.95 (0.92, 0.99)

0.98 (0.94, 1.03)

0.97 (0.93, 1.01)

1.00 (0.96, 1.03)

0.99 (0.95, 1.04)

0.99 (0.96, 1.03)

Albumin, per 0.2 g/dL

0.99 (0.94, 1.04)

0.95 (0.89, 1.00)

0.94 (0.89, 1.00)

1.01 (0.97, 1.06)

1.03 (0.97, 1.09)

1.03 (0.99, 1.08)

Kt/V, per 0.2

1.03 (0.96, 1.11)

1.04 (0.96, 1.13)

1.09 (1.00, 1.18)

1.09 (1.02, 1.15)

1.06 (0.98, 1.15)

0.95 (0.89, 1.02)

ESRD vintage, per 12 months

1.01 (0.98, 1.05)

0.97 (0.93, 1.01)

0.97 (0.93, 1.00)

1.00 (0.97, 1.03)

0.95 (0.92, 0.99)

0.99 (0.96, 1.02)

ESRD vintage > 12 months before current facility

0.91 (0.71, 1.16)

0.90 (0.69, 1.18)

1.05 (0.80, 1.39)

1.15 (0.93, 1.41)

0.79 (0.58, 1.08)

0.86 (0.69, 1.07)

Unexcused absences

0.82 (0.64, 1.04)

0.84 (0.64, 1.09)

0.84 (0.64, 1.10)

0.95 (0.76, 1.17)

0.69 (0.50, 0.96)

0.86 (0.69, 1.08)

Treatments shortened

0.71 (0.59, 0.85)

0.77 (0.63, 0.95)

0.74 (0.60, 0.91)

0.75 (0.64, 0.87)

0.90 (0.73, 1.11)

0.87 (0.74, 1.02)

Telephone administration vs mail

1.51 (1.17, 1.94)

1.70 (1.28, 2.27)

1.91 (1.42, 2.58)

1.21 (0.99, 1.48)

1.96 (1.53, 2.51)

1.43 (1.17, 1.75)

  1. Data shown as odds ratio (OR) (95% CI) adjusted for all other variables in the table. Odds ratio above 1.00 is associated with top box response. Associations with p < 0.01 are in bold. NCC Nephrologists’ Communication and Caring, DCO Quality of Dialysis Center Care and Operations, PIP Providing Information to Patients, ESRD End stage renal disease, BMI Body mass index; Kt/V: Measure of dialysis adequacy. Unexcused absence was defined as missing an entire HD treatment without rescheduling; shortened treatment was defined as treatments that were at least 15 min shorter than prescribed; hospitalization included hospital stays for any reason
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BMC Nephrology

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