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Table 1 Catheter-start patient characteristics by clinical setting

From: Impact of pre-dialysis nephrology care engagement and decision-making on provider and patient action toward permanent vascular access

Characteristic

n (% column)

Overall

61 (100)

Private practice

28 (46)

Public hospital

27 (44)

Veterans Administration

6 (10)

p-value

Level of engagement in nephrology care before HD start

    

0.3

 None

7 (11)

2 (7)

4 (15)

1 (17)

 

 Interrupted (last > 30 days)

23 (38)

14 (50)

8 (30)

1 (17)

 

 Limited (<3mo, last within 30 days)

10 (16)

4 (14)

6 (22)

0 (0)

 

 Ideal (>3mo, last within 30 days)

21 (34)

8 (29)

9 (33)

4 (67)

 

Timing of patient decision before HD start

    

0.5

 No decision

25 (42)

11 (39)

11 (42)

3 (50)

 

  < 3 months

16 (27)

5 (18)

9 (35)

2 (33)

 

 3–12 months

10 (17)

7 (25)

2 (8)

1 (17)

 

  > 12 months

9 (15)

5 (18)

4 (15)

0 (0)

 

Visits within 6 months of dialysis initiation

    

0.7

 0

7 (11)

2 (7)

4 (15)

1 (17)

 

 1–2

30 (49)

16 (57)

11 (41)

3 (50)

 

 3+

24 (39)

10 (36)

12 (44)

2 (33)

 

Age, mean (SD)

62 (15)

67 (14)

52 (13)

66 (10)

< 0.001

Male gender

33 (54)

11 (39)

16 (59)

6 (100)

0.02

Race/ethnicity

    

< 0.001

 White

8 (13)

3 (11)

2 (7)

3 (50)

 

 Black

30 (49)

24 (86)

3 (11)

3 (50)

 

 Hispanic

11 (18)

0 (0)

11 (41)

0 (0)

 

 Asian

12 (20)

1 (4)

11 (41)

0 (0)

 

eGFR at HD initiation, median (IQR)a

5.0 (3.0, 9.0)

n/a

4.5 (3, 7.5)

8.0 (5.0, 9.0)

0.1

Charlson comorbidity index score, median (IQR)

5.0 (3.0, 6.0)

6.0 (5.0, 8.0)

4.0 (2.0, 5.0)

4.5 (3.0, 6.0)

< 0.001

Uninsured

7 (11)

0 (0)

7 (26)

0 (0)

0.007

Inpatient start

30 (49)

5 (18)

19 (71)

6 (100)

< 0.001

  1. AVF/AVG arteriovenous fistula/graft, HD hemodialysis, RRT renal replacement therapy, eGFR estimated glomerular filtration rate
  2. aData available: n = 26 overall, n = 0 private practice site, n = 20 public hospital site, n = 6 Veterans Administration