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Table 1 Comparison of six aspects of quality of care in 603 incident patients (<90 days on hemodialysis) and 2 859 prevalent patients (>90 days on maintenance hemodialysis)

From: Improvements in six aspects of quality of care of incident hemodialysis patients – a real-world experience

Aspects of quality of care

Incident patients

n=603

Prevalent patients

n=2859

p*

 

Mean (SD)

Mean (SD)

t-test

Age (years)

66.3 (14.6)

67.1 (14.2)

NS

Charlson comorbidity index

6.9 (2.9)

6.9 (2.9)

NS

Adequacy

 Weekly treatment time (min)

677 (116)

721 (77)

<0.001

 Blood flow rate (ml/min)

295 (65)

351 (77)

<0.001

 Treated blood volume (l/kg)

1.0 (0.3)

1.2 (0.7)

<0.001

 HD treatments/week

3.0 (0.4)

3.0 (0.3)

NS

 Kt/V

1.4 (0.4)

1.7 (0.4)

<0.001

 URR (%)

66 (16)

74 (10)

<0.001

 Potassium (mmol/l)

4.8 (0.7)

5.2 (1.0)

<0.001

Nutrition

 Body weight

70.8 (20)

72.4 (17)

NS

 BMI (kg/m2)

25.9 (0.9)

26.3 (6.5)

NS

 Albumin (g/l)

37.4 (19.5)

40.7 (21.8)

0.001

Anemia

 Hb (g/dl) all pts

9.9 (1.6)

11.0 (1.3)

<0.001

 Hb (g/dl) on ESA

9.8 (1.5)

10.8 (1.2)

<0.001

 TSAT (%)

26 (12)

31 (14)

<0.001

 Ferritin (μg/l)

305 (291)

540 (542)

<0.001

 Weekly ESA dose (IU/week)

5470 (4440)

4982 (3640)

<0.05

 ERI (ESA U/week/kg/Hb)

8.5 (8.4)

7.0 (6.3)

<0.001

CKD MBD

 Phosphorus (mg/dl)

4.8 (1.6)

5.0 (1.6)

NS

 Calcium (mg/dl)

8.7 (2.2)

8.8 (1.6)

NS

 iPTH (pg/ml)

372 (298)

496 (448)

<0.001

Blood pressure

 MAP (mm Hg)

95 (12)

94 (14)

NS

 IDBWG (%)

1.6 (4.6)

2.6 (1.5)

<0.001

 UF volume (ml/session)

1687 (963)

2259 (1008)

<0.001

Vascular access

Percent

Percent

Chi square

 AV fistula (%)

32

70

<0.001

 AV graft (%)

1

4

<0.001

 CVC (%)

68

26

<0.001

Sex (% female)

42

41

NS

Age ≥70 years (%)

46

47

NS

Diabetes mellitus (%)

23

27

<0.05

Hemodiafiltration (%)

11

22

<0.001

  1. Abbreviations: HD hemodialysis, URR urea reduction ratio, BMI body mass index, ESA erythropoiesis stimulating agent, TSAT transferrin saturation, ERI erythropoietin resistance index, iPTH intact parathyroid hormone, MAP mean arterial pressure, IDBWG interdialytic body weight gain, AV arteriovenous, CVC central vascular catheter
  2. * Students t-test and Chi-square analysis for continuous numbers (mean and SD) and percentages respectively