From: Effect of multidisciplinary care on diabetic kidney disease: a retrospective cohort study
Variables | Before matching | After matching | ||||
---|---|---|---|---|---|---|
MDC group | Non-MDC group | SMD | MDC group | Non-MDC group | SMD | |
n = 1,046 | n = 8,758 |  | n = 1,039 | n = 4,575 |  | |
Variables used for PS calculation | ||||||
 Age (years), median (IQR) | 70 (63–76) | 70 (63–77) | 0.01 | 70 (63–76) | 70 (63–76) | 0.02 |
Categorized, n (%) | Â | Â | 0.12 | Â | Â | 0.03 |
 20–49 | 55 (5.3) | 511 (5.8) |  | 55 (5.3) | 255 (5.6) |  |
 50–59 | 122 (11.7) | 1,076 (12.3) |  | 122 (11.7) | 494 (10.8) |  |
 60–69 | 327 (31.3) | 2,700 (30.8) |  | 327 (31.5) | 1,460 (31.9) |  |
 70–79 | 406 (38.8) | 3,030 (34.6) |  | 399 (38.4) | 1,729 (37.8) |  |
  ≥ 80 | 136 (13.0) | 1,441 (16.5) |  | 136 (13.1) | 637 (13.9) |  |
Male sex, n (%) | 689 (65.9) | 5,654 (64.6) | 0.03 | 683 (65.7) | 2,963 (64.8) | 0.02 |
Hospital size by number of beds, n (%) | Â | Â | 0.35 | Â | Â | 0.09 |
  > 500 | 112 (10.7) | 1,836 (21.0) |  | 112 (10.8) | 569 (12.4) |  |
 300–499 | 634 (60.6) | 4,051 (46.3) |  | 627 (60.3) | 2,555 (55.8) |  |
 100–299 | 300 (28.7) | 2,844 (32.5) |  | 300 (28.9) | 1451 (31.7) |  |
 20–99 | 0 (0.0) | 10 (0.1) |  | 0 (0.0) | 0 (0.0) |  |
  < 20 | 0 (0.0) | 17 (0.2) |  | 0 (0.0) | 0 (0.0) |  |
Duration of diabetes (years), median (IQR) | 7.2 (2.0–13.1) | 5.1 (0.7–11.0) | 0.22 | 7.1 (2.0–13.1) | 6.4 (1.2–12.0) | 0.09 |
Categorized, n (%) | Â | Â | 0.20 | Â | Â | 0.08 |
 0–5 | 420 (40.2) | 4,332 (49.5) |  | 420 (40.4) | 1,991 (43.5) |  |
 5–15 | 435 (41.6) | 3,274 (37.4) |  | 433 (41.7) | 1,872 (40.9) |  |
 15–25 | 170 (16.3) | 1,032 (11.8) |  | 166 (16.0) | 634 (13.9) |  |
  ≥ 25 | 21 (2.0) | 120 (1.4) |  | 20 (1.9) | 78 (1.7) |  |
Index eGFR (ml/min/1.73 m2), median (IQR) | 56 (43–70) | 61 (45–74) | 0.16 | 57(43–70) | 57(43–71) | 0.03 |
Categorized, n (%) | Â | Â | 0.22 | Â | Â | 0.02 |
 G2: 60–90 | 443 (42.4) | 4,604 (52.6) |  | 443 (42.6) | 1,987 (43.4) |  |
 G3a: 45–60 | 311 (29.7) | 2,014 (23.0) |  | 308 (29.6) | 1,341 (29.3) |  |
 G3b: 30–45 | 190 (18.2) | 1,299 (14.8) |  | 186 (17.9) | 811 (17.7) |  |
 G4: 15–30 | 102 (9.8) | 841 (9.6) |  | 102 (9.8) | 436 (9.5) |  |
Medication use, n (%) | ||||||
 Oral hypoglycemic agents | 847 (81.0) | 5,726 (65.4) | 0.36 | 840 (80.8) | 3,593 (78.5) | 0.06 |
 Insulin | 306 (29.3) | 2,019 (23.1) | 0.14 | 302 (29.1) | 1,209 (26.4) | 0.06 |
 Ca blockers | 454 (43.4) | 2,762 (31.5) | 0.25 | 449 (43.2) | 1,879 (41.1) | 0.04 |
 RAS-antagonists | 588 (56.2) | 3,523 (40.2) | 0.32 | 581 (55.9) | 2,426 (53.0) | 0.06 |
 β-blockers | 174 (16.6) | 1,026 (11.7) | 0.14 | 170 (16.4) | 690 (15.1) | 0.04 |
 Lipid-lowering agents | 512 (48.9) | 3,375 (38.5) | 0.21 | 506 (48.7) | 2,140 (46.8) | 0.04 |
 Uric acid-lowering agents | 172 (16.4) | 920 (10.5) | 0.18 | 167 (16.1) | 673 (14.7) | 0.04 |
Procedure, n (%) | ||||||
 Percutaneous coronary intervention | 61 (5.8) | 202 (2.3) | 0.18 | 54 (5.2) | 164 (3.6) | 0.08 |
 Coronary artery bypass grafting | 3 (0.3) | 11 (0.1) | 0.04 | 3 (0.3) | 9 (0.2) | 0.02 |
 Cerebral vascular surgery | 1 (0.1) | 3 (0.0) | 0.02 | 1 (0.1) | 3 (0.1) | 0.01 |
Variables not used for PS calculation | ||||||
 BMI (kg/m2), mean (SD) | 25.5 (4.4) | 24.9 (4.6) | 0.14 | 25.6 (4.4) | 25.1 (4.5) | 0.11 |
Categorized, n (%) | Â | Â | 0.35 | Â | Â | 0.30 |
  < 18.5 | 14 (1.3) | 107 (1.2) |  | 14 (1.3) | 48 (1.0) |  |
 18.5–25.0 | 173 (16.5) | 937 (10.7) |  | 169 (16.3) | 508 (11.1) |  |
  ≥ 25.0 | 196 (18.7) | 828 (9.5) |  | 194 (18.7) | 490 (10.7) |  |
Missing data | 663 (63.4) | 6,886 (78.6) | Â | 662 (63.7) | 3,529 (77.1) | Â |
Smoking, n (%) | Â | Â | 0.31 | Â | Â | 0.27 |
 Non-smoker | 214 (20.5) | 1,012 (11.6) |  | 210 (20.2) | 556 (12.2) |  |
 Past or current smoker | 146 (14.0) | 811 (9.3) |  | 144 (13.9) | 467 (10.2) |  |
 Missing data | 686 (65.6) | 6,935 (79.2) |  | 685 (65.9) | 3,552 (77.6) |  |
 HbA1c (%), median (IQR) | 7.2 (6.6–7.9) | 7.1 (6.5– 8.0) | 0.02 | 7.2 (6.6–7.9) | 7.1 (6.5–8.1) | 0.02 |
Categorized, n (%) | Â | Â | 0.26 | Â | Â | 0.25 |
  < 6.0 | 37 (3.5) | 772 (8.8) |  | 37 (3.6) | 389 (8.5) |  |
 6.0–7.0 | 369 (35.3) | 3,136 (35.8) |  | 366 (35.2) | 1,622 (35.5) |  |
 7.0–8.0 | 375 (35.9) | 2,470 (28.2) |  | 373 (35.9) | 1,305 (28.5) |  |
  ≥ 8.0 | 252 (24.1) | 2,249 (25.7) |  | 251 (24.2) | 1,199 (26.2) |  |
Missing data | 13 (1.2) | 131 (1.5) | Â | 12 (1.2) | 60 (1.3) | Â |
Proteinuriaa, n (%) | Â | Â | 0.39 | Â | Â | 0.31 |
 - | 285 (27.2) | 3,903 (44.6) |  | 285 (27.4) | 1,855 (40.5) |  |
  ±  | 212 (20.3) | 1,352 (15.4) |  | 212 (20.4) | 711 (15.5) |  |
 1 +  | 196 (18.7) | 1,094 (12.5) |  | 195 (18.8) | 640 (14.0) |  |
 2 +  | 128 (12.2) | 802 (9.2) |  | 128 (12.3) | 436 (9.5) |  |
 3 +  | 66 (6.3) | 563 (6.4) |  | 66 (6.4) | 329 (7.2) |  |
 4 +  | 6 (0.6) | 83 (0.9) |  | 6 (0.6) | 46 (1.0) |  |
Missing data | 153 (14.6) | 961 (11.0) | Â | 147 (14.1) | 558 (12.2) | Â |
LDL-C (mg/dl), mean (SD) | 103 (32) | 108 (33) | 0.15 | 103 (32) | 106 (33) | 0.09 |
Categorized, n (%) | Â | Â | 0.14 | Â | Â | 0.09 |
  < 100 | 398 (38.0) | 3,023 (34.5) |  | 398 (38.3) | 1,679 (36.7) |  |
 100–120 | 180 (17.2) | 1,657 (18.9) |  | 180 (17.3) | 854 (18.7) |  |
 120–140 | 124 (11.9) | 1,197 (13.7) |  | 123 (11.8) | 585 (12.8) |  |
 140–160 | 51 (4.9) | 613 (7.0) |  | 51 (4.9) | 289 (6.3) |  |
  ≥ 160 | 43 (4.1) | 431 (4.9) |  | 43 (4.1) | 202 (4.4) |  |
Missing data | 250 (23.9) | 1,837 (21.0) | Â | 244 (23.5) | 966 (21.1) | Â |
Uric acid (mg/dl), mean (SD) | 5.9 (1.6) | 6.1 (4.2) | 0.06 | 5.9 (1.7) | 6.2 (4.1) | 0.09 |
Categorized, n (%) | Â | Â | 0.12 | Â | Â | 0.12 |
  < 7.0 | 776 (74.2) | 6,368 (72.7) |  | 771 (74.2) | 3,275 (71.6) |  |
 7.0–8.0 | 123 (11.8) | 855 (9.8) |  | 121 (11.6) | 464 (10.1) |  |
 8.0–9.0 | 38 (3.6) | 318 (3.6) |  | 38 (3.7) | 179 (3.9) |  |
  ≥ 9.0 | 32 (3.1) | 311 (3.6) |  | 32 (3.1) | 182 (4.0) |  |
Missing data | 77 (7.4) | 906 (10.3) | Â | 77 (7.4) | 475 (10.4) | Â |
Comorbidities, n (%) | ||||||
 Hypertension | 860 (82.2) | 6,308 (72.0) | 0.24 | 853 (82.1) | 3,616 (79.0) | 0.08 |
 Hyperlipidemia | 777 (74.3) | 5,654 (64.6) | 0.21 | 771 (74.2) | 3,144 (68.7) | 0.12 |
 Ischemic heart disease | 433 (41.4) | 3,047 (34.8) | 0.14 | 426 (41.0) | 1,724 (37.7) | 0.07 |
 Hyperuricemia | 220 (21.0) | 1,317 (15.0) | 0.16 | 215 (20.7) | 834 (18.2) | 0.06 |
 Observation periodb (years), median (IQR) | 3.5 (2.1–4.9) | 4.0 (2.6–5.9) | 0.30 | 3.5 (2.2–4.9) | 3.9 (2.6–5.9) | 0.30 |