From: Comparison of outcomes for veterans receiving dialysis care from VA and non-VA providers
Overall (n=1,388) | VA (n=381) | Non-VA (n=659) | Dual (n=348) | p | |
---|---|---|---|---|---|
Age | 62.2 (11.3) | 61.7 (11.5) | 63.2 (11.4) | 61.0 (11.0) | .005 |
Male, % | 98.6 | 99.0 | 98.6 | 98.3 | .736 |
Race, % | <.001 | ||||
White | 38.3 | 24.7 | 47.6 | 35.3 | -- |
Non-White | 59.0 | 74.0 | 47.5 | 64.4 | -- |
Unknown | 2.7 | 1.3 | 4.9 | 0.3 | -- |
Marital status, % | <.001 | ||||
Married | 47.0 | 38.1 | 53.1 | 45.4 | -- |
Unmarried | 50.9 | 61.2 | 43.7 | 53.4 | -- |
Unknown | 2.0 | 0.8 | 3.2 | 1.1 | -- |
Copayment required, % | 6.0 | 8.1 | 5.3 | 4.9 | .110 |
Diagnostic Cost Group (DCG) score | 5.1 (3.1) | 5.7 (3.1) | 4.5 (3.0) | 5.7 (3.0) | <.001 |
Arrhythmia, % | 15.9 | 19.4 | 14.7 | 14.1 | .078 |
Cancer, % | 12.5 | 13.1 | 10.2 | 16.1 | .023 |
Cerebrovascular disease, % | 13.4 | 13.4 | 12.4 | 15.2 | .467 |
Congestive heart failure, % | 28.2 | 28.3 | 28.2 | 28.2 | .998 |
Chronic pulmonary disease, % | 16.9 | 15.2 | 17.8 | 17.2 | .568 |
Diabetes, % | 63.8 | 60.9 | 62.5 | 69.5 | .033 |
Hypertension, % | 87.2 | 85.3 | 85.0 | 93.4 | <.001 |
Myocardial infarction, % | 6.3 | 5.2 | 7.0 | 6.3 | .544 |
Liver disease, % | 6.0 | 6.0 | 5.0 | 7.8 | .216 |
Peripheral vascular disease, % | 20.7 | 27.3 | 17.0 | 20.7 | <.001 |
History of dialysis prior to baseline, % | .001 | ||||
None | 48.6 | 51.4 | 43.1 | 56.0 | -- |
6 months | 8.2 | 5.5 | 9.7 | 8.3 | -- |
1 year | 5.8 | 4.7 | 6.4 | 5.8 | -- |
2 years | 37.4 | 38.3 | 40.8 | 29.9 | -- |
History of hospitalization 1-year prior to baseline, % | 52.2 | 63.5 | 41.6 | 59.8 | <.001 |
Home VA station has dialysis, % | 66.2 | 100 | 35.7 | 87.1 | <.001 |
Distance to home VA station, miles | 35.5 (45.4) | 12.4 (39.7) | 46.2 (38.6) | 40.5 (53.5) | <.001 |
Distance to nearest VA dialysis, miles | 58.6 (59.6) | 12.1 (36.4) | 91.2 (52.0) | 48.0 (55.6) | <.001 |
Region, % | <.001 | ||||
VISN A | 73.7 | 51.2 | 83.5 | 79.9 | -- |
VISN B | 26.3 | 48.8 | 16.5 | 20.1 | -- |
All-cause Hospitalization, % | 47.9 | 65.1 | 30.2 | 62.6 | <.001 |
Hospitalizations for all subjects, mean | 1.2 (1.7) | 1.7 (2.0) | 0.6 (1.3) | 1.6 (2.0) | <.001 |
Hospitalizations for patients with any hospitalization3, mean | 2.4 (1.8) | 2.6 (1.9) | 2.1 (1.5) | 2.6 (1.9) | .002 |
Total length of stay for all subjects, mean | 10.0 (27.1) | 14.9 (32.9) | 5.0 (15.0) | 14.0 (35.3) | <.001 |
Total length of stay for patients with any hospitalization3, mean | 20.9 (36.2) | 22.9 (38.5) | 16.6 (23.6) | 22.4 (42.4) | .146 |
All-cause Mortality, % | 12.5 | 14.7 | 13.4 | 8.3 | .022 |