Patient populations by study group figure 10

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Presentation transcript:

Patient populations by study group figure 10 Patient populations by study group figure 10.1 incident dialysis patients, 1995–1999 combined Group 1: Diabetes as primary diagnosis of ESRD (n=130,379) Group 2: Diabetes on ME Form, but not primary diagnosis (n=19,411) Group 3: Diabetes on claims during study period (n=25,351) Group 4: No diabetes (n=120,772) Percent of patients

Cardiac death rates figure 10 Cardiac death rates figure 10.2 per 1,000 patient years, incident dialysis patients, 1995–1999 combined, by HSA, unadjusted Percent of patients 153+ (170) 140 to <153 127 to <140 110 to <127 below 110 (98)

Rates of all-cause death figure 10 Rates of all-cause death figure 10.3 per 1,000 patient years, incident dialysis patients, 1995–1999 combined, adjusted for age, gender, race, & eight major comorbidities

Rates of cardiac death figure 10 Rates of cardiac death figure 10.3 per 1,000 patient years, incident dialysis patients, 1995–1999 combined, adjusted for age, gender, race, & eight major comorbidities

Rates of any cardiovascular event figure 10 Rates of any cardiovascular event figure 10.3 per 1,000 patient years, incident dialysis patients, 1995–1999 combined, adjusted for age, gender, race, & eight major comorbidities

Patient distribution by age figure 10 Patient distribution by age figure 10.4 incident dialysis patients, 1995–1999 combined, who survive at least one year

Patient distribution by gender figure 10 Patient distribution by gender figure 10.5 incident dialysis patients, 1995–1999 combined, who survive at least one year

Patient distribution, by race figure 10 Patient distribution, by race figure 10.6 incident dialysis patients, 1995–1999 combined, who survive at least one year

Comorbidity at initiation of study figure 10 Comorbidity at initiation of study figure 10.7 incident dialysis patients, 1995–1999 combined, who survive at least one year

Comorbidity at initiation of study figure 10 Comorbidity at initiation of study figure 10.7 incident dialysis patients, 1995–1999 combined, who survive at least one year, by ASHD, CHF, Cardiac other, & CVA/TIA

Geographic variations in comorbid cardiovascular conditions: ASHD figure 10.8 per 1,000 pt. years, group 1, 1995–1999 combined, by HSA, unadjusted Rate per 1,000 patient years at risk 561+ (594) 518 to <561 477 to <518 440 to <477 below 440 (409)

Geographic variations in comorbid cardiovascular conditions: CHF figure 10.8 per 1,000 pt. years, group 1, 1995–1999 combined, by HSA, unadjusted Rate per 1,000 patient years at risk 605+ (630) 583 to <605 565 to <583 543 to <565 below 543 (510)

Geographic variations in comorbid cardiovascular conditions: PVD figure 10.8 per 1,000 pt. years, group 1, 1995–1999 combined, by HSA, unadjusted Rate per 1,000 patient years at risk 591+ (609) 571 to <591 553 to <571 516 to <553 below 516 (468)

Geographic variations in comorbid cardiovascular conditions: CVA/TIA figure 10.8 per 1,000 pt. years, group 1, 1995–1999 combined, by HSA, unadjusted Rate per 1,000 patient years at risk 226+ (236) 215 to <226 199 to <215 182 to <199 below 182 (167)

Event rates & adjusted event-free survival: acute myocardial infarction figure 10.9 incident dialysis patients, 1995–1999

Event rates & adjusted event-free survival: congestive heart failure figure 10.10 incident dialysis patients, 1995–1999

Event rates & adjusted event-free survival: cardiac arrest figure 10 Event rates & adjusted event-free survival: cardiac arrest figure 10.11 incident dialysis patients, 1995–1999

Event rates & adjusted event-free survival: cardiac death figure 10 Event rates & adjusted event-free survival: cardiac death figure 10.12 incident dialysis patients, 1995–1999

Event rates & adjusted event-free survival: peripheral vascular disease figure 10.13 incident dialysis patients, 1995–1999

Event rates & adjusted event-free survival: cerebrovascular accident/transient ischemic attack figure 10.14 incident dialysis patients, 1995–1999

Event rates & adjusted event-free survival: coronary revascularization figure 10.15 incident dialysis patients, 1995–1999

Event rates & adjusted event-free survival: all cardiac events figure 10.16 incident dialysis patients, 1995–1999

Event rates & adjusted event-free survival: all-cause death figure 10 Event rates & adjusted event-free survival: all-cause death figure 10.17 incident dialysis patients, 1995–1999

Event rates & adjusted event-free survival: any cardiac event or death figure 10.18 incident dialysis patients, 1995–1999

Survival after acute myocardial infarction figure 10 Survival after acute myocardial infarction figure 10.19 incident dialysis patients, 1995–1999 combined

Mortality rates after acute myocardial infarction figure 10 Mortality rates after acute myocardial infarction figure 10.20 per 1,000 patient years, incident dialysis patients, 1995–1999 combined, by HSA, unadjusted Deaths per 1,000 patient years 1,038+ (1,204) 924 to <1,038 850 to <924 782 to <850 below 782 (712)

Survival after peripheral vascular disease figure 10 Survival after peripheral vascular disease figure 10.21 incident dialysis patients, 1995–1999 combined

Survival after cerebrovascular accident/transient ischemic attack figure 10.22 incident dialysis patients, 1995–1999 combined

Survival after cardiac arrest figure 10 Survival after cardiac arrest figure 10.23 incident dialysis patients, 1995–1999 combined

Mortality rates after cardiac arrest figure 10 Mortality rates after cardiac arrest figure 10.24 per 1,000 patient years, incident dialysis patients, 1995–1999 combined, by HSA, unadjusted Deaths per 1,000 patient years 11,910+ (27,240) 5,460 to <11,910 3,070 to <5,460 1,910 to <3,070 below 1,910 (1,220)

Survival after congestive heart failure figure 10 Survival after congestive heart failure figure 10.25 incident dialysis patients, 1995–1999 combined

Survival after coronary revascularization figure 10 Survival after coronary revascularization figure 10.26 incident dialysis patients, 1995–1999 combined

Event rates: acute myocardial infarction figure 10 Event rates: acute myocardial infarction figure 10.27 per 1,000 patient years, prevalent dialysis patients, 1997, by HSA, unadjusted Per 1,000 patient years 81.8+ (92.4) 71.9 to <81.8 64.0 to <71.9 55.9 to <64.0 below 55.9 (50.0)

Event rates: acute myocardial infarction figure 10 Event rates: acute myocardial infarction figure 10.27 per 1,000 patient years, prevalent general Medicare patients, age 65 years or older on 1/1/1997 or the 1st day of month of enrollment, by HSA, unadjusted Per 1,000 patient years 17.7+ (19.6) 16.2 to <17.7 14.9 to <16.2 12.9 to <14.9 below 12.9 (11.3)

Event rates: congestive heart failure figure 10 Event rates: congestive heart failure figure 10.28 per 1,000 patient years, prevalent dialysis patients, 1997, by HSA, unadjusted Per 1,000 patient years 472+ (569) 416 to <472 372 to <416 328 to <372 below 328 (290)

Event rates: congestive heart failure figure 10 Event rates: congestive heart failure figure 10.28 per 1,000 patient years, prevalent general Medicare patients, age 65 years or older on 1/1/1997 or the 1st day of month of enrollment, by HSA, unadjusted Per 1,000 patient years 81.3+ (90.0) 72.8 to <81.3 66.0 to <72.8 58.1 to <66.0 below 58.1 (49.7)

Event rates: cardiac arrest figure 10 Event rates: cardiac arrest figure 10.29 per 1,000 patient years, prevalent dialysis patients, 1997, by HSA, unadjusted Per 1,000 patient years 134+ (157) 115 to <134 104 to <115 94 to <104 below 94 (86)

Event rates: cardiac arrest figure 10 Event rates: cardiac arrest figure 10.29 per 1,000 patient years, prevalent general Medicare patients, age 65 years or older on 1/1/1997 or the 1st day of month of enrollment, by HSA, unadjusted Per 1,000 patient years 9.59+ (11.15) 8.17 to < 9.59 7.20 to <8.17 6.00 to <7.20 below 6.00 (5.03)

Cardiovascular first-year event rates figure 10 Cardiovascular first-year event rates figure 10.30 prevalent ESRD patients, 1997, & prevalent general Medicare patients age 65 years or older on 1/1/1997 or 1st day of the month of enrollment

Event rates: peripheral vascular disease figure 10 Event rates: peripheral vascular disease figure 10.31 per 1,000 patient years, prevalent dialysis patients, 1997, by HSA, unadjusted Per 1,000 patient years 305+ (342) 275 to <305 250 to <275 226 to <250 below 226 (203)

Event rates: peripheral vascular disease figure 10 Event rates: peripheral vascular disease figure 10.31 prevalent ESRD patients, 1997, & prevalent General Medicare patients age 65 years or older on 1/1/1997 or 1st day of the month of enrollment Per 1,000 patient years 58.7+ (66.8) 51.8 to <58.7 47.1 to <51.8 40.3 to <47.1 below 40.3 (34.1)

Event rates: CVA/TIA figure 10 Event rates: CVA/TIA figure 10.32 per 1,000 patient years, prevalent dialysis patients, 1997, by HSA, unadjusted Per 1,000 patient years 126+ (137) 118 to <126 111 to <118 103 to <111 below 103 (94)

Event rates: CVA/TIA figure 10 Event rates: CVA/TIA figure 10.32 prevalent ESRD patients, 1997, & prevalent general Medicare patients age 65 years or older on 1/1/1997 or 1st day of the month of enrollment Per 1,000 patient years 61.7+ (66.6) 56.3 to <61.7 50.2 to <56.3 43.6 to <50.2 below 43.6 (38.0)

Event rates: coronary revascularization figure 10 Event rates: coronary revascularization figure 10.33 per 1,000 patient years, prevalent dialysis patients, 1997, by HSA, unadjusted Per 1,000 patient years 31.9+ (36.7) 28.6 to <31.9 26.2 to <28.6 23.2 to <26.2 below 23.2 (20.0)

Event rates: coronary revascularization figure 10 Event rates: coronary revascularization figure 10.33 prevalent ESRD patients, 1997, & prevalent general Medicare patients age 65 years or older on 1/1/1997 or 1st day of the month of enrollment Per 1,000 patient years 15.0+ (17.0) 13.4 to <15.0 12.2 to <13.4 10.8 to <12.2 below 10.8 (9.4)

Trends in first-year event rates after transplant figure 10 Trends in first-year event rates after transplant figure 10.34 per 1,000 patient years, adjusted for age, gender, race, & diabetes