作者
Devin S Zarkowsky, Isibor J Arhuidese, Caitlin W Hicks, Joseph K Canner, Umair Qazi, Tammam Obeid, Eric Schneider, Christopher J Abularrage, Julie A Freischlag, Mahmoud B Malas
发表日期
2015/6/1
期刊
JAMA surgery
卷号
150
期号
6
页码范围
529-536
出版商
American Medical Association
简介
Importance
Superior outcomes have been established with the use of an arteriovenous fistula (AVF) at first hemodialysis. However, considering the influence of comorbidities, medical insurance, and specialist care, racial/ethnic differences in the patterns of utilization of AVFs are unknown and deserve evaluation.
Objective
To assess national trends in initial hemodialysis access with respect to race/ethnicity stratified by comorbid disease, nephrology care, and medical insurance status within the US Renal Data System.
Design, Setting, and Participants
A retrospective analysis of all patients with end-stage renal disease in the US Renal Data System who initiated hemodialysis between January 1, 2006, and December 31, 2010. Univariable statistics (χ2test and analysis of variance) and logistic regression were used to compare racial/ethnic groups (white vs black vs Hispanic). Multivariable logistic regression and …
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