Authors' Affiliations

Busayo Onatolu , Department of Biostatistics and Epidemiology, College of Public Health East Tennessee State University, Johnson City, TN. Shimin Zheng, Department of Biostatistics and Epidemiology, College of Public Health East Tennessee State University, Johnson City, TN. Hemang Panchal, Department of Internal Medicine, Quillen College of Medicine, ETSU, Johnson City, TN, 37614 Timir k. Paul, Department of Internal Medicine, Quillen College of Medicine, ETSU, Johnson City, TN, 37614 Edward Francis Leinaar, Department of Health Services Management and Policy, CPH, ETSU, Johnson City, Tn, 37614

Location

RIPSHIN MTN. ROOM 130

Start Date

4-12-2019 11:00 AM

End Date

4-12-2019 11:15 AM

Faculty Sponsor’s Department

Biostatistics & Epidemiology

Name of Project's Faculty Sponsor

Dr. Shimin Zheng

Type

Oral Presentation

Classification of First Author

Graduate Student-Master’s

Project's Category

Healthcare and Medicine

Abstract Text

ASSOCIATION OF AGE, GENDER AND RACE IN CHRONIC KIDNEY DISEASE PATIENTS WITH AND WITHOUT DIALYSIS

1Busayo Adeyemi Onatolu, 2Hemang Panchal, 3Edward Francis Leinaar, 1*Shimin Zheng, 2Timir K. Paul

1Department of Biostatistics and Epidemiology, College of Public Health, ETSU, Johnson City, TN 37614

2Department of Internal Medicine, Quillen College of Medicine, ETSU, Johnson City, TN, 37614

3Department of Health Services Management and Policy, CPH, ETSU, Johnson City, TN 37614

*Sponsoring faculty

Introduction:

Studies have shown that chronic kidney disease (CKD) is common among adults in the United States. The Centers for Disease Control and Prevention (CDC) states that 30 million people, or 15% of US adults, are estimated to have CKD. Forty-eight percent of those with severely reduced kidney function are not aware of having CKD, and therefore do not receive hemodialysis (HD).

Methods:

A nationwide inpatient sample database from 2012-2014 was used to identify all patients admitted to the hospital using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes (n= 534,845). Patients with dialysis dependent CKD (n=8,100) and CKD without dialysis (n=51,285) were compared to non-CKD patients (n=475,460). Hierarchical logistic regression was performed and p

Results:

Of the 534,845 patients, 88.9% were without CKD and 9.59% had CKD without HD and 1.51% had CKD with HD. Among patients with CKD, 13.64% were on HD and 86.34% were non-HD patients. The result shows that a higher proportion of patients with CKD without HD in the ≥ 80 years age group (≥ 80 = 37.84%, 65-79 = 36.94%, 50-64 = 20.80%, 35-49 = 4.12% and 18-34 = 0.30%) and a higher proportion of patients with CKD with HD in the 65-79 years age (≥ 80 = 16.30%, 65-79 = 41.79%, 50-64 = 33.09%, 35-64 = 8.09% and 18-34 = 1.29%). The OR of age group 18-34 compared to ≥ 80 is 5.690, 95% CI: 4.202,7.705, OR 35-49 is 4.552, 95% CI: 4.552, 95% CI: 4.103, 5.050, OR of 50-64 is 3.693, 95% CI: 3.444, 3.961 and OR 65-79 is 2.626, 95% CI: 2.457, 2.807. Males had higher rates of CKD than females, without HD (Male= 63.12%, female= 36.88%, p

Conclusion:

From this study, males had higher rates of CKD with and without HD than females, the age group ≥ 80 years had higher proportion of CKD without HD and those between 65-79 years had higher number of CKD with HD. Whites had higher rates of CKD with and without HD than other races.

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Apr 12th, 11:00 AM Apr 12th, 11:15 AM

Association of Age, Gender and Race in Chronic Kidney Disease Patients with and without Dialysis

RIPSHIN MTN. ROOM 130

ASSOCIATION OF AGE, GENDER AND RACE IN CHRONIC KIDNEY DISEASE PATIENTS WITH AND WITHOUT DIALYSIS

1Busayo Adeyemi Onatolu, 2Hemang Panchal, 3Edward Francis Leinaar, 1*Shimin Zheng, 2Timir K. Paul

1Department of Biostatistics and Epidemiology, College of Public Health, ETSU, Johnson City, TN 37614

2Department of Internal Medicine, Quillen College of Medicine, ETSU, Johnson City, TN, 37614

3Department of Health Services Management and Policy, CPH, ETSU, Johnson City, TN 37614

*Sponsoring faculty

Introduction:

Studies have shown that chronic kidney disease (CKD) is common among adults in the United States. The Centers for Disease Control and Prevention (CDC) states that 30 million people, or 15% of US adults, are estimated to have CKD. Forty-eight percent of those with severely reduced kidney function are not aware of having CKD, and therefore do not receive hemodialysis (HD).

Methods:

A nationwide inpatient sample database from 2012-2014 was used to identify all patients admitted to the hospital using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes (n= 534,845). Patients with dialysis dependent CKD (n=8,100) and CKD without dialysis (n=51,285) were compared to non-CKD patients (n=475,460). Hierarchical logistic regression was performed and p

Results:

Of the 534,845 patients, 88.9% were without CKD and 9.59% had CKD without HD and 1.51% had CKD with HD. Among patients with CKD, 13.64% were on HD and 86.34% were non-HD patients. The result shows that a higher proportion of patients with CKD without HD in the ≥ 80 years age group (≥ 80 = 37.84%, 65-79 = 36.94%, 50-64 = 20.80%, 35-49 = 4.12% and 18-34 = 0.30%) and a higher proportion of patients with CKD with HD in the 65-79 years age (≥ 80 = 16.30%, 65-79 = 41.79%, 50-64 = 33.09%, 35-64 = 8.09% and 18-34 = 1.29%). The OR of age group 18-34 compared to ≥ 80 is 5.690, 95% CI: 4.202,7.705, OR 35-49 is 4.552, 95% CI: 4.552, 95% CI: 4.103, 5.050, OR of 50-64 is 3.693, 95% CI: 3.444, 3.961 and OR 65-79 is 2.626, 95% CI: 2.457, 2.807. Males had higher rates of CKD than females, without HD (Male= 63.12%, female= 36.88%, p

Conclusion:

From this study, males had higher rates of CKD with and without HD than females, the age group ≥ 80 years had higher proportion of CKD without HD and those between 65-79 years had higher number of CKD with HD. Whites had higher rates of CKD with and without HD than other races.