title: Outcomes for adolescent Hispanic hemodialysis patients: findings from the ESRD Clinical Performance Measures Project.
abstract: BACKGROUND
  There is limited information regarding outcomes of dialytic care for Hispanic adolescent hemodialysis patients.
  
  
  METHODS
  Ethnicity information was collected for all adolescent in-center hemodialysis patients for the Centers for Medicare & Medicaid Services 2000 End-Stage Renal Disease (ESRD) Clinical Performance Measures Project. Associations between intermediate outcomes and Hispanic ethnicity were determined. Associations of ethnicity and other demographic/clinical variables with hospitalization and transplantation during the 12-month follow-up period were examined.
  
  
  RESULTS
  Twenty-two percent of patients were identified as Hispanic; 40%, as non-Hispanic black; and 32%, as non-Hispanic white. Hispanic patients were younger and more likely to have congenital/urological causes of ESRD. More Hispanic patients had a mean single-pool Kt/V of 1.2 or greater compared with non-Hispanic blacks and non-Hispanic whites (87% versus 73% and 79%; P = 0.036). More Hispanic patients had a mean serum albumin level of 3.5/3.2 g/dL (bromcresol green/bromcresol purple method) or greater (> or = 35/32 g/L; 91% versus 82% and 76%; P = 0.017). More Hispanic patients compared with non-Hispanic blacks and non-Hispanic whites were dialyzed with a catheter for 90 days or longer (30% versus 21% and 23%; P = 0.027). In the final multivariate Cox proportional hazard models, Hispanic patients were at a slightly decreased risk for hospitalization compared with non-Hispanics (adjusted hazard ratio [adjHR], 0.63; P = 0.031) and were as likely to undergo a first transplantation as non-Hispanic whites (adjHR, 0.56; P = 0.099).
  
  
  CONCLUSIONS
  Adolescent Hispanic hemodialysis patients experience equivalent or better intermediate outcomes of dialytic care than non-Hispanics. They experienced a decreased risk for subsequent hospitalization and are as likely to undergo transplantation within 12 months as non-Hispanic whites.
authors.affiliation: Centers for Medicare & Medicaid Services, Office of Clinical Standards and Quality, Baltimore, MD, USA.
authors.forename: Diane L
authors.initials: DL
authors.lastname: Frankenfield
authors.forename: Meredith A
authors.initials: MA
authors.lastname: Atkinson
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Fivush
authors.forename: Alicia M
authors.initials: AM
authors.lastname: Neu
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D007676:Kidney Failure, Chronic / Q000208:ethnology* / Q000628:therapy*; D016030:Kidney Transplantation; D008297:Male; D006435:Renal Dialysis; D016896:Treatment Outcome