Baseline characteristics of incident AS and respective controls cohorts according to CKD subgroups in 2000–2001 and 2016–2017
Patient characteristics | 2000–2001 | 2016–2017 | ||||||||||||
Cohort with incident AS (n=5874) | Cohort without AS (n=29 370) | Cohort with incident AS (n=8329) | Cohort without AS (n=41 645) | |||||||||||
Dialysis | Predialysis | Non-CKD | Dialysis | Predialysis | Non-CKD | P value* | Dialysis | Predialysis | Non-CKD | Dialysis | Predialysis | Non-CKD | P value* | |
No. of patients (%) (% change from 2000 to 2001 to 2016–2017) | 52 (0.9) | 986 (16.8) | 4 836 (82.3) | 169 (0.6) | 2 353 (8.0) | 26 848 (91.4) | 93 (1.1) (+22%) | 2 418 (29.0) (+73%) | 5 818 (69.9) (−15%) | 95 (0.2) (−67%) | 2 750 (6.6) (−18%) | 38 800 (93.2)(+2%) | ||
Demographics | ||||||||||||||
Age, years (median, IQR) | 72 (63.5–77.5)† | 79 (74–85)‡ | 76 (67–82)§ | 76 (72–80) | 80 (76–85) | 76 (67–84) | 0.0120 | 76 (67–82)†¶ | 84 (76–89)‡¶ | 77 (69–85)§¶ | 82 (76–85)¶ | 86 (82–91)¶ | 79 (70–86)¶ | 0.1211 |
Female sex, n (%) | 25 (48.1) | 459 (46.6) | 2 623 (54.2) | 64 (37.9) | 1 173 (49.9) | 14 298 (53.3) | 1.0000 | 47 (50.5)† | 1 219 (50.4)‡ | 2 923 (50.2)§¶ | 25 (26.3)¶ | 1 307 (47.5)¶ | 19 613 (50.6)¶ | 1.0000 |
No. of comorbidities (median, IQR) | 9 (7–12) | 8 (6–11)‡ | 6 (3–8)§ | 8 (5–11) | 8 (5–10) | 1 (0–4) | <0.0001 | 11 (7–14)†¶ | 9 (6–11)‡¶ | 6 (4–8)§¶ | 4 (1–9)¶ | 6 (4–9)¶ | 1 (0–2)¶ | <0.0001 |
Combined Index of Charlson-Elixhauser Score (median, IQR) | 4 (2–7.5) | 4 (3–6)‡ | 3 (1–5)§ | 5 (2–7) | 5 (3–8) | 0 (0–3) | <0.0001 | 6 (3–9)¶ | 5 (3–8)‡¶ | 3 (1–5)§¶ | 2 (0–5)¶ | 4 (2–7)¶ | 0 (0–1)¶ | <0.0001 |
Cardiac risk factor, n (%) | ||||||||||||||
Hypertension | 46 (88.5)† | 709 (71.9) | 2 805 (58.0)§ | 122 (72.2) | 1 634 (69.4) | 7 207 (26.8) | <0.0001 | 87 (93.6)† | 2 126 (87.9)‡¶ | 4 264 (73.3)§¶ | 61 (64.2) | 2 088 (75.9)¶ | 9 212 (23.7)¶ | <0.0001 |
Diabetes | 23 (44.2) | 323 (32.8)‡ | 1 043 (21.6)§ | 69 (40.8) | 888 (37.7) | 3 294 (12.3) | <0.0001 | 64 (68.8)†¶ | 1 050 (43.4)‡¶ | 1 665 (28.6)§¶ | 41 (43.2) | 934 (34.0)¶ | 4613 (11.9) | <0.0001 |
Obesity | <5 (<9.6) | 80 (8.1)‡ | 366 (7.6)§ | 5 (3.0) | 142 (6.0) | 456 (1.7) | <0.0001 | 15 (16.1)¶ | 324 (13.4)‡¶ | 661 (11.4)§¶ | 10 (10.5)¶ | 162 (5.9)¶ | 425 (1.1)¶ | <0.0001 |
Cardiovascular disease, n (%) | ||||||||||||||
Cerebrovascular disease | 12 (23.1) | 244 (24.8) | 906 (18.7)§ | 49 (29.0) | 632 (26.9) | 2 445 (9.1) | <0.0001 | 21 (22.6)† | 361 (14.9)‡¶ | 664 (11.4)§¶ | 6 (6.3)¶ | 354 (12.9)¶ | 989 (2.6)¶ | <0.0001 |
Congestive heart failure | 27 (51.9) | 585 (59.3)‡ | 1 497 (31.0)§ | 74 (43.8) | 1 206 (51.3) | 2 242 (8.4) | <0.0001 | 45 (48.4)† | 1 310 (54.2)‡¶ | 1 518 (26.1)§¶ | 17 (17.9)¶ | 722 (26.3)¶ | 1 006 (2.6)¶ | <0.0001 |
Myocardial infarction | 19 (36.5) | 325 (33.0) | 1 100 (22.8)§ | 43 (25.4) | 722 (30.7) | 1 518 (5.7) | <0.0001 | 41 (44.1)†¶ | 817 (33.8)‡ | 1 215 (20.9)§ | 24 (25.6)¶ | 533 (19.4)¶ | 905 (2.3)¶ | <0.0001 |
Cardiac arrhythmias | 26 (50.0) | 522 (52.9)‡ | 2 050 (42.4)§ | 62 (36.7) | 952 (40.5) | 2 927 (10.9) | <0.0001 | 56 (60.2)†¶ | 1 484 (61.4)‡¶ | 2 670 (45.9)§¶ | 32 (33.7) | 1 104 (40.2)¶ | 3 290 (8.5)¶ | <0.0001 |
Valvular heart disease, other than AS | 19 (36.5)† | 455 (46.2)‡ | 1 912 (39.5)§ | 17 (10.1) | 301 (12.8) | 477 (1.8) | <0.0001 | 30 (32.3)†¶ | 484 (20.0)‡¶ | 1 037 (17.8)§¶ | 6 (6.3) | 232 (8.4)¶ | 396 (1.0)¶ | <0.0001 |
Peripheral vascular disorder | 25 (48.1) | 295 (29.9) | 770 (15.9)§ | 73 (43.2) | 665 (28.3) | 1 480 (5.5) | <0.0001 | 45 (48.4)† | 778 (32.2)‡¶ | 1 239 (21.3)§¶ | 25 (26.3)¶ | 559 (20.3)¶ | 1 097 (2.8)¶ | <0.0001 |
Other conditions, n (%) | ||||||||||||||
Dementia | <5 (<9.6) | 78 (7.9)‡ | 237 (4.9)§ | 18 (10.7) | 373 (15.9) | 2 386 (8.9) | <0.0001 | 7 (7.5) | 366 (15.1)‡¶ | 529 (9.1)§¶ | <5 (<5.3) | 762 (27.7)¶ | 2 601 (6.7)¶ | <0.0001 |
Cancer, with and without metastasis | 6 (11.5) | 122 (12.4)‡ | 554 (11.5)§ | 31 (18.3) | 562 (23.9) | 4 677 (17.4) | <0.0001 | 18 (19.4)¶ | 455 (18.8)¶ | 910 (15.6)§¶ | 20 (21.1) | 522 (19.0)¶ | 3 937 (10.2)¶ | <0.0001 |
*Comparison between subjects with AS and without AS globally (including the three subgroups).
†Significant difference (p<0.05), AS dialysis versus non-AS dialysis.
‡Significant difference (p<0.05), AS predialysis versus non-AS predialysis.
§Significant difference (p<0.05), AS non-CKD versus non-AS non-CKD.
¶Significant difference (p<0.05) for time trend for respective subgroup.
AS, aortic stenosis; CKD, chronic kidney disease; No., number.