Association between private insurance and living donor kidney transplant: Affordable Care Act as a natural experiment

Table 2 Competing risk model for living donor kidney transplants

	Unadjusted			Adjusted model1
	HR	95%CI	P value	HR	95%CI	P value
Age 22-25 years (Group Impacted By Policy Change)
Post-ACA vs pre-ACA, whole cohort	0.95	0.87-1.04	0.26	0.85	0.77-0.93	0.001
Post-ACA vs pre-ACA, privately insured	0.92	0.81-1.03	0.15	0.88	0.78-1.00	0.04
Post-ACA vs pre-ACA, no private insurance	0.84	0.73-0.97	0.02	0.80	0.69-0.92	0.002
Age 26-30 years (Control Group)
Post-ACA vs pre-ACA, whole cohort	1.03	0.94-1.13	0.48	1.00	0.91-1.09	0.98
Post-ACA vs pre-ACA, privately insured	1.07	0.95-1.19	0.28	1.01	0.90-1.14	0.82
Post-ACA vs pre-ACA, no private insurance	1.01	0.88-1.16	0.92	0.98	0.85-1.13	0.77

¹Adjusted model includes age at listing, sex, race, body mass index as listing, diabetes status, educational attainment, employment status, cause of kidney disease, preemptive listing status, and (in whole cohort models only) insurance type.

ACA: Affordable Care Act; HR: Hazard ratio.