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. 2023 Feb 22;8(5):1022–1033. doi: 10.1016/j.ekir.2023.02.1078

Table 5.

Hazard ratios for the primary outcomes based on the 2 average measurements of the mean 24-hour urinary sodium and protein excretion

Models 24-hour urine protein and sodium excretion category
Proteinuria <0.5 g/d
Urine sodium <3.4 g/d
Proteinuria <0.5 g/d
Urine sodium ≥3.4 g/d
Proteinuria ≥0.5 g/d
Urine sodium <3.4 g/d
Proteinuria ≥0.5 g/d
Urine sodium ≥3.4 g/d
HR (95% CI) P value HR (95% CI) P value HR (95% CI) P value HR (95% CI) P value
Sensitivity Analysisa
Model 1 Reference 0.58 (0.17–1.99) 0.386 6.77 (2.84–16.13) <0.001 10.47 (4.26–25.70) <0.001
Model 2 Reference 0.84 (0.23–3.03) 0.784 4.95 (2.10–11.66) <0.001 12.51 (4.89–32.00) <0.001
Model 3 Reference 0.72 (0.20–2.55) 0.606 4.77 (2.00–11.38) <0.001 12.60 (4.91–32.34) <0.001

BMI, body mass index; CCB, calcium channel blocker; CCI, charlson comorbidity index; CI, confidence interval; CKD, chronic kidney disease; DPI, dietary protein intake; eGFR, estimated glomerular filtration rate; HR, hazard ratio; RAAS, renin-angiotensin-aldosterone system.

Model 1: age, sex, BMI, smoking history, primary renal disease, CCI, DPI, and hospital center.

Model 2: model 1 plus systolic blood pressure and laboratory parameters, including hemoglobin, phosphate, eGFR, albumin, total cholesterol, natural log of average 24-hour urine potassium, and natural log of average 24-hour urine creatinine.

Model 3: model 2 plus medications, including RAAS blockers, CCB, and diuretics.

The primary outcome was defined as CKD progression, which was defined as the first occurrence of a 50% decline in eGFR from the baseline value, or the onset of kidney failure with replacement therapy, and the analysis was performed using a cause-specific model by censoring the death event that occurred before reaching the kidney outcome.

a

Sensitivity analysis: Mean urine sodium excretion was calculated using the average urine sodium excretion at baseline and 3 years later.