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