Table 3.
Univariate and Multivariate Analyses of Risk Factors for “eGFR Ratio <0.75 at Three Years” after Rectal Resection (n= 129).
| Univariate | Multivariate | |||||||
|---|---|---|---|---|---|---|---|---|
| Variables | n | (%) | OR | 95% CI | p value | OR | 95 % CI | p value |
| Age | ||||||||
| <70 years | 86 | 66.7 | 1 | |||||
| ≥70 years | 43 | 33.3 | 1.08 | 0.42–2.79 | 0.871 | |||
| Gender | ||||||||
| Male | 75 | 58.1 | 1 | 1 | ||||
| Female | 54 | 41.9 | 3.22 | 1.25–8.28 | 0.015 | 4.18 | 1.34–12.99 | 0.014 |
| Hypertension | ||||||||
| No | 86 | 66.7 | 1 | |||||
| Yes | 43 | 33.3 | 0.85 | 0.32–2.26 | 0.745 | |||
| Preoperative CKD (eGFR <60) | ||||||||
| No | 111 | 86 | 1 | |||||
| Yes | 18 | 14 | 0.54 | 0.11–2.51 | 0.428 | |||
| cT4 | ||||||||
| No | 107 | 82.9 | 1 | 1 | ||||
| Yes | 22 | 17.1 | 7.92 | 2.83–22.16 | <0.001 | 5.93 | 1.1–31.83 | 0.038 |
| cN+ | ||||||||
| No | 77 | 59.7 | 1 | 1 | ||||
| Yes | 52 | 40.3 | 2.23 | 0.9–5.57 | 0.085 | 0.94 | 0.27–3.28 | 0.921 |
| Neoadjuvant chemotherapy | ||||||||
| No | 80 | 62 | 1 | 1 | ||||
| Yes | 49 | 38 | 5.06 | 1.9–13.46 | 0.001 | 3.17 | 0.84–11.91 | 0.088 |
| Sphincter preserving surgery | ||||||||
| No | 35 | 27.1 | 1 | |||||
| Yes | 94 | 72.9 | 1.07 | 0.38–2.97 | 0.901 | |||
| Operative approach | ||||||||
| Open | 36 | 27.9 | 1 | |||||
| Minimally invasive approach | 93 | 72.1 | 1.49 | 0.51–4.36 | 0.469 | |||
| Lateral lymph node dissection | ||||||||
| No | 76 | 58.9 | 1 | |||||
| Yes | 53 | 41.1 | 1.73 | 0.7–4.28 | 0.236 | |||
| Combined resection of adjacent organs and/or pelvic plexus | ||||||||
| No | 117 | 90.7 | 1 | 1 | ||||
| Yes | 12 | 9.3 | 8.84 | 2.5–31.25 | 0.001 | 0.57 | 0.07–4.92 | 0.61 |
| Major complications | ||||||||
| No | 115 | 89.1 | 1 | |||||
| Yes | 14 | 10.9 | 0.33 | 0.04–2.62 | 0.291 | |||
| Early urinary dysfunction | ||||||||
| No | 108 | 83.7 | 1 | 1 | ||||
| Yes | 21 | 16.3 | 3.82 | 1.35–10.75 | 0.011 | 1.89 | 0.28–12.77 | 0.513 |
| Early urinary tract infection | ||||||||
| No | 119 | 92.2 | 1 | |||||
| Yes | 10 | 7.8 | 2.12 | 0.51–8.91 | 0.304 | |||
| Postoperative AKI | ||||||||
| No | 108 | 83.7 | 1 | |||||
| Yes | 21 | 16.3 | 2.14 | 0.73–6.3 | 0.167 | |||
| Prolonged urinary dysfunction | ||||||||
| No | 119 | 92.2 | 1 | 1 | ||||
| Yes | 10 | 7.8 | 3.51 | 0.9–13.63 | 0.07 | 1.91 | 0.22–16.32 | 0.555 |
CKD, chronic kidney disease; eGFR, estimated glomerular filtration rate; AKI, acute kidney injury