Table 3.
Discrimination performance of multivariable models to discriminate rejection and rejection phenotypes from the estimated cell composition
Metric Adjustment | Rejection versus No Rejection Discrimination | Rejection Phenotypes Discrimination | ||
---|---|---|---|---|
Multivariable Logistic Regression Metric: AUC |
Multivariable Logistic Regression+MFP Metric: AUC | Polytomous LR Including Non-Rejection Cases Metric: PDIa | Polytomous LR Excluding Non-Rejection Cases Metric: PDIb | |
Apparent performance (95% CI) | 0.85 (0.82 to 0.89) | 0.86 (0.82 to 0.89) | 0.58 (0.53 to 0.63) | 0.72 (0.64 to 0.80) |
Corrected performance (95% CI) | 0.84 (0.81 to 0.88) | 0.83 (0.79 to 0.86) | 0.52 (0.48 to 0.57) | 0.63 (0.55 to 0.71) |
Corrected pairwise AUCs (95% CI) | ||||
---|---|---|---|---|
No rejection versus DSA-positive AMR | 0.79 (0.74 to 0.84) | — | ||
No rejection versus TCMR | 0.90 (0.85 to 0.95) | — | ||
No rejection versus DSA-positive mixed rejection | 0.91 (0.86 to 0.96) | — | ||
DSA-positive AMR versus TCMR | 0.85 (0.78 to 0.92) | 0.88 (0.78 to 0.91) | ||
DSA-positive AMR versus DSA-positive mixed rejection | 0.72 (0.63 to 0.81) | 0.83 (0.66 to 0.84) | ||
TCMR versus DSA-positive mixed | 0.78 (0.68 to 0.88) | 0.84 (0.67 to 0.88) |
AMR, antibody-mediated rejection; AUC, area under the receiver operating characteristic curve; CI, confidence interval; DSA, donor-specific antibodies; LR, logistic regression; MFP, multivariable fractional polynomials; PDI, Polytomous Discrimination Index; TCMR, T-cell–mediated rejection.
Baseline Polytomous Discrimination Index: 0.25.
Baseline Polytomous Discrimination Index: 0.33.