Table 3.
End-Stage Renal Disease
|
Natural Mortality
|
||||
---|---|---|---|---|---|
Model | HR 95% CI | HR 95% CI | |||
1 | Doubling of ACR−1 | 1.60 | 1.49–1.72 | 1.19 | 1.12–1.26 |
2 | Doubling of ACR0 | 1.75 | 1.62–1.89 | 1.19 | 1.13–1.26 |
3 | Doubling of ACR−1 | 1.06 | 0.95–1.17 | 1.05 | 0.95–1.16 |
Doubling of ACR0 | 1.70 | 1.52–1.87 | 1.15 | 1.06–1.26 | |
4 | Baseline antihypertensive medication (0 or 1) | 2.16 | 1.49–3.13 | 1.73 | 1.26–2.39 |
Doubling of ACR−1 | 1.02 | 0.92–1.13 | 1.01 | 0.92–1.12 | |
Doubling of ACR0 | 1.71 | 1.54–1.89 | 1.16 | 1.07–1.27 | |
5* | Age (/10 y) | 0.90 | 0.79–1.13 | 1.74 | 1.49–2.03 |
Sex (0 or 1) | 1.15 | 0.78–1.69 | |||
Diabetes duration (/5 y) | 1.42 | 1.23–1.65 | 1.15 | 1.02–1.29 | |
Baseline antihypertensive medication (0 or 1) | 2.64 | 1.77–3.93 | 1.96 | 1.41–2.73 | |
Mean arterial pressure (/1 mm Hg) | 1.00 | 0.99–1.02 | 1.00 | 0.99–1.01 | |
Body mass index (/1 kg/m2) | 0.97 | 0.94–1.00 | 0.97 | 0.94–1.00 | |
Doubling of ACR−1 | 1.00 | 0.90–1.13 | 1.00 | 0.91–1.12 | |
Doubling of ACR0 | 1.70 | 1.50–1.91 | 1.16 | 1.05–1.28 |
Note: Models 1, 2, and 3 adjusted for sex, baseline age, and diabetes duration. Model 4 adjusted for sex, baseline age, diabetes duration, and antihypertensive medication.
Abbreviations: ACR, albumin-creatinine ratio; HR, hazard ratio; CI, confidence interval; ACR0, second ACR measurement; ACR−1, first ACR measurement.
The full model for end-stage renal disease was stratified by hemoglobin A1c tertiles, and the full model for natural mortality was stratified by sex and hemoglobin A1c tertiles.