Table 3.
Factors associated with NOD among 16,861 patients treated with the same immunosuppressant drug combinations throughout the first posttransplantation year
| Factor | HR | 95% CI | P |
|---|---|---|---|
| Drug combination throughout first transplantation year | |||
| CSA + MMF/Aza | 1.00 | ||
| TAC + MMF/Aza | 1.40 | 1.28 to 1.54 | <0.0001 |
| Sirolimus + MMF/Aza | 1.14 | 0.80 to 1.61 | 0.4600 |
| Sirolimus + CSA | 1.78 | 1.44 to 2.21 | <0.0001 |
| Sirolimus + TAC | 1.76 | 1.44 to 2.16 | <0.0001 |
| Age (yr) | |||
| 18 to 44 | 0.56 | 0.51 to 0.62 | <0.0001 |
| 45 to 59 | 1.00 | ||
| ≥60 | 1.31 | 1.18 to 1.45 | <0.0001 |
| Female gender | 1.08 | 0.99 to 1.18 | 0.0600 |
| Race | |||
| white | 1.00 | ||
| black | 1.55 | 1.40 to 1.72 | <0.0001 |
| other | 1.25 | 1.04 to 1.50 | 0.0200 |
| Hispanic ethnicity | 1.48 | 1.31 to 1.67 | <0.0001 |
| Corticosteroid use at transplantation and at 1 yr | |||
| no/no (n = 202, 1.2%) | 1.00 | ||
| yes/no (n = 1197, 7.1%) | 0.98 | 0.61 to 1.56 | 0.9300 |
| no/yes (n = 152, 0.9%) | 2.05 | 1.18 to 3.57 | 0.0100 |
| yes/yes (n = 15,310, 90.8%) | 1.37 | 0.88 to 2.12 | 0.1700 |
| Acute rejection in first year | |||
| no acute rejection | 1.00 | ||
| acute rejection in first year | 1.31 | 1.16 to 1.48 | <0.0001 |
| Cause of ESRD | |||
| glomerulonephritis | 1.00 | ||
| hypertension | 1.25 | 1.12 to 1.38 | <0.0001 |
| polycystic disease | 1.04 | 0.90 to 1.19 | 0.6300 |
| other | 1.18 | 1.05 to 1.31 | <0.01 |
| Duration of dialysis (yr) | |||
| 0 to 1 | 1.00 | ||
| 1 to 3 | 1.03 | 0.97 to 1.09 | 0.3600 |
| >3 | 0.94 | 0.82 to 1.07 | 0.3500 |
| Preemptive transplant | 0.82 | 0.69 to 0.98 | 0.0300 |
| BMI (kg/m2) | |||
| <25 | 1.00 | ||
| 25 to 30 | 1.32 | 1.17 to 1.44 | <0.0001 |
| >30 | 1.66 | 1.49 to 1.85 | <0.0001 |
| Hepatitis C positive | 1.72 | 1.48 to 2.01 | <0.0001 |
| Transplantation era | |||
| 1995 to 1997 | 1.00 | ||
| 1998 to 2000 | 1.25 | 1.09 to 1.44 | 0.3600 |
| 2001 to 2003 | 0.85 | 0.73 to 0.99 | 0.0400 |
| Deceased-donor type | 1.21 | 1.10 to 1.33 | 0.0001 |
| HLA mismatch | |||
| 0 | 1.00 | ||
| 1 to 3 | 1.15 | 0.95 to 1.40 | 0.1600 |
| 4 to 6 | 1.11 | 0.91 to 1.35 | 0.2700 |
| Comorbidity | |||
| ischemic heart disease | 1.13 | 0.94 to 1.35 | 0.2000 |
| cerebrovascular disease | 0.92 | 0.69 to 1.21 | 0.5400 |
| peripheral vascular disease | 1.12 | 0.85 to 1.47 | 0.4300 |
| cardiac failure | 1.20 | 1.04 to 1.39 | 0.0100 |