Skip to main content
. Author manuscript; available in PMC: 2013 Jul 1.
Published in final edited form as: JAMA. 2011 Apr 11;305(15):1545–1552. doi: 10.1001/jama.2011.468

Table 3.

Risk of Death and End-Stage Renal Disease Associated With Chronic Kidney Disease Stage 3 by Estimated Glomerular Filtration Rate Using Creatinine and Cystatin Ca

Biomarker Measures, Estimated GFR mL/min/1.73 m2 No. of Participants No of Events Rates per 1000 Person-Years HR (95% CI)
Adjusted Model 1b Adjusted Model 2c
All-Cause Mortality Over 4.6 y
Creatinine + Cystatin C, ≥60 22 361 1104 10.9 (10.9–11.0) 1 [Reference] 1 [Reference]

Creatinine alone, <60 849 59 15.4 (14.9–15.9) 1.0 (0.7,1.2) 0.9 (0.7–1.1)

Cystatin C alone, <60 1378 278 47.0 (45.8–48.2) 2.6 (2.2–2.9) 2.1 (1.9–2.5)

Creatinine + Cystatin C, <60 2055 799 57.8 (56.6–59.1) 2.8 (2.5–3.1) 2.1 (1.9–2.4)

End-Stage Renal Disease Over 4.6 y
Creatinine + Cystatin C, ≥60 22 361 17 0.2 (0.1–0.3) 1 [Reference] 1 [Reference]

Creatinine alone, <60 849 2 0.5 (0.1–2.2) 3.9 (0.9–16.9) 2.5 (0.6–10.9)

Cystatin C, <60 1378 14 2.2 (1.3–3.8) 12.6 (6.2–25.9) 5.8 (2.8–12.1)

Creatinine + Cystatin C, <60 2055 144 15.8 (13.5–18.6) 90.5 (53.2–153.9) 26.1 (14.9–45.7)

Abbreviation: CI, confidence; HR, hazard ratio.

a

Stage 3 chronic kidney disease is defined as estimated glomerular filtration rate of less than 60 mL/min/1.73 m2.

b

Mortality model adjusts for age, race, sex, income, educational attainment, hypertension, and diabetes. End-stage renal disease model adjusts for age, race, sex, hypertension, and diabetes.

c

Mortality model adjusts for the above plus hypertension, diabetes, prevalent cardiovascular disease, smoking status, body mass index, waist circumference, and log albumin-to-creatinine ratio. End-stage renal disease model adjusts for the above plus log albumin-to-creatinine ratio.