Table 3.
Change in C-statistic for CVD outcomes by adding non-traditional predictors
CVD | CHD | Stroke | HF | |||||
---|---|---|---|---|---|---|---|---|
| ||||||||
Predictors | CKD† | Non-CKD | CKD† | Non-CKD | CKD† | Non-CKD | CKD† | Non-CKD |
Cardiac markers | ||||||||
cTnT | 0.032 (0.009–0.054) | 0.008 (0.002–0.014) | 0.023 (−0.004–0.050) | 0.005 (−0.001–0.011) | 0.008 (−0.007–0.023) | 0.006 (−0.002–0.014) | 0.053 (0.020–0.085) | 0.020 (0.007–0.034) |
NT-proBNP | 0.036 (0.016–0.056) | 0.011 (0.004–0.018) | 0.022 (−0.004–0.049) | 0.004 (−0.001–0.009) | 0.027 (0.004–0.049) | 0.019 (0.0003–0.037) | 0.049 (0.021–0.078) | 0.029 (0.013–0.044) |
Two combined | 0.045 (0.020–0.069) | 0.015 (0.007–0.024) | 0.033 (0.003–0.063) | 0.008 (0.001–0.015) | 0.026 (0.004–0.049) | 0.020 (0.002–0.039) | 0.067 (0.032–0.103) | 0.041 (0.023–0.058) |
Kidney markers | ||||||||
Cystatin C | 0.013 (−0.002–0.028) | 0.005 (0.001–0.010) | 0.011 (−0.006–0.027) | 0.001 (−0.002–0.004) | 0.000 (−0.017–0.017) | 0.005 (−0.002–0.011) | 0.027 (0.006–0.049) | 0.015 (0.006–0.023) |
B2M | 0.015 (0.001–0.030) | 0.010 (0.004–0.016) | 0.010 (−0.005–0.024) | 0.003 (−0.001–0.008) | −0.003 (−0.021–0.015) | 0.010 (0.001–0.020) | 0.035 (0.013–0.057) | 0.019 (0.007–0.031) |
BTP | 0.012 (−0.001–0.026) | 0.002 (−0.001–0.004) | 0.008 (−0.006–0.023) | 0.002 (−0.001–0.005) | 0.006 (−0.012–0.023) | −0.0008 (−0.003–0.001) | 0.027 (0.005–0.049) | 0.001 (−0.004–0.006) |
Three combined | 0.015 (0.001–0.030) | 0.010 (0.004–0.017) | 0.011 (−0.005–0.027) | 0.004 (−0.001–0.008) | 0.004 (−0.012–0.020) | 0.014 (0.004–0.025) | 0.035 (0.013–0.056) | 0.022 (0.009–0.035) |
Inflammatory marker | ||||||||
hsCRP | 0.003 (−0.007–0.014) | 0.007 (0.002–0.012) | −0.001 (−0.005–0.002) | 0.006 (0.002–0.011) | −0.000 (−0.010–0.010) | 0.003 (−0.005–0.011) | 0.018 (−0.001–0.036) | 0.010 (0.000–0.019) |
cTnT: cardiac troponin T, NT-proBNP: N-terminal pro–B-type natriuretic peptide, B2M: β2 microglobulin, BTP: β-trace protein, hsCRP: high-sensitivity C-reactive protein.
CKD was defined as eGFRcre <60 ml/min/1.73m2 or ACR ≥ 30 mg/g.
C-statistic with only conventional predictors was 0.679 and 0.697 for CVD, 0.673 and 0.721 for CHD, 0.733 and 0.712 for Stroke, 0.702 and 0.718 for HF, in CKD and in non-CKD, respectively.