Table 1.
Total** | Fuchs’ Dystrophy |
Pseudophakic/Aphakic Corneal Edema |
|||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Baseline Factors | N | Cumulative Incidence ± 95% CI |
Univariate Proportional Hazard Models |
N | Cumulative Incidence ± 95% CI |
Univariate p-value |
N | Cumulative Incidence ± 95% CI |
Univariate p-value |
||
HR | 95% CI | p-value | |||||||||
Overall | 1,090 | 26% ± 3% | 676 | 22% ± 4% | 36 | 34% ± 6% | |||||
RECIPIENT FACTORS | |||||||||||
Age | 0.59*** | 0.74*** | 0.89*** | ||||||||
40 – <50 yrs | 34 | 41% ± 21% | 1.00 | 22 | 42% ± 24% | 9 | 24% ± 29% | ||||
50 – <60 yrs | 128 | 26% ± 8% | 0.69 | 0.35 – 1.38 | 104 | 25% ± 9% | 20 | 35% ± 23% | |||
60 – <70 yrs | 284 | 21% ± 5% | 0.53 | 0.28 – 1.01 | 201 | 16% ± 5% | 70 | 33% ± 13% | |||
70 – <80 yrs | 594 | 28% ± 4% | 0.68 | 0.37 – 1.26 | 329 | 23% ± 5% | 242 | 35% ± 7% | |||
80 – 86 yrs | 50 | 39% ± 19% | 0.82 | 0.37 – 1.84 | 20 | 49% ± 25% | 28 | 35% ± 32% | |||
Race1 | 0.04 | 0.04 | 0.93 | ||||||||
White (non-Hispanic) | 1,011 | 25% ± 3% | 1.00 | 651 | 22% ± 4% | 322 | 33% ± 6% | ||||
African-American | 50 | 36% ± 14% | 1.71 | 1.03 – 2.84 | 19 | 41% ± 24% | 27 | 30% ± 19% | |||
Gender | 0.06 | 0.10 | 0.08 | ||||||||
Male | 393 | 21% ± 4% | 1.00 | 210 | 17% ± 5% | 158 | 26% ± 7% | ||||
Female | 697 | 29% ± 4% | 1.30 | 0.99 – 1.71 | 466 | 25% ± 4% | 211 | 40% ± 8% | |||
History of diabetes2 | 0.86 | 0.82 | 0.37 | ||||||||
No | 899 | 26% ± 3% | 1.00 | 587 | 22% ± 4% | 276 | 35% ± 7% | ||||
Yes | 141 | 24% ± 8% | 0.97 | 0.66 – 1.42 | 67 | 22% ± 10% | 69 | 26% ± 12% | |||
Smoking status at time of surgery | 0.07 | 0.10 | 0.87 | ||||||||
No | 988 | 26% ± 3% | 1.00 | 628 | 21% ± 4% | 325 | 34% ± 6% | ||||
Yes | 102 | 35% ± 11% | 1.43 | 0.97 – 2.09 | 48 | 33% ± 15% | 44 | 31% ± 16% | |||
Prior use of glaucoma medications/surgery | 0.005 | 0.42 | 0.35 | ||||||||
No medications and no surgery | 920 | 24% ± 3% | 1.00 | 627 | 22% ± 4% | 259 | 31% ± 7% | ||||
Medications and no surgery | 99 | 34% ± 10% | 1.55 | 1.06 – 2.28 | 34 | 32% ± 17% | 61 | 34% ± 13% | |||
No medications and surgery | 26 | 31% ± 24% | 1.14 | 0.51 – 2.57 | 8 | 13% ± 23% | 15 | 30% ± 25% | |||
Medications and surgery | 45 | 54% ± 21% | 2.16 | 1.31 – 3.55 | 7 | 33% ± 39% | 34 | 61% ± 26% | |||
Recipient Bed size3 | 0.61*** | 0.05*** | 0.64*** | ||||||||
≤7.5 | 309 | 26% ± 6% | 1.00 | 148 | 16% ± 7% | 144 | 38% ± 10% | ||||
7.6 – <8.0 | 155 | 30% ± 8% | 1.16 | 0.78 – 1.72 | 92 | 30% ± 10% | 54 | 29% ± 15% | |||
=8.0 | 523 | 25% ± 4% | 0.99 | 0.73 – 1.34 | 365 | 21% ± 5% | 144 | 31% ± 8% | |||
>8.0 | 102 | 31% ± 10% | 1.34 | 0.87 – 2.08 | 70 | 29% ± 12% | 27 | 39% ± 21% | |||
OPERATIVE FACTORS | |||||||||||
Vitrectomy | 0.003 | 0.05 | 0.33 | ||||||||
No | 931 | 25% ± 3% | 1.00 | 645 | 22% ± 4% | 242 | 33% ± 7% | ||||
Yes | 159 | 36% ± 9% | 1.61 | 1.17 – 2.20 | 31 | 38% ± 21% | 127 | 36% ± 10% | |||
Post-operative Intraocular Pressure4(mmHg) | 0.98*** | 0.46** | 0.10*** | ||||||||
≤ 25 | 953 | 26% ± 3% | 1.00 | 608 | 21% ± 4% | 301 | 35% ± 7% | ||||
>25 | 130 | 30% ± 10% | 1.11 | 0.76 – 1.62 | 63 | 31% ± 14% | 66 | 27% ± 12% | |||
DONOR FACTORS | |||||||||||
Age | 0.40*** | 0.23*** | 0.80*** | ||||||||
12 – <40 years | 114 | 31% ± 10% | 1.00 | 76 | 30% ± 12% | 35 | 34% ± 17% | ||||
40 – <50 years | 122 | 26% ± 9% | 0.85 | 0.51 – 1.41 | 65 | 26% ± 11% | 49 | 34% ± 18% | |||
50 – <60 years | 272 | 25% ± 6% | 0.79 | 0.51 – 1.21 | 175 | 21% ± 7% | 88 | 32% ± 10% | |||
60 – <70 years | 365 | 27% ± 5% | 0.78 | 0.52 – 1.18 | 223 | 20% ± 6% | 126 | 36% ± 10% | |||
70 – 76 years | 217 | 24% ± 7% | 0.73 | 0.46 – 1.15 | 137 | 21% ± 8% | 71 | 33% ± 14% | |||
Race5 | 0.10 | 0.03 | 1.00 | ||||||||
White (non-Hispanic) | 1,024 | 26% ± 3% | 1.00 | 632 | 21% ± 4% | 351 | 34% ± 6% | ||||
African-American | 41 | 39% ± 18% | 1.57 | 0.92 – 2.70 | 28 | 41% ± 22% | 10 | 33% ± 32% | |||
Gender | 0.90 | 0.69 | 0.55 | ||||||||
Male | 716 | 27% ± 4% | 1.00 | 451 | 22% ± 4% | 238 | 36% ± 8% | ||||
Female | 374 | 26% ± 5% | 1.02 | 0.78 – 1.32 | 225 | 23% ± 6% | 131 | 30% ± 9% | |||
Cause of death | 0.81 | 0.56 | 0.57 | ||||||||
Cardio/Stroke | 659 | 25% ± 4% | 1.00 | 418 | 22% ± 4% | 214 | 30% ± 7% | ||||
Cancer | 207 | 28% ± 7% | 1.10 | 0.79 – 1.52 | 118 | 18% ± 8% | 79 | 43% ± 13% | |||
Trauma | 96 | 27% ± 10% | 1.08 | 0.69 – 1.69 | 57 | 25% ± 13% | 35 | 33% ± 17% | |||
Respiratory | 78 | 31% ±11% | 1.32 | 0.84 – 2.07 | 54 | 29% ±14% | 21 | 36% ±22% | |||
Other | 50 | 26% ± 15% | 1.01 | 0.55 – 1.87 | 29 | 21% ± 15% | 20 | 36% ± 30% | |||
History of diabetes | 0.62 | 0.39 | 0.74 | ||||||||
No | 891 | 26% ± 3% | 1.00 | 552 | 22% ± 4% | 298 | 34% ± 6% | ||||
Yes | 199 | 28% ± 7% | 1.08 | 0.79 – 1.48 | 124 | 25% ± 8% | 71 | 33% ± 14% | |||
Baseline ECD (cells/mm2) | 0.43*** | 0.55*** | 0.44*** | ||||||||
≤2500 | 324 | 24% ± 5% | 1.00 | 215 | 20% ± 5% | 101 | 32% ± 10% | ||||
2501 – 2999 | 625 | 27% ± 4% | 1.06 | 0.80 – 1.41 | 370 | 22% ± 5% | 227 | 35% ± 8% | |||
≥3000 | 141 | 29% ± 9% | 1.18 | 0.79 – 1.77 | 91 | 27% ± 10% | 41 | 35% ± 15% | |||
Tissue retrieval | 0.51 | 0.90 | 0.59 | ||||||||
Enucleation | 218 | 27% ± 7% | 1.00 | 152 | 24% ± 8% | 57 | 33% ± 15% | ||||
In situ | 872 | 26% ± 3% | 1.11 | 0.81 – 1.53 | 524 | 22% ± 4% | 312 | 34% ± 6% | |||
Tissue refrigerated | 0.82 | 0.63 | 0.55 | ||||||||
No | 255 | 26% ± 6% | 1.00 | 157 | 24% ± 8% | 91 | 30% ± 11% | ||||
Yes | 835 | 27% ± 3% | 1.04 | 0.77 – 1.39 | 519 | 22% ± 4% | 278 | 35% ± 7% | |||
Time from death to preservation | 0.87 | 0.74 | 0.74 | ||||||||
0–4 hrs | 206 | 29% ± 7% | 1.00 | 120 | 28% ± 10% | 76 | 29% ± 11% | ||||
5–8 hrs | 577 | 26% ± 4% | 0.86 | 0.62 – 1.19 | 364 | 20% ± 4% | 187 | 36% ± 8% | |||
9–10 hrs | 165 | 26% ± 8% | 0.90 | 0.59 – 1.37 | 108 | 21% ± 8% | 51 | 39% ± 16% | |||
11–12 hrs | 113 | 25% ± 9% | 0.83 | 0.50 – 1.35 | 67 | 25% ± 12% | 43 | 23% ± 15% | |||
>12 hrs | 29 | 30% ± 18% | 1.07 | 0.51 – 2.25 | 17 | 24% ± 21% | 12 | 41% ± 32% | |||
Time from death to surgery | 0.38 | 0.65 | 0.54 | ||||||||
0–2 days | 146 | 33% ± 9% | 1.00 | 85 | 28% ± 11% | 56 | 44% ± 17% | ||||
3–4 days | 597 | 26% ± 4% | 0.78 | 0.55 – 1.11 | 358 | 22% ± 5% | 205 | 32% ± 8% | |||
5–8 days | 347 | 24% ± 5% | 0.81 | 0.56 – 1.19 | 233 | 21% ± 6% | 108 | 32% ± 10% | |||
RECIPIEN/DONOR FACTORS | |||||||||||
ABO Compatible6 | 0.32 | 0.52 | 0.39 | ||||||||
No | 364 | 25% ± 5% | 1.00 | 229 | 21% ± 6% | 122 | 31% ± 11% | ||||
Yes | 638 | 27% ± 4% | 1.15 | 0.87 – 1.52 | 390 | 22% ± 5% | 220 | 36% ± 8% | |||
Rh Compatible7 | 0.53 | 0.69 | 0.27 | ||||||||
No | 125 | 28% ± 9% | 1.00 | 84 | 18% ± 8% | 36 | 50% ± 24% | ||||
Yes | 832 | 25% ± 3% | 0.89 | 0.61 – 1.30 | 517 | 22% ± 4% | 280 | 32% ± 6% | |||
ABO/Rh Compatible 8 | 0.56 | 0.81 | 0.48 | ||||||||
ABO and Rh Compatible | 494 | 25% ± 4% | 1.00 | 300 | 22% ± 5% | 171 | 33% ± 8% | ||||
ABO compatible, Rh incompatible | 82 | 30% ± 11% | 1.27 | 0.81 – 1.99 | 54 | 20% ± 11% | 24 | 51% ± 27% | |||
ABO incompatible, Rh compatible | 294 | 25% ± 6% | 0.91 | 0.67 – 1.25 | 188 | 21% ± 7% | 95 | 33% ± 11% | |||
Neither ABO nor Rh compatible | 43 | 23% ± 16% | 0.82 | 0.40 – 1.69 | 30 | 14% ± 12% | 12 | 50% ± 52% |
Includes both probable and/or definite rejection events
Includes 45 subjects with variety of diagnoses: 12 with interstitial keratitis, 7 with posterior polymorphous dystrophy, 6 with perforating corneal injury and 20 with other causes of endothelial failure
P-value from model fit with continuous factor
Excludes 13 Hispanics, 8 Asian and 8 other race recipients, because groups were too small to analyze separately
Unknown for 50 subjects
One subject with missing value for bed size
7 subjects with missing value for post-operative IOP
Excludes 11 Hispanics, 3 Asian and 11 other race donors, because groups were too small to analyze separately
88 subjects with missing ABO type
133 subjects with missing Rh blood type
177 subjects with missing ABO/Rh type