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. 2014 Aug 14;26(2):457–467. doi: 10.1681/ASN.2013101144

Table 3.

Univariate and multivariate analyses of risk factors for death-censored allograft loss

Variable Patients (n) Univariate Multivariate
HR (95% CI) P Value HR (95% CI) P Value
Clinicobiologic factors
 Recipient sex
  Female 27 1.00 (Reference)
  Male 42 1.01 (0.49 to 2.08) 0.98 a
 Recipient age (per 1-yr increment) 69 0.99 (0.96 to 1.01) 0.30 a
 Retransplantation
  No 45 1.00 (Reference)
  Yes 24 1.02 (0.49 to 2.12) 0.95 a
 Donor type
  Living 4 1.00 (Reference)
  Deceased 65 0.92 (0.22 to 3.91) 0.91 a
 Donor age (per 1-yr increment) 69 1.00 (0.98 to 1.02) 0.87 a
 No. of mismatches A/B/DR
  ≤3 20 1.00 (Reference)
  >3 49 0.57 (0.27 to 1.18) 0.13 a
 Cold ischemia time per 1-min increment 69 1.00 (0.99 to 1.00) 0.29 a
 Estimated GFR at the time of rejectionb
  ≥30 ml/min per 1.73 m2 36 1.00 (Reference)
  <30 ml/min per 1.73 m2 33 4.99 (2.12 to 11.70) <0.001 3.56 (1.46 to 8.70) 0.005
 Proteinuria at time of rejection
  <0.3 g/d 32 1.00 (Reference)
  ≥0.3 g/d 37 2.82 (1.29 to 6.18) 0.009 NS
Histologic factorsc
 Microvascular inflammationd
  2 or 3 34 1.00 (Reference)
  ≥4 35 1.13 (0.55 to 2.35) 0.72 a
 C4d graft depositione
  0 or 1 26 1.00 (Reference)
  ≥2 41 1.45 (0.67 to 3.13) 0.34 a
 Interstitial inflammation and tubulitis
  0 or 1 27 1.00 (Reference)
  ≥2 42 0.95 (0.46 to 1.97) 0.90 a
 Transplant glomerulopathy
  0 or 1 49 1.00 (Reference)
  ≥2 20 1.24 (0.59 to 2.61) 0.57 a
 Endarteritis (vasculitis)
  0 54 1.00 (Reference)
  ≥1 15 0.92 (0.37 to 2.26) 0.85 a
 Arteriosclerosis
  0 or 1 52 1.00 (Reference)
  ≥2 17 0.72 (0.31 to 1.67) 0.44 a
 Interstitial fibrosis and tubular atrophy
  0 or 1 29 1.00 (Reference)
  ≥2 40 2.05 (0.91 to 4.62) 0.084 NS
Immunologic factors
 C3d-binding DSA
  No 29 1.00 (Reference)
  Yes 40 4.35 (1.82 to 10.40) 0.001 2.80 (1.12 to 6.95) 0.027
 MFI of the highest DSA
  <6000 34 1.00 (Reference)
  ≥6000 35 2.47 (1.17 to 5.23) 0.018 NS
 No. of DSA
  1 38 1.00 (Reference)
  ≥2 31 1.67 (0.82 to 3.41) 0.16 a
a

The variables that were not tested in multivariate model.

b

Calculated with the Modification of Diet in Renal Disease formula.

c

Banff scores (0: no significant lesion, 1: mild, 2: moderate, 3: severe).

d

Sum of the Banff scores for glomerulitis and capillaritis.

e

Data missing for 2 patients. Variables at P<0.1 in univariate model were incorporated into the multivariate model.