Table 3.
Sensitivity analyses: adjusted hazard ratios among U.S. patients with end-stage renal disease attributed to lupus nephritis, who received a transplant (1/1/00-9/30/11), from restricted cubic splines of time to transplant.
| Time to transplant (months) | Hazard ratio (95% CI) for graft failure at median value in interval
|
|||||
|---|---|---|---|---|---|---|
| Adjusted for peak PRA (N=2442) | Adjusted for pre-ESRD care (2005+ only; N=1275) | Graft failures excluding deaths with functioning transplant* (N=4280) | Graft failures within 30 days excluded (N=4149) | Stratified by donor type:
|
||
| Living (N=1944) | Deceased (N=2336) | |||||
| Overall | ||||||
| <3 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 3–12 | 1.10 (0.89–1.35) | 1.56 (1.08–2.25) | 1.26 (1.02–1.55) | 1.25 (1.05–1.49) | 1.19 (0.94–1.50) | 1.12 (0.85–1.49) |
| 12–24 | 1.12 (0.82–1.53) | 1.79 (1.05–3.05) | 1.37 (1.05–1.88) | 1.37 (1.05–1.79) | 1.46 (1.04–2.04) | 1.05 (0.69–1.62) |
| 24–36 | 1.03 (0.77–1.37) | 1.25 (0.72–2.16) | 1.16 (0.87–1.55) | 1.20 (0.94–1.53) | 1.76 (1.28–2.42) | 0.76 (0.52–1.11) |
| >36 | 1.09 (0.81–1.47) | 1.51 (0.77–2.98) | 1.07 (0.79–1.45) | 1.21 (0.94–1.57) | 1.27 (0.87–1.86) | 0.86 (0.59–1.26) |
| Black | ||||||
| <3 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 3–12 | 0.93 (0.65–1.33) | 1.17 (0.68–2.00) | 1.07 (0.76–1.51) | 1.07 (0.79–1.45) | 1.09 (0.73–1.64) | 0.83 (0.52–1.33) |
| 12–24 | 0.83 (0.48–1.42) | 1.12 (0.51–2.43) | 1.02 (0.61–1.72) | 1.01 (0.64–1.60) | 1.14 (0.63–2.08) | 0.64 (0.31–1.34) |
| 24–36 | 0.69 (0.42–1.13) | 0.76 (0.35–1.64) | 0.79 (0.49–1.27) | 0.78 (0.51–1.18) | 1.06 (0.61–1.83) | 0.47 (0.24–0.91) |
| >36 | 0.68 (0.41–1.12) | 0.67 (0.27–1.68) | 0.67 (0.41–1.08) | 0.74 (0.48–1.13) | 0.70 (0.37–1.31) | 0.49 (0.26–0.95) |
| White | ||||||
| <3 | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
| 3–12 | 1.15 (0.83–1.61) | 1.44 (0.72–2.85) | 1.20 (0.84–1.71) | 1.23 (0.93–1.63) | 0.99 (0.69–1.42) | 1.47 (0.94–2.30) |
| 12–24 | 1.23 (0.77–1.98) | 1.51 (0.58–3.96) | 1.26 (0.76–2.10) | 1.37 (0.92–2.06) | 1.26 (0.76–2.10) | 1.41 (0.74–2.72) |
| 24–36 | 1.21 (0.78–1.89) | 1.22 (0.38–3.97) | 1.12 (0.69–1.81) | 1.34 (0.92–1.97) | 2.29 (1.43–3.66) | 0.75 (0.41–1.36) |
| >36 | 1.97 (1.21–3.21) | 11.0 (2.61–46.1) | 1.83 (1.11–3.04) | 1.98 (1.31–2.99) | 1.88 (1.05–3.35) | 1.66 (0.90–3.04) |
CI, confidence interval; PRA, panel reactive antibody; ESRD, end-stage renal disease. Adjusted for age, race (overall model only; referent group=white), insurance at start of end-stage renal disease (referent group=Medicaid), hemoglobin at start of end-stage renal disease, and donor type (non-donor type-stratified models only; referent group=living donor). PRA: <20% (referent group), 20–80%, and ≥80%); pre-ESRD care: yes and no (=referent group).
Censoring 309/1239 graft failure events that were deaths with a functioning transplant.