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. 2015 Dec 14;11(2):287–296. doi: 10.2215/CJN.01240215

Table 3.

Multivariate logistic regression to model plaque progression at 24 months stratified by CKD stages 3, 4–5, and 5D

CKD Stage 3 CKD Stages 4 and 5 CKD Stage 5D
OR (95% CI) P Value OR (95 %CI) P Value OR (95% CI) P Value
Age, decades 1.65 (1.24 to 2.25)a <0.001a 1.95 (1.43 to 2.75)a <0.001a 1.48 (1.07 to 2.06)a 0.02a
Smoking, current and former versus no 1.77 (1.24 to 2.55)a <0.001a 3.95 (1.91 to 8.50)a <0.001a 1.32 (0.64 to 2.74) 0.45
Diabetes, yes versus no 1.59 (1.06 to 2.41)a 0.03a 1.45 (0.92 to 2.31) 0.11 2.37 (0.66 to 10.74) 0.22
Systolic BP ≥150 mmHg 1.46 (1.01 to 2.12)a 0.04a 2.84 (1.86 to 4.39)a <0.001a 0.64 (0.29 to 1.40) 0.26
Phosphate >3.6 mg/dl 1.62 (1.09 to 2.43)a 0.02a 0.84 (0.54 to 1.30) 0.44 0.80 (0.28 to 2.17) 0.66
Phosphate binders use, yes versus no 0.42 (0.19 to 0.88)a 0.02a 0.78 (0.51 to 1.19) 0.25 1.38 (0.56 to 3.34) 0.48
25-hydroxy vitamin D, pg/ml 0.62 (0.43 to 0.89)a 0.01a 1.34 (0.82 to 2.20) 0.24 0.08 (0.01 to 0.47)a 0.01a
Plaque at baseline, yes versus no 1.33 (0.85 to 2.06) 0.21 3.16 (1.68 to 6.02)a <0.001a 1.20 (0.50 to 2.82) 0.67
Age × phosphate 1.70 (1.16 to 2.54)a 0.01a 0.95 (0.63 to 1.42) 0.22 1.02 (0.44 to 2.09) 0.95
Age × plaque at baseline 0.66 (0.45 to 0.96)a 0.03a 0.62 (0.41 to 0.93)a 0.02a 0.58 (0.29 to 1.11) 0.11
Ferritin >220 ng/ml 1.33 (0.82 to 2.18) 0.25 1.37 (0.89 to 2.14) 0.16 2.54 (1.20 to 5.52)a 0.02a
Age × ferritin >220 ng/ml 0.91 (0.58 to 1.49) 0.69 0.66 (0.45 to 0.97)a 0.04a 1.22 (0.70 to 2.11) 0.95
Smoking × plaque at baseline 0.45 (0.19 to 1.02) 0.06 0.32 (0.13 to 0.78)a 0.01a 2.75 (0.60 to 13.12) 0.20
BMI, kg/m2 0.99 (0.96 to 1.03) 0.76 1.01 (0.97 to 1.05) 0.67 0.79 (0.66 to 0.93)a 0.01a
Dyslipidemia, yes versus no 1.27 (0.86 to 1.85) 0.23 1.39 (0.89 to 2.15) 0.14 5.14 (2.34 to 12.01)a <0.001a
Cholesterol >180 mg/dl 1.15 (0.81 to 1.63) 0.45 1.06 (0.71 to 1.6) 0.77 0.31 (0.13 to 0.70)a 0.01a
Uric acid, mg/dl 1.08 (0.96 to 1.21) 0.22 1.02 (0.91 to 1.16) 0.72 1.38 (1.06 to 1.84)a 0.02a
cIMT, mm 1.07 (0.93 to 1.23) 0.37 1.12 (0.95 to 1.33) 0.18 1.66 (1.22 to 2.32)a <0.001a
Ln 25-hydroxy vitamin D × BMI 1.01 (0.94 to 1.09) 0.82 0.95 (0.87 to 1.03) 0.22 1.16 (1.02 to 1.33)a 0.02a

Results are expressed as odds ratios (ORs; exponential-β for independent variables with interactions) and 95% confidence intervals (95% CIs). The following variables were introduced to build multivariate models by CKD stages, because they were significant on bivariate testing or potential confounders: sex, CKD stage, age (decades), diabetes, smoking, dyslipidemia, systolic BP ≥150 mmHg (highest tertile in CKD stage 3), pulse pressure, body mass index (BMI), basal plaque, common carotid artery intima media thickness (cIMT), ferritin >220 mg/dl (highest tertile in CKD stages 4 and 5), uric acid, C-reactive protein, total cholesterol >180 mg/dl (the level of 180 was selected on the basis of clinical criteria), LDL-cholesterol, hematocrit, statins, antiplatelet drugs, triglycerides, 25-hydroxy vitamin D (ln 25-hydroxy vitamin D for interactions and CKD stages 4–5 and 5D and 25-hydroxy vitamin D ≥18.1; vitamin D highest tertile in CKD stage 3), phosphate (highest tertile in CKD stage 3 >3.6 mg/dl), and parathyroid hormone. Only significant variables in multivariate analysis in each group of CKD were included in the final model. The exponential-β and P values of the rest of the variables are the values obtained if added to the final model. CKD stage 3: Hosmer Lemeshow = 0.46; AUC=0.72; CKD stages 4 and 5: Hosmer Lemeshow = 0.82; AUC=0.74; and CKD stage 5D: Hosmer Lemeshow = 0.16; AUC=0.83. AUC, area under the curve.

a

Significant variables included in each model.