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. Author manuscript; available in PMC: 2017 Sep 1.
Published in final edited form as: Am J Kidney Dis. 2016 Mar 16;68(3):381–391. doi: 10.1053/j.ajkd.2016.02.041

Table 3.

Multivariable model comparing TIPS vs. serial LVP to predict change in eGFR after 90 days, stratified by baseline eGFR and for all subjects

Parameter Estimate (95%
CI)
P value
Baseline eGFR <60 mL/min/1.73 m2
  TIPS, vs serial LVP as reference 21.27 (13.07 to 29.47) <0.001
  Age, per 1-y older −0.21 [−0.61, 0.20] 0.3
  Baseline eGFR, per 1-mL/min/1.73 m2 greater −0.08 [−0.34, 0.19] 0.6
  Etiology of cirrhosis, vs alcohol as reference
    NASH 6.25 [−10.17, 22.66] 0.5
    HCV infection 11.37 [−0.08, 22.66] 0.05
    Mixed etiology 9.34 [−2.25, 20.92] 0.1
    Other 3.71 [−6.87, 14.30] 0.5
Baseline eGFR ≥60 mL/min/1.73 m2
  TIPS, vs serial LVP as reference 1.37 [−9.48, 12.21] 0.8
  Age, per 1-y older −0.51 [−1.09, 0.06] 0.08
  Baseline eGFR, per 1-mL/min/1.73 m2 greater −0.12 [−0.45, 0.20] 0.5
  Etiology of Cirrhosis, vs alcohol as reference
    NASH 3.38 [−16.65, 23.41] 0.7
    HCV infection 3.66 [−9.95, 17.27]] 0.6
    Mixed etiology 3.05 [−13.48, 19.58] 0.7
    Other −3.68 [−18.62, 11.28] 0.6
All Participants
  TIPS, vs serial LVP as reference 12.71 [6.50, 18.92] <0.001
  Baseline eGFR*, per 1-mL/min/1.73 m2 greater 0.01 [−0.13, 0.14] 0.9
  Interaction Term: eGFR + TIPS −0.33 [−0.53, −0.13] 0.001
  Age, per 1-y older −0.32 [−0.63, 0.00] 0.05
  Etiology of cirrhosis, vs alcohol as reference
    NASH 2.83 [−9.40, 15.06] 0.7
    HCV infection 6.96 [−1.47, 15.39] 0.1
    Mixed etiology 6.13 [−3.26, 15.52] 0.2
    Other 0.04 [−8.22, 8.30] 0.9
*

Baseline eGFR centered at 60 mL/min/1.73 m2 for interaction analysis.

Note: Baseline eGFR was measured immediately before TIPS placement, or closest available to day 0 of follow-up or the LVP cohort. Parameter Estimate refers to the expected change in eGFR (in mL/min/1.73 m2) over 90 days, with respect to each predictor, while holding other factors constant.

HCV, hepatitis C virus; TIPS (transjugular intrahepatic portosystemic shunt), LVP (large-volume paracentesis), eGFR (estimated glomerular filtration rate), CI (confidence interval), NASH (non-alcoholic steatohepatitis)