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)