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. 2017 May 25;12(8):1301–1310. doi: 10.2215/CJN.10270916

Table 2.

Cox regression analysis of hypophosphatemia versus graft failure risk

Graft Failure (181 Events) Hypophosphatemia Category, HR [95% CI] Lowest Serum Phosphate per 1 mg/dl
Absent Mild Severe HR [95% CI] P Value
Crude Reference 0.52 [0.36 to 0.77]a 0.44 [0.30 to 0.64]b 0.43 [0.33 to 0.56] <0.001
Model 1 Reference 0.55 [0.38 to 0.82]a 0.46 [0.31 to 0.68]b 0.46 [0.35 to 0.59] <0.001
Model 2 Reference 0.63 [0.42 to 0.92]c 0.61 [0.41 to 0.91]c 0.52 [0.39 to 0.68] <0.001
Model 3 Reference 0.82 [0.51 to 1.34] 0.72 [0.43 to 1.19] 0.56 [0.40 to 0.79] 0.001
Model 4 Reference 0.87 [0.51 to 1.48] 0.72 [0.42 to 1.26] 0.60 [0.42 to 0.85] 0.004
Model 5 Reference 0.79 [0.46 to 1.38] 0.74 [0.42 to 1.29] 0.65 [0.46 to 0.92] 0.02
Model 6 Reference 0.79 [0.45 to 1.38] 0.70 [0.40 to 1.25] 0.60 [0.42 to 0.86] 0.007

Model 1: adjusted for recipient age and sex. Model 2: model 1 plus eGFR at the time of lowest phosphate. Model 3: model 2 plus donor age and sex, donor type, cold ischemia time, delayed graft function, and proteinuria (at the time of the lowest serum phosphate). Model 4: model 3 plus total number of HLA mismatches, acute rejection, induction and maintenance immunosuppressive use, and panel of reactive antibodies. Model 5: model 4 plus cardiovascular risk factors (dialysis vintage, smoking status, pretransplant diabetes mellitus, and cardiovascular history). Model 6: model 5 plus phosphate supplementation, vitamin D supplementation, vitamin D supplementation pretransplantation, and corrected calcium concentrations (before transplantation and at the time of the lowest serum phosphate). HR, hazard ratio; 95% CI, 95% confidence interval.

a

P<0.01.

b

P<0.001.

c

P<0.05.