Table 2.
Effect of Clinical and Genetic Predictors on Warfarin Dose Requirements by Kidney Transplant Status
Variable | β | % Dose Change (95% CI) |
p Value |
---|---|---|---|
Clinical and demographic variables only (Model 1; R2 =21.1%)a | |||
| |||
Intercept | 1.848 | ||
African-American | 0.177 | 19.3 (14.0, 25.0) | <0.0001 |
Age (per 10 years) | −0.076 | −7.3 (−8.7, −5.9) | <0.0001 |
Female | −0.137 | −12.8 (−16.7, −8.8) | <0.0001 |
Body mass index (kg/m2) | 0.009 | 0.9 (0.6, 1.2) | <0.0001 |
Congestive heart failure | −0.071 | −6.9 (−11.6, −1.9) | 0.0077 |
Kidney functionb | −0.064 | −6.2 (−9.4, −2.8) | 0.0004 |
Amiodarone | −0.211 | −19.0 (−24.7, −13.0) | <0.0001 |
Transplant status | −0.202 | −18.3 (−27.0, −8.6) | 0.0004 |
| |||
Clinical, demographic, and genetic variables (Model 2; R2 = 42.3%) c | |||
| |||
Intercept | 2.182 | ||
African-American | −0.063 | −6.1 (−11.2, −0.7) | 0.0262 |
Age (per 10 years) | −0.075 | −7.2 (−8.6, −5.9) | <0.0001 |
Female | −0.133 | −12.4 (−16.3, −8.4) | <0.0001 |
Body mass index (kg/m2) | 0.009 | 0.9 (0.6, 1.2) | <0.0001 |
Congestive heart failure | −0.088 | −8.4 (−13.0, −3.5) | 0.0009 |
Kidney functionb | −0.054 | −5.2 (−8.5, −1.9) | 0.0027 |
Amiodarone | −0.246 | −21.8 (−27.2, −16.1) | <0.0001 |
CYP2C9*2d | −0.195 | −17.7 (−22.2, −13.0) | <0.0001 |
CYP2C9*3d | −0.423 | −34.5 (−39.3, −29.3) | <0.0001 |
CYP2C9*5, *6, *11e | −0.161 | −14.9 (−28.5, 1.3) | 0.0689 |
VKORC1d | −0.308 | −26.5 (−29.2, −23.7) | <0.0001 |
CYP4F2d | 0.038 | 3.9 (−0.1, 8.1) | 0.0564 |
rs12777823 | −0.092 | −8.8 (−12.9, −4.5) | 0.0001 |
Transplant status | −0.210 | −18.9 (−27.8, −8.9) | 0.0004 |
β denotes parameter estimates.
CI = confidence interval.
The referent patient was a 40-year-old, European-American man without a kidney transplant, with an estimated glomerular filtration rate (eGFR) > 60 ml/min/1.73 m2, body mass index (BMI) 25 kg/m2, with no congestive heart failure (left ventricular ejection fraction >55%), and not taking amiodarone.
Kidney function was categorized into 3 groups based on eGFR: ≥ 60, 30–59, and < 30 ml/min per 1.73 m2. This was included as an ordinal variable in the model with eGFR ≥ 60 ml/min/1.73 m2 serving as the reference group.
The referent patient was a 40-year-old, European-American man without a kidney transplant with an eGFR > 60 ml/min/1.73 m2, BMI 25 kg/m2, with no congestive heart failure (left ventricular ejection fraction >55%), not taking amiodarone, and not possessing variants in CYP2C9*2, CYP2C9*3, CYP4F2, and VKORC1; and CYP2C9*5, *6, and *11 together; and rs12777823.
CYP2C9*2, CYP2C9*3, CYP4F2, and VKORC1 were included as additive; 0 if no variants; 1 if heterozygous and 2 if homozygous for the variant allele.
CYP2C9*5, *6, and *11 together, and rs12777823 were categorized as 0 if no variants and 1 if heterozygous or homozygous for the variant allele.