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. 2017 Dec 5;318(21):2099–2110. doi: 10.1001/jama.2017.17924

Table 3. Variables Associated With Kidney Outcome Within 12 Months.

No. of
Patients
No. of
Events
Bivariable Analysis Multivariable Analysis
Odds Ratio (95% CI) P Value Odds Ratio (95% CI) P Value
Age group, y
65 63 30 1 [Reference] .72
≥65 31 16 0.85 (0.36-2.02)
Monoclonal gammopathy of undetermined significance
No preexisting 76 38 1 [Reference] .67
Preexisting 18 8 0.80 (0.28-2.25)
Chronic kidney disease
No preexisting 83 40 1 [Reference] .69
Preexistinga 11 6 1.29 (0.36-4.56)
Type of myelomab
Light chain 45 16 1 [Reference] .02 1 [Reference] .03
Whole immunoglobulin 49 30 2.62 (1.14-6.05) 2.75 (1.11-6.80)
Light chain isotype
κ 51 24 1 [Reference] .69
λ 43 22 1.18 (0.52-2.66)
Cytogenetics
Standard risk 46 23 1 [Reference] >.99
High riskc 12 6 1.00 (0.28-3.56)
Baseline serum-free light chain level, mg/Ld
<3000 20 13 1 [Reference]
3000-5999 26 11 0.39 (0.12-1.32) .13
6000-11 999 17 10 0.77 (0.20-2.92) .70
≥12 000 18 12 0.40 (0.12-1.32) .13
After first chemotherapy cycle, level of involved serum-free light chain, mg/Le
>500 59 23 1 [Reference] .01 1 [Reference] .049
≤500 35 23 3.00 (1.25-7.18) 2.51 (1.00-6.33)
Randomization groupf
Conventional hemodialysis 48 18 1 [Reference] .02 1 [Reference] .03
High-cutoff hemodialysis 46 28 2.59 (1.13-5.97) 2.78 (1.13-6.80)
a

Defined by an estimated glomerular filtration rate of 30 mL/min/1.73 m2 or greater.

b

At baseline, the median serum-free light chain level was 7627 mg/L (interquartile range, 3564-14 110 mg/L) in patients with light chain myeloma and was 5040 mg/L (interquartile range, 2505-12 425 mg/L) in patients with whole immunoglobulin myeloma (P = .16).

c

Presence of t(4;14), Del17p, or both.

d

Missing data for 3 patients.

e

Missing data (n = 6) were imputed by the modal class (no reduction).

f

Adjusted for myeloma subtype (whole immunoglobulin or myeloma-secreting light chain only) and serum-free light chain level reduction of 500 mg/L or less.