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) |
Defined by an estimated glomerular filtration rate of 30 mL/min/1.73 m2 or greater.
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).
Presence of t(4;14), Del17p, or both.
Missing data for 3 patients.
Missing data (n = 6) were imputed by the modal class (no reduction).
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.