Table 2.
Outcome | No. of events | Model 1: Adjusted for Demographics and AASK Trial Arm | Model 2: Model 1 Additionally Adjusted for Kidney Measures | Model 3: Model 2 Additionally Adjusted for Clinical Risk Factors | |||
---|---|---|---|---|---|---|---|
HRa (95% CI) | P Value | HRa (95% CI) | P Value | HRa (95% CI) | P Value | ||
CKD progression | 363 | 1.71 (1.54 to 1.90) | <0.001 | 1.29 (1.14 to 1.46) | <0.001 | 1.26 (1.11 to 1.43) | <0.001 |
ESKD | 271 | 1.91 (1.69 to 2.16) | <0.001 | 1.34 (1.15 to 1.55) | <0.001 | 1.36 (1.17 to 1.58) | <0.001 |
Doubling of UPCR to ≥220 mg/g | 448 | 1.21 (1.10 to 1.34) | <0.001 | 1.06 (0.96 to 1.18) | 0.26 | 1.07 (0.96 to 1.19) | 0.23 |
All-cause mortality | 218 | 1.50 (1.32 to 1.70) | <0.001 | 1.32 (1.14 to 1.53) | <0.001 | 1.25 (1.08 to 1.45) | 0.003 |
Adjusting variables include demographics (age and sex), AASK trial arm (BP control goal and trial medication), kidney measures (UPCR and measured GFR), and clinical risk factors (history of heart disease, history of smoking, C-reactive protein, and APOL1 risk status) at baseline. CKD progression was defined as doubling of serum creatinine from baseline or ESKD (requiring dialysis or kidney transplantation). Worsening proteinuria was defined as pre-ESKD doubling of 24-hour UPCR to ≥220 mg/g. suPAR, soluble urokinase-type plasminogen activator receptor; AASK, the African American Study of Kidney Disease and Hypertension; HR, hazard ratio; 95% CI, 95% confidence interval; UPCR, 24-hour urine protein-to-creatinine ratio.
HR per SD higher log-transformed baseline serum suPAR concentration.