Table 2.
Adjusted cause-specific hazard ratio for 25% decrease in eGFR and ESKD in patients with CKD and hepatitis C infection compared with those with CKD alone
| Characteristics | 25% Decline in eGFR | ESKD | ||||
|---|---|---|---|---|---|---|
| No. of Patients with 25% Decrease | HRa,b | 95% CI | No. of Patients with ESKD | HRa,b | 95% CI | |
| Cohort | ||||||
| HCV and CKD | 915 | 1.87 | 1.75 to 2.00 | 162 | 1.93 | 1.64 to 2.27 |
| CKD only | 65,133 | 1.00 | Reference | 5240 | 1.00 | Reference |
| Age, yr | 66,048 | 1.00 | 1.00 to 1.00 | 5402 | 0.93 | 0.93 to 0.94 |
| Sex | ||||||
| Women | 35,529 | 1.01 | 0.99 to 1.03 | 2265 | 0.65 | 0.61 to 0.68 |
| Men | 30,519 | 1.00 | Reference | 3137 | 1.00 | Reference |
| Race | ||||||
| Asian/Pacific Islander | 5246 | 1.01 | 0.98 to 1.04 | 514 | 1.64 | 1.48 to 1.81 |
| Black | 11,123 | 1.28 | 1.25 to 1.31 | 1594 | 2.81 | 2.61 to 3.01 |
| Hispanic | 12,613 | 1.21 | 1.19 to 1.24 | 1685 | 2.31 | 2.15 to 2.48 |
| Others | 174 | 0.85 | 0.73 to 0.98 | 28 | 2.43 | 1.67 to 3.52 |
| White | 36,892 | 1.00 | Reference | 1581 | 1.00 | Reference |
| Baseline comorbidity | ||||||
| Diabetes mellitus | 25,417 | 1.71 | 1.68 to 1.74 | 3062 | 2.80 | 2.64 to 2.96 |
| Hypertension | 42,594 | 1.24 | 1.22 to 1.26 | 2791 | 0.74 | 0.70 to 0.78 |
| HIV | 250 | 1.44 | 1.26 to 1.63 | 44 | 1.24 | 0.90 to 1.71 |
| Hepatitis B | 209 | 1.16 | 1.01 to 1.33 | 27 | 1.17 | 0.78 to 1.75 |
| Myocardial infarction | 2082 | 1.48 | 1.42 to 1.55 | 161 | 1.32 | 1.13 to 1.55 |
| ESLD | 449 | 3.75 | 3.41 to 4.12 | 52 | 2.89 | 2.19 to 3.81 |
| Baseline eGFR | 66,048 | 1.02 | 1.02 to 1.02 | 5402 | 0.94 | 0.94 to 0.95 |
HR, hazard ratio; 95% CI, 95% confidence interval; HCV, hepatitis C virus; ESLD, end-stage liver disease.
Follow-up time is censored at the time of the start of dialysis, liver/kidney transplant, HCV treatment, death, disenrollment from Kaiser Permanente health plan, or the end of the study period (December 31, 2014); ESKD analyses censored on liver transplant, HCV treatment, death, disenrollment from Kaiser Permanente health plan, or the end of the study period.
Patients with baseline eGFR<15 ml/min per 1.73 m2 were excluded: CKD only, n=151,174; HCV and CKD, n=1534.