Table 4.
Risk factors associated with death-censored graft failure
Variables | Univariate analyses |
Multivariable analyses |
||||
---|---|---|---|---|---|---|
HR | P | 95% CI | HR | P | 95% CI | |
Female | 0.96 | 0.87 | 0.61–1.50 | |||
Age/yr | 0.98 | 0.04 | 0.97–0.99 | 0.98 | 0.21 | 0.97–1.0 |
White | 1.65 | 0.10 | 0.89–3.05 | |||
Diabetes as a cause of ESRD | 1.31 | 0.27 | 0.80–2.11 | |||
Repeat transplant | 1.07 | 0.80 | 0.63–1.80 | |||
Living donor | 0.84 | 0.44 | 0.54–1.31 | |||
Depleting induction | 0.71 | 0.16 | 0.44–1.14 | |||
Clinically indicated biopsy | 4.61 | 0.009 | 1.46–14.64 | 1.99 | 0.27 | 0.57–6.89 |
Any DSA (yes/no) | 0.62 | 0.06 | 0.38–1.01 | |||
Interval from transplant to the index biopsy (per month) | 1.01 | <0.001 | 1.0–1.01 | 1.004 | 0.003 | 1.0–1.01 |
dnDSA | 0.93 | 0.86 | 0.40–2.13 | |||
Pretransplant DSA | 1.0 | 0.95 | 1.9–8.67 | |||
Persistent DSA | 1.30 | 0.33 | 0.76–2.23 | |||
Class II DSA | 0.78 | 0.56 | 0.34–1.77 | |||
DSA MFIsum > 1000 | 0.84 | 0.55 | 0.48–1.47 | |||
Immunodominant DSA >1000 | 0.89 | 0.69 | 0.51–1.56 | |||
DP DSA | 0.51 | 0.50 | 0.07–3.7 | |||
DQ DSA | 0.68 | 0.32 | 0.33–1.43 | |||
DR DSA | 0.50 | 0.24 | 0.15–1.59 | |||
eGFR at time of biopsy | 0.96 | <0.001 | 0.95–0.97 | 0.96 | <0.001 | 0.95–0.98 |
UPC at time of biopsy | 3.44 | <0.001 | 2.23–5.30 | 2.01 | 0.002 | 1.32–3.29 |
cg score > 0 | 4.02 | <0.001 | 2.28–7.07 | 1.39 | 0.34 | 0.71–2.73 |
Sum chronicity score | 1.40 | <0.001 | 1.29–1.52 | 1.21 | <0.001 | 1.09–1.34 |
Subsequent acute rejection | 1.55 | 0.10 | 0.91–2.65 |
CI, confidence interval; dnDSA, de novo donor-specific antibodies; DSA, donor-specific antibodies; eGFR, estimated glomerular filtration rate; ESRD, end-stage renal disease; HR, hazard ratio; MFI, mean fluorescent intensity; UPC, urine protein-to-creatinine ratio.
P values that are statistically significant (P < 0.05) are in bold.