Table 2.
Univariable and multivariable analyses of risk factors for death-censored allograft loss
| Variable | Univariate | Multivariate | |||||
|---|---|---|---|---|---|---|---|
| No. of Patients | HR | 95% CI | P Value | HR | 95% CI | P Value | |
| Clinico-biologic factors | |||||||
| Recipient sex | |||||||
| Female | 15 | 1.00 | Reference | ||||
| Male | 29 | 1.11 | (0.39 to 3.17) | 0.85 | a | ||
| Recipient age (per 1-yr increment) | 44 | 1.01 | (0.98 to 1.05) | 0.49 | a | ||
| Retransplantation | |||||||
| No | 35 | 1.00 | Reference | ||||
| Yes | 8 | 0.55 | (0.15 to 1.96) | 0.35 | a | ||
| Donor type | |||||||
| Living | 3 | 1.00 | Reference | ||||
| Deceased | 41 | 2.15 | (0.26 to 17.62) | 0.47 | a | ||
| Donor age (per 1-yr increment) | 44 | 1.00 | (0.97 to 1.03) | 0.82 | a | ||
| Number of mismatches A/B/DR | |||||||
| ≤3 | 40 | 1.00 | Reference | ||||
| >3 | 4 | 0.59 | (0.13 to 2.61) | 0.48 | a | ||
| Cold-ischemia time per 1-min increment | 44 | 1.00 | (0.99 to 1.00) | 0.56 | a | ||
| eGFR at the time of rejectionb (ml/min per 1.73 m2) | |||||||
| ≥30 | 28 | 1.00 | Reference | ||||
| <30 | 15 | 2.45 | (0.94 to 6.38) | 0.06 | a | ||
| Proteinuria at the time of rejection (grams/d) | |||||||
| <0.5 | 25 | 1.00 | Reference | ||||
| ≥0.5 | 14 | 5.31 | (1.67 to 16.90) | 0.002 | 7.24 | (1.51 to 34.60) | 0.01 |
| Histologic factorsc | |||||||
| Microvascular inflammationd | |||||||
| 2 or 3 | 26 | 1.00 | Reference | ||||
| ≥4 | 18 | 2.92 | (1.02 to 8.32) | 0.04 | NS | ||
| Interstitial inflammation and tubulitis | |||||||
| 0 or 1 | 25 | 1.00 | Reference | ||||
| ≥2 | 19 | 1.34 | (0.50 to 3.55) | 0.56 | a | ||
| Transplant glomerulopathy | |||||||
| 0 or 1 | 38 | 1.00 | Reference | ||||
| ≥2 | 6 | 0.98 | (0.22 to 4.36) | 0.98 | a | ||
| Endarteritis (vasculitis) | |||||||
| 0 | 39 | 1.00 | Reference | ||||
| ≥1 | 4 | 0.40 | (0.05 to 3.10) | 0.37 | a | ||
| Arteriosclerosis | |||||||
| 0 or 1 | 32 | 1.00 | |||||
| ≥2 | 11 | 2.24 | (0.74 to 6.72) | 0.14 | a | ||
| Interstitial fibrosis and tubular atrophy | |||||||
| 0 or 1 | 23 | 1.00 | Reference | ||||
| ≥2 | 20 | 2.15 | (0.78 to 5.93) | 0.13 | a | ||
| Immunologic factors | |||||||
| MS | |||||||
| No | 23 | 1.00 | Reference | ||||
| Yes | 21 | 3.21 | (1.12 to 9.15) | 0.02 | 3.57 | (1.04 to 12.18) | 0.04 |
| MFI of immuno-dominant DSAe | |||||||
| <6000 | 38 | 1.00 | Reference | ||||
| ≥6000 | 6 | 1.64 | (0.36 to 7.36) | 0.52 | a | ||
| MFI of immuno-dominant DSAe (per one-unit increment) |
44 |
1.00 |
(0.99 to 1.00) |
0.75 |
a |
||
| Number of DSA | |||||||
| 1 | 30 | 1.00 | Reference | ||||
| ≥2 | 14 | 0.94 | (0.30 to 2.89) | 0.91 | a | ||
HR, hazard ratio; 95% CI, confidence interval; NS, not significant; MFI, mean fluorescence intensity.
Indicates the variables that were not tested in the multivariable model.
Calculated with the Modification of Diet in Renal Disease formula.
Banff scores (0, no significant lesion; 1, mild; 2, moderate; 3, severe).
Sum of the Banff scores for glomerulitis and capillaritis.
MFI of the standard IgG detection assay. Variables at the P level <0.05 in the univariate model were incorporated into the multivariable model.