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. 2021 May 10;10(9):2032. doi: 10.3390/jcm10092032

Table 4.

Effect of non-adherence measured by the Morisky scale and immunosuppression regimen (tacrolimus/cyclosporine/any anticalcineurin) on the hazard of graft failure since the third year post transplantation. Results of Cox proportional hazard model. Multivariable analysis.

3 Months (N = 190) 6 Months (N = 183) 12 Months (N = 191) 24 Months (N = 169)
HR * CI 95% p-Value HR * CI 95% p-Value HR * CI 95% p-Value HR * CI 95% p-Value
Non adherent vs. adherent  0.89 0.40–2.00 0.84 1.08 0.53–2.23 0.73 0.97 0.50–1.88 0.46 0.93 0.49–1.79 0.92
Recipient age (per year) 1.01 0.98–1.05 0.78 1.01 0.97–1.04 0.63 1.01 0.97–1.04 0.75 1.00 0.97–1.04 0.72
Donor age 0.68 0.91 0.71 0.24
<38 years 1 1 1 1
39–50 years 1.34 0.51–3.53 1.21 0.44–3.35 1.10 0.42–2.93 1.92 0.63–5.85
51–59 years 1.80 0.67–4.83 1.54 0.54–4.40 1.49 0.54–4.10 2.73 0.84–8.85
≥60 years 2.01 0.62–6.60 1.04 0.28–3.87 1.27 0.37–4.38 3.67 0.97–13.9
Maintenance treatment 0.37 0.27 0.97 0.15
Tacrolimus 1 1 1 1
Cyclosporine 0.90 0.46–1.78 1.30 0.69–2.45 0.86 0.45–1.65 0.76 0.37–1.56
Any anticalcineurin 0.46 0.06–3.56 0.26 0.03–2.02 0.71 0.21–2.38 1.20 0.45–3.23
Occurrence of acute rejection (time-dependent variable) 2.64 1.34–5.16 0.0005 2.65 1.43–4.90 0.002 1.92 1.06–3.49 0.03 1.90 0.98–3.67 0.055
Occurrence of dnDSA between 2 and 3 years post-transplant 2.42 1.02–5.75 0.03 3.51 1.49–8.25 0.002 2.30 1.03–5.12 0.04 1.84 0.74–5.23 0.19

HR: Hazard ratio; CI: Confidence Interval; Subjects with complete data and with a functioning graft at 3 years post-transplant; Subjects with at least one positive response to Morisky scale at time of measure. * adjusted for recipient and donor age, maintenance treatment at time of measure of NA, occurrence of acute rejection (time dependent variable) and occurrence of dnDSA between 2 and 3 years post transplant.