Table 3.
Association of eGFR variability with CVD events and all-cause mortality
| Cardiovascular Events | |||||
|---|---|---|---|---|---|
| CONTINUOUS | DISTRIBUTION OF EGFR VARIABILITY | ||||
| per SD greater =0.06 | < 0.05 | 0.05 – 0.07 | > 0.07 – 0.11 | > 0.11 | |
| HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | |
| N | 7520 | 1771 | 1965 | 1933 | 1851 |
| CVD EVENTS | 370 | 71 | 88 | 100 | 111 |
| RATE (%/YR) | 2.06 | 1.69 | 1.88 | 2.15 | 2.52 |
| UNADJUSTED | 1.12 (1.03, 1.23) | 1.00 (ref) | 1.15 (0.84, 1.58) | 1.29 (0.95, 1.76) | 1.53 (1.13, 2.07) |
| MODEL 1 | 1.15 (1.05, 1.26) | 1.00 (ref) | 1.18 (0.85, 1.62) | 1.33 (0.97, 1.81) | 1.62 (1.20, 2.21) |
| MODEL 2 | 1.05 (0.95, 1.16) | 1.00 (ref) | 1.17 (0.85, 1.62) | 1.19 (0.87, 1.63) | 1.34 (0.98, 1.84) |
| All-Cause Mortality | |||||
| CONTINUOUS | DISTRIBUTION OF EGFR VARIABILITY | ||||
| per SD greater =0.06 | < 0.05 | 0.05 – 0.07 | > 0.07 – 0.11 | > 0.11 | |
| HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | |
| N | 7520 | 1771 | 1965 | 1933 | 1851 |
| MORTALITY | 154 | 30 | 32 | 34 | 58 |
| RATE (%/YR) | 1.09 | 0.92 | 0.88 | 0.93 | 1.66 |
| UNADJUSTED | 1.30 (1.18, 1.44) | 1.00 (ref) | 0.89 (0.53, 1.49) | 0.91 (0.55, 1.52) | 1.77 (1.13, 2.77) |
| MODEL 1 | 1.35 (1.21, 1.50) | 1.00 (ref) | 0.92 (0.55, 1.54) | 0.95 (0.57, 1.58 | 1.90 (1.21, 2.99) |
| MODEL 2 | 1.29 (1.14, 1.45) | 1.00 (ref) | 0.89 (0.53, 1.49) | 0.87 (0.52, 1.45) | 1.57 (0.99, 2.49) |
Model 1: adjusted for age, sex, race, randomized arm.
Model 2: Model 1 + baseline history of CVD, history of heart failure, current smoking status, BMI, LDL, total cholesterol, ACR (baseline), eGFR (18m), systolic blood pressure (18m), diastolic blood pressure (18m), ACE/ARB (18m), diuretics (18m), calcium channel blocker (18m) and fasting status.
Abbreviations: SD, standard deviation; CVD, cardiovascular disease; CI, confidence interval; BMI, body mass index; LDL, low-density lipoprotein; ACEI, angiotensin-converting-enzyme inhibitor; ARB, angiotensin II receptor blocker; eGFR, estimated glomerular filtration rate; ACR, albumin-to-creatinine ratio.