Table 4.
Comparison of performance of a prognostic model that included only clinical covariates versus a prognostic model that included clinical covariates and AGP proteins
Selected Covariates and Prognostic Performance Tests | Models | |||
---|---|---|---|---|
Only Clinical | Clinical and AGP Proteins | |||
Statistic | P Value | Statistic | P Value | |
Effect estimates, HR (95% CI)a | ||||
HbA1c (%) | 1.25 (1.16 to 1.34) | 6.8 × 10−10 | 1.31 (1.22 to 1.41) | 1.2 × 10−13 |
eGFR per 10 ml/min per 1.73 m2 | 0.85 (0.79 to 0.92) | 2.4 × 10−5 | 0.93 (0.86 to 1.00) | 4.0 × 10−2 |
log2ACR | 1.37 (1.28 to 1.46) | 1.6 × 10−22 | 1.28 (1.20 to 1.36) | 1.1 × 10−13 |
EFNA4 per quartile | 1.27 (1.03 to 1.56) | 2.4 × 10−2 | ||
EPHA2 per quartile | 1.42 (1.16 to 1.75) | 7.9 × 10−4 | ||
C-statistic±SEMb | 0.7971±0.0122 | — | 0.8162±0.0112 | 4.0 × 10−3 |
−2 log-likelihood ratio | 2708 | 2650 | ||
AIC | 2720 | 2666 | ||
NRI (versus clinical model 1) (95% CI)c | 0.19 (0.13 to 0.25) | 6.5 × 10−10d |
Cox regression models were used to evaluate 10-year ESKD risk in the four combined cohorts (n=745). The covariates selected by backward elimination for clinical model included HbA1c, baseline eGFR, ACR, and cohort indicator out of seven examined covariates (see Supplemental Table 2). The covariates selected by backward elimination for combined clinical and AGP proteins included HbA1c, baseline eGFR, ACR, cohort indicator, and six AGP proteins.
The effects are shown as HRs (95% CIs) per one-quartile change of EFNA4 or EPHA2 (continuous variables).
Uno concordance statistics with two-sided P values. Null values for C-statistics are 0.5 and 3013 for AIC, respectively. P value versus model 1.
Risk categories for ESKD are 0%–4.9%, 5.0%–9.9%, 10.0%–19.9%, and ≥20% over 10 years.
P value versus model 1.