Table 3.
Reclassification of ESKD Events and Non-events by Kidney Failure Risk Equation Scores Using Various Equations
Black Participants | Non-Black Participants | |||||
---|---|---|---|---|---|---|
Model Comparisons * | Events Reclassified, % (95% CI) |
Non-events Reclassified, % (95% CI) |
Net Reclassification Index (95% CI) |
Events Reclassified, % (95% CI) |
Non-events Reclassified, % (95% CI) |
Net Reclassification Index (95% CI) |
Comparing with creatinine-based equation with age, sex, and race | ||||||
Creatinine with age and sex | 7.0 (4.6, 9.5) | −3.8 (−4.3, −3.2) | 3.2 (0.5, 5.9) | −5.6 (−7.8, −3.6) | 2.8 (2.4, 3.2) | −2.8 (−5.1, −0.8) |
Cystatin C with age and sex | −6.3 (−11.3, −1.6) | 0.2 (−0.7, 0.9) | −6.1 (−11.1, −1.4) | −7.0 (−11.0, −2.9) | 0.4 (−0.2, 0.9) | −6.6 (−10.8, −2.5) |
Creatinine and cystatin C with age and sex | 3.2 (−0.4, 6.4) | −1.6 (−2.3, −1.0) | 1.6 (−2.1, 4.7) | −5.7 (−9.0, −2.5) | 1.4 (0.9, 1.8) | −4.3 (−7.7, −1.2) |
Comparing with creatinine-based equation with age and sex | ||||||
Cystatin C with age and sex | −12.0 (−16.6, −7.5) | 3.4 (2.5, 4.3) | −8.6 (−13.3, −4.0) | −2.7 (−7.0, 1.5) | −2.0 (−2.6, −1.5) | −4.7 (−8.9, −0.3) |
Creatinine and cystatin C with age and sex | −3.6 (−6.8, −0.5) | 2.0 (1.3, 2.7) | −1.5 (−4.8, 1.7) | −0.5 (−4.1, 3.0) | −1.3 (−1.8, −0.9) | −1.8 (−5.5, 1.7) |
CI = confidence interval; eGFR = estimated glomerular filtration rate; ESKD = end-stage kidney disease
Models are compared for reclassification of ESKD events to a higher predicted risk category and non-events to a lower predicted risk category, using cut-off points of 10% and 20%. Values >0 indicate correct reclassification while values <0 indicate incorrect reclassification.