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. Author manuscript; available in PMC: 2022 Sep 1.
Published in final edited form as: Ann Intern Med. 2022 Jan 11;175(3):305–313. doi: 10.7326/M21-2928

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.