Table 3.
Univariable and multivariable analysis for risk factors for CKD at 1 year
Variable | Univariable analysisOR (95% CI) | P-value | Multivariable analysisOR (95% CI) | P-value |
---|---|---|---|---|
Age at transplant | 1.09 (1.05–1.13) | <0.0001 | 1.09 (1.05–1.14) | <0.0001 |
Female gender | 2.01 (1.05–3.88) | 0.04 | 2.83 (1.34–5.97) | 0.006 |
Hypertension | 2.02 (1.05–3.89) | 0.04 | ||
Diabetes | 2.51 (0.98–6.41) | 0.05 | 1.63 (0.58–4.56) | 0.35 |
Baseline eGFR | 0.91 (0.89–0.94) | <0.0001 | ||
AKI within 100 days post-transplant | 2.95 (1.41–6.16) | 0.004 | 3.86 (1.70–8.73) | 0.001 |
Transplant regimen (MAC versus RIC) | 0.37 (0.14–0.99) | 0.05 | ||
GVHD prophylaxis (ATG-PTCy-CSA versus others) | 0.91 (0.47–1.78) | 0.79 | ||
aGVHD (grade 3–4) | 0.53 (0.15–1.87) | 0.32 | ||
cGVHD (moderate/severe) | 1.17 (0.58–2.34) | 0.66 | 1.31 (0.60–2.84) | 0.50 |
Univariable and multivariable logistic regression results are presented. Patients who died within 1 year post-transplant were removed from analyses. Due to lack of power, only five variables were included in the multivariable model to avoid over-fit. For this reason, hypertension and baseline eGFR were excluded from the model. Diabetes was included in the model as it is a recognized major risk factor for CKD. We also retained cGVHD in the model (although nonsignificant in univariate analysis), as cGVHD has been reported as a significant risk factor for kidney disease after transplantation in multiple recent studies [19–21]. Alternative multivariate model incorporating baseline eGFR and using only variables with the lowest P-value in univariate analysis is provided as Supplementary material.
OR = odds ratio; CKD = chronic kidney disease; AKI = acute kidney injury; MAC = myeloablative conditioning; RIC = reduced intensity regimen; GVHD = graft-versus-host disease; ATG-PTCy-CSA = anti-thymocyte globulin with post-transplant cyclophosphamide and cyclosporine; aGVHD = acute graft-versus-host disease; cGVHD = chronic graft-versus-host disease.