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. 2023 Feb 21;107(3):709–719. doi: 10.1097/TP.0000000000004324

TABLE 8.

Predicting molecular antibody-mediated rejection/mixed considering only DSA, %dd-cfDNA, dd-cfDNA quantity, and TxBx

Predictor variable(s) P AUC
TxBx 4.4 × 10–3 0.61
DSA 3.2 × 10–8 0.66
%dd-cfDNA <1 × 10–16 0.84
Quantity dd-cfDNA <1 × 10–16 0.85
%dd-cfDNA + DSA <1 × 10–16 0.86
%dd-cfDNA + DSA + quantity dd-cfDNA <1 × 10–16 0.87
%cfDNA + DSA + quantity dd-cfDNA + TxBx <1 × 10–16 0.88
Model comparison P a Interpretation
Quantity dd-cfDNA + %dd-cfDNA vs %dd-cfDNA 0.007 Quantity dd-cfDNA adds to %dd-cfDNA
%dd-cfDNA + quantity dd-cfDNA vs quantity dd-cfDNA 0.01 %dd-cfDNA adds to quantity dd-cfDNA
DSA + %dd-cfDNA vs %dd-cfDNA 9.5 × 10–4 DSA adds to %dd-cfDNA
DSA + %dd-cfDNA vs DSA <1 × 10–16 %dd-cfDNA adds to DSA
Quantity dd-cfDNA + %dd-cfDNA + DSA vs %dd-cfDNA + DSA 0.0065 Quantity dd-cfDNA adds slightly to %dd-cfDNA + DSA
TxBx + DSA + quantity dd-cfDNA + %dd-cfDNA vsDSA + quantity dd-cfDNA + %dd-cfDNA 0.0018 TxBx adds to DSA + quantity dd-cfDNA + %dd-cfDNA
a

Likelihood ratio test.

AUC, area under the curve; dd-cfDNA, donor-derived cell-free DNA; DSA, donor-specific antibody;TxBx, time of biopsy posttransplant.