Table 4 Cox proportional hazards regression of the risk of renal endpoints and mortality according to baseline HbA1c, uACR and plasma sTNFR1 after adjustment for conventional risk factors for renal functional decline in the study cohorta.

From: Parallel assessment of albuminuria and plasma sTNFR1 in people with type 2 diabetes and advanced chronic kidney disease provides accurate prognostication of the risks of renal decline and death

Variables

Clinical modelb

Clinical + sTNFR1 modelc

Likelihood ratio p-valued

 

HR

95% CI

p

HR

95% CI

p

 

 ≥ 40% decrease in CKD-EPI eGFR (n = 97)

0.30

HbA1c

1.03

1.00–1.07

0.049

1.03

1.00–1.07

0.053

 

uACR

1.49

1.17–1.90

0.001

1.49

1.16–1.90

0.001

 

sTNFR1

N/A

N/A

N/A

0.63

0.27–1.47

0.29

 

Doubling of serum creatinine (n = 97)

0.83

HbA1c

1.01

0.96–1.07

0.60

1.01

0.96–1.07

0.63

 

uACR

2.01

1.34–3.01

 < 0.001

2.00

1.34–3.00

 < 0.001

 

sTNFR1

N/A

N/A

N/A

0.88

0.26–2.90

0.83

 

Mortality (n = 101)

0.01

HbA1c

1.03

1.00–1.06

0.10

1.02

0.99–1.05

0.24

 

uACR

1.07

0.83–1.40

0.59

0.95

0.73–1.25

0.73

 

sTNFR1

N/A

N/A

N/A

4.87

1.34–17.62

0.02

 

Composite endpoint 1e (n = 101)

0.58

HbA1c

1.03

1.00–1.06

0.03

1.03

1.00–1.06

0.03

 

uACR

1.35

1.11–1.63

0.002

1.34

1.11–1.63

0.003

 

sTNFR1

N/A

N/A

N/A

1.24

0.58–2.66

0.58

 

Composite endpoint 2f (n = 101)

0.19

HbA1c

1.02

1.00–1.05

0.10

1.02

0.99–1.05

0.14

 

uACR

1.29

1.05–1.59

0.02

1.27

1.03–1.57

0.03

 

sTNFR1

N/A

N/A

N/A

1.80

0.72–4.48

0.21

 
  1. a95% CI, 95% confidence interval; CKD-EPI, Chronic Kidney Disease-Epidemiology Collaboration; eGFR, estimated glomerular filtration rate; HbA1c, glycated haemoglobin; HR, hazard ratio; N/A, not applicable; sTNFR1, soluble tumour necrosis factor receptor-1; uACR, urine albumin-to-creatinine ratio.
  2. bClinical model: age, gender, diabetes duration, systolic blood pressure, HbA1c, CKD-EPI eGFR, uACR.
  3. cClinical + sTNFR1 model: clinical model + plasma sTNFR1.
  4. dClinical model versus clinical + sTNFR1 model.
  5. eComposite endpoint 1: ≥ 40% decrease in CKD-EPI eGFR, doubling of serum creatinine, renal replacement therapy, or mortality.
  6. fComposite endpoint 2: doubling of serum creatinine, renal replacement therapy, or mortality.