Clinical Study
Prognostic Factors for Survival and Relapse in ANCA-Associated Vasculitis with Renal Involvement: A Clinical Long-Term Follow-Up Study
Table 3
Diagnostic, histological, and clinical factors to predict patient survival, renal survival, and relapse-free survival (N=82).
| | | | Univariate analysis | Multivariate analysis | Endpoints | Predictors | | HR (95% CI) | P | HR (95% CI) | P |
| Patient survival | Dg MPA | | 2.71 (1.37-5.35) | 0.004 | | | | ANCA MPO | | 2.67 (1.37-5.19) | 0.004 | 2.12 (1.08-4.17) | 0.03 | | Histopathological class | Focal | 0.29 (0.12-0.69) | 0.005 | | | | | Crescentic | 0.26 (0.10-0.67) | 0.006 | | | | | Mixed | 0.69 (0.30-1.59) | 0.38 | | | | Female | | 0.67 (0.34-1.32) | 0.25 | | | | Age ≥58 years | | 8.50 (3.84-18.79) | <0.001 | 7.64 (3.44-16.95) | <0.001 | | Proteinuria >3g/d | | 0.94 (0.43-2.04) | 0.87 | | | | GFR <30ml/min/1.73m | | 2.08 (1.07-4.04) | 0.03 | | | | Treatment with CYC | | 0.42 (0.20-0.88) | 0.02 | | |
| Renal survival | Dg MPA | | 2.71 (1.13-6.52) | 0.03 | | | | ANCA MPO | | 3.17 (1.31-7.64) | 0.01 | 3.10 (1.21-7.95) | 0.02 | | Histopathological class | Focal | 0.11 (0.03-0.41) | 0.001 | | | | | Crescentic | 0.32 (0.11-0.90) | 0.03 | | | | | Mixed | 0.49 (0.18-1.33) | 0.16 | | | | Female | | 0.36 (0.14-0.96) | 0.04 | 0.26 (0.10-0.73) | 0.01 | | Age ≥58 years | | 2.50 (1.10-5.71) | 0.03 | | | | Proteinuria >3g/day | | 2.46 (1.08-5.60) | 0.03 | | | | GFR <30ml/min/1.73 | | 5.63 (1.92-16.49) | 0.002 | 4.10 (1.35-12.49) | 0.01 | | Treatment with CYC | | 0.43 (0.18-1.04) | 0.06 | | |
| Relapse free | Dg MPA | | 0.48 (0.28-0.82) | 0.01 | 0.48 (0.28-0.82) | 0.01 | survival | ANCA MPO | | 0.59 (0.34-1.01) | 0.05 | | | | Histopathological class | Focal | 1.29 (0.54-3.08) | 0.56 | | | | | Crescentic | 1.82 (0.75-4.41) | 0.19 | | | | | Mixed | 1.07 (0.40-2.82) | 0.90 | | | | Female | | 1.19 (0.70-2.02) | 0.53 | | | | Age ≥58 years | | 0.70 (0.41-1.20) | 0.20 | | | | Proteinuria >3g/d | | 0.75 (0.38-1.49) | 0.42 | | | | GFR <30ml/min/1.73m | | 0.59 (0.35-1.00) | 0.05 | | | | Treatment with CYC | | 2.04 (0.92-4.52) | 0.08 | | |
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Reference groups: ,GPA; , ANCA-PR3; , sclerotic; , male; , age <58 years; , Proteinuria ≤3g/day; , GFR ≥30ml/min; no CYC. |