Research Article
Early, Noninvasive Clinical Indicators of Kidney Prognosis in Primary Nephrotic Syndrome: A Retrospective Exploratory Study
Table 2
Univariate Cox proportional hazard regression analysis for prediction of the time to 40% reduction in the eGFR.
| Clinical parameters | Hazard ratio [95% CI] | value |
| At baseline | Age | Per 5 years of age | 1.33 [0.93–1.91] | 0.120 | Sex | Male: 0, female: 1 | 0.28 [0.03–2.49] | 0.252 | Kidney tissue diagnosis | MCNS: 0, non-MCNS: 1 | 2.18 [0.23–20.37] | 0.495 | u-PCR | Per 1.0 g/gCr | 0.96 [0.80–1.16] | 0.685 | Selectivity index | <0.2 : 0, ≥0.2 : 1 | 1.81 [0.30–10.91] | 0.516 | u-suPAR | Per 500 pg/mgCr | 1.04 [0.82–1.33] | 0.732 | u-L-FABP | Per 1.0 μg/gCr | 1.00 [1.00–1.01] | 0.718 | eGFR | Per 10 mL/min/1.73 m2 | 0.86 [0.60–1.24] | 0.425 | s-Albumin | Per 1.0 g/dL | 3.39 [0.43–27.02] | 0.248 | Total cholesterol | Per 10 mg/dL | 0.92 [0.81–1.05] | 0.214 | s-suPAR | Per 500 pg/mL | 1.17 [0.98–1.40] | 0.081 | Cyclosporine use in initial treatment | Nonuse: 0, use: 1 | 0.29 [0.05–1.83] | 0.189 |
| Change (Δ) during 2 months after initiating IST | Δu-PCR (2M) | Per 1.0 g/gCr | 1.16 [0.91–1.47] | 0.227 | Δu-suPAR (2M) | Per 500 pg/mgCr | 1.34 [0.92–1.97] | 0.130 | Δu-L-FABP (2M) | Per 1.0 μg/gCr | 1.00 [0.99–1.01] | 0.994 | ΔeGFR (2M) | Per 10 mL/min/1.73 m2 | 0.82 [0.44–1.53] | 0.523 | Δs-suPAR (2M) | Per 500 pg/mL | 1.36 [1.09–1.69] | 0.006 |
| At 2 months after initiating IST | u-PCR (2M) | Per 1.0 g/gCr | 2.94 [1.43–6.03] | 0.003 | u-suPAR (2M) | Per 500 pg/mgCr | 1.20 [1.00–1.44] | 0.050 | u-L-FABP (2M) | Per 1.0 μg/gCr | 1.14 [1.04–1.26] | 0.006 | eGFR (2M) | Per 10 mL/min/1.73 m2 | 0.79 [0.54–1.15] | 0.215 | s-suPAR (2M) | Per 500 pg/mL | 1.13 [1.03–1.23] | 0.015 |
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MCNS, minimal-change nephrotic syndrome; s-, serum; u-, urinary; PCR, protein-to-creatinine ratio; suPAR, soluble urokinase plasminogen activator receptor; L-FABP, liver-type fatty acid-binding protein; eGFR, estimated glomerular filtration rate; IST, immunosuppressive therapy; 95% CI, confidence interval.
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