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 parametersHazard ratio [95% CI] value

At baseline
AgePer 5 years of age1.33 [0.93–1.91]0.120
SexMale: 0, female: 10.28 [0.03–2.49]0.252
Kidney tissue diagnosisMCNS: 0, non-MCNS: 12.18 [0.23–20.37]0.495
u-PCRPer 1.0 g/gCr0.96 [0.80–1.16]0.685
Selectivity index<0.2 : 0, ≥0.2 : 11.81 [0.30–10.91]0.516
u-suPARPer 500 pg/mgCr1.04 [0.82–1.33]0.732
u-L-FABPPer 1.0 μg/gCr1.00 [1.00–1.01]0.718
eGFRPer 10 mL/min/1.73 m20.86 [0.60–1.24]0.425
s-AlbuminPer 1.0 g/dL3.39 [0.43–27.02]0.248
Total cholesterolPer 10 mg/dL0.92 [0.81–1.05]0.214
s-suPARPer 500 pg/mL1.17 [0.98–1.40]0.081
Cyclosporine use in initial treatmentNonuse: 0, use: 10.29 [0.05–1.83]0.189

Change (Δ) during 2 months after initiating IST
Δu-PCR (2M)Per 1.0 g/gCr1.16 [0.91–1.47]0.227
Δu-suPAR (2M)Per 500 pg/mgCr1.34 [0.92–1.97]0.130
Δu-L-FABP (2M)Per 1.0 μg/gCr1.00 [0.99–1.01]0.994
ΔeGFR (2M)Per 10 mL/min/1.73 m20.82 [0.44–1.53]0.523
Δs-suPAR (2M)Per 500 pg/mL1.36 [1.09–1.69]0.006

At 2 months after initiating IST
u-PCR (2M)Per 1.0 g/gCr2.94 [1.43–6.03]0.003
u-suPAR (2M)Per 500 pg/mgCr1.20 [1.00–1.44]0.050
u-L-FABP (2M)Per 1.0 μg/gCr1.14 [1.04–1.26]0.006
eGFR (2M)Per 10 mL/min/1.73 m20.79 [0.54–1.15]0.215
s-suPAR (2M)Per 500 pg/mL1.13 [1.03–1.23]0.015

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.