Research Article

Early, Noninvasive Clinical Indicators of Kidney Prognosis in Primary Nephrotic Syndrome: A Retrospective Exploratory Study

Table 4

Univariate logistic regression analysis of predictive factors for intractable NS.

Clinical parametersOdds ratio [95% CI] value

At baseline
AgePer 5 years of age1.24 [0.95–1.62]0.111
SexMale: 0, female: 10.92 [0.17–4.89]0.925
Kidney tissue diagnosisMCNS: 0, non-MCNS: 18.50 [0.90–80.03]0.061
u-PCRPer 1.0 g/gCr0.91 [0.75–1.10]0.327
Selectivity index<0.2 : 0, ≥0.2 : 14.09 [0.67–24.83]0.126
u-suPARPer 500 pg/mgCr0.94 [0.75–1.19]0.628
u-L-FABPPer 1.0 μg/gCr1.00 [0.99–1.01]0.944
eGFRPer 10 mL/min/1.73 m20.87 [0.62–1.22]0.422
s-AlbuminPer 1.0 g/dL1.61 [0.26–9.90]0.610
Total cholesterolPer 10 mg/dL0.95 [0.86–1.05]0.286
s-suPARPer 500 pg/mL1.16 [0.93–1.44]0.199
Cyclosporine use in initial treatmentNonuse: 0, use: 10.21 [0.03–1.33]0.098

Change (Δ) within the first 2 months of IST
Δu-PCR (2M)Per 1.0 g/gCr1.32 [0.99–1.77]0.063
Δu-suPAR (2M)Per 500 pg/mgCr1.36 [0.95–1.93]0.093
Δu-L-FABP (2M)Per 1.0 μg/gCr1.00 [0.99–1.01]0.809
ΔeGFR (2M)Per 10 mL/min/1.73 m20.77 [0.43–1.40]0.397
Δs-suPAR (2M)Per 500 pg/mL2.40 [1.15–5.03]0.020

At 2 months after initiating IST
u-PCR (2M)Per 1.0 g/gCr7.87 [2.02–30.73]0.003
u-suPAR (2M)Per 500 pg/mgCr1.14 [0.92–1.42]0.238
u-L-FABP (2M)Per 1.0 μg/gCr1.14 [1.01–1.29]0.038
eGFR (2M)Per 10 mL/min/1.73 m20.74 [0.50–1.11]0.149
s-suPAR (2M)Per 500 pg/mL1.44 [1.01–2.04]0.041

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.