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 parameters | Odds ratio [95% CI] | value |
| At baseline | Age | Per 5 years of age | 1.24 [0.95–1.62] | 0.111 | Sex | Male: 0, female: 1 | 0.92 [0.17–4.89] | 0.925 | Kidney tissue diagnosis | MCNS: 0, non-MCNS: 1 | 8.50 [0.90–80.03] | 0.061 | u-PCR | Per 1.0 g/gCr | 0.91 [0.75–1.10] | 0.327 | Selectivity index | <0.2 : 0, ≥0.2 : 1 | 4.09 [0.67–24.83] | 0.126 | u-suPAR | Per 500 pg/mgCr | 0.94 [0.75–1.19] | 0.628 | u-L-FABP | Per 1.0 μg/gCr | 1.00 [0.99–1.01] | 0.944 | eGFR | Per 10 mL/min/1.73 m2 | 0.87 [0.62–1.22] | 0.422 | s-Albumin | Per 1.0 g/dL | 1.61 [0.26–9.90] | 0.610 | Total cholesterol | Per 10 mg/dL | 0.95 [0.86–1.05] | 0.286 | s-suPAR | Per 500 pg/mL | 1.16 [0.93–1.44] | 0.199 | Cyclosporine use in initial treatment | Nonuse: 0, use: 1 | 0.21 [0.03–1.33] | 0.098 |
| Change (Δ) within the first 2 months of IST | Δu-PCR (2M) | Per 1.0 g/gCr | 1.32 [0.99–1.77] | 0.063 | Δu-suPAR (2M) | Per 500 pg/mgCr | 1.36 [0.95–1.93] | 0.093 | Δu-L-FABP (2M) | Per 1.0 μg/gCr | 1.00 [0.99–1.01] | 0.809 | ΔeGFR (2M) | Per 10 mL/min/1.73 m2 | 0.77 [0.43–1.40] | 0.397 | Δs-suPAR (2M) | Per 500 pg/mL | 2.40 [1.15–5.03] | 0.020 |
| At 2 months after initiating IST | u-PCR (2M) | Per 1.0 g/gCr | 7.87 [2.02–30.73] | 0.003 | u-suPAR (2M) | Per 500 pg/mgCr | 1.14 [0.92–1.42] | 0.238 | u-L-FABP (2M) | Per 1.0 μg/gCr | 1.14 [1.01–1.29] | 0.038 | eGFR (2M) | Per 10 mL/min/1.73 m2 | 0.74 [0.50–1.11] | 0.149 | s-suPAR (2M) | Per 500 pg/mL | 1.44 [1.01–2.04] | 0.041 |
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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.
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