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16 July 2021: Original Paper

Risk Factors Influencing the Outcomes of Kidney Re-Transplantation

Anke Schwarz 1ADEF** , Frank Schäfer 1AB* , Theodor Framke 2CD , Silvia Linnenweber-Held 1AB , Nicolas Richter 3BD , Hermann Haller 1DE

DOI: 10.12659/AOT.928922

Ann Transplant 2021; 26:e928922

Supplementary Table 1 Graft survival (defined as time to transplant failure or death); time-to-event analysis of graft survival (univariate).

Variable1st TxLogrank-test2nd TxLogrank-testCox regression model1st TxHR, 95% CI, p-valueCox regression model2nd TxHR, 95% CI, p-valueCox regression model (marginal model for 1st and 2nd Tx patients)HR, 95% CI
Gender (Ref: Female)0.14070.8107
1.500, (0.888, 2.652), 0.14351.055, (0.687, 1.657), 0.81231.195, (0.853, 1.674)
Kind of donation (Ref: Living)0.29620. 4807
1.619, (0.718, 4.636), 0.30091.298, (0.668, 2.919), 0.4231.427, (0.776, 2.626)
Age > 50 (Ref: ≤50)0.01860. 1639
1.793, (1.088, 2.928), 0.02021.350, (0.877, 2.053), 0.16541.521, (1.093, 2.115)
No of comorbidities (Ref: 5)0.05560. 0358
 00.714, (0.028, 18.087), 0.81180.339, (0.062, 1.839), 0.18640.438, (0.093, 2.072)
 10.827, (0.160, 15.117), 0.85570.318, (0.101, 1.399), 0.07660.437, (0.153, 1.250)
 21.563, (0.330, 27.936), 0.66190.384, (0.132, 1.628), 0.12130.644, (0.236, 1.756)
 31.535, (0.316, 27.663), 0.67660.671, (0.240, 2.794), 0.50910.897, (0.312, 2.578)
 43.040, (0.589, 55.589), 0.28770.778, (0.261, 3.337), 0.68891.260, (0.444, 3.576)
No of comorbidiities (Ref: 0–2)0.08370.0010
1.531, (0.936, 2.488), 0.08602.009, (1.322, 3.085), 0.00121.818, (1.336, 2.475)
Pre-transplant PRA30 (Ref: ≤30)0.6240
15.689, (3.669, 46.355),0.854, (0.429, 1.538), 0.62451.151, (0.614, 2.160)
Dialysis 60 (Ref: ≤60 months)0.35690.4592
0.797, (0.491, 1.299), 0.35790.806, (0.470, 1.490), 0.45990.806, (0.563, 1.155)
HLA-mismatches0.28130.0147
4–6 (Ref: 0–3)1.396 (0.728, 2.483), 0.28271.730, (1.093, 2.677), 0.01601.643, (1.137, 2.376)
Comorbidities: 1 cardivascular (Ref: no)0.01770.0006
1.783, (1.097, 2.903), 0.01932.036, (1.339, 3.088), 0.00081.947, (1.410, 2.688)
2 Diabetes (Ref: no)0.00140.4308
2.918, (1.383, 5.567), 0.00231.437, (0.504, 3.217), 0.43342.113, (1.144, 3.905)
3 Hyperlipidemia (Ref: no)0.32310.7707
0.772, (0.454, 1.276), 0.32451.064, (0.698, 1.612), 0.76990.952, (0.695, 1.304)
4 COLD (Ref: no)0.77590.0081
0.863, (0.262, 2.100), 0.77622.241, (1.154, 3.975), 0.00991.632, (1.016, 2.623)
5 Hepatitis (Ref: no)0.80230.5448
0.890, (0.311, 2.006), 0.80240.829, (0.429, 1.463), 0.54550.841, (0.503, 1.407)
6 Malignancy (Ref: no)0.01080.8527
2.053, (1.131, 3.528), 0.01260.942, (0.473, 1.695), 0.85271.372, (0.917, 2.051)
7 Hypertension (Ref: no)0.59850.2491
1.254, (0.585, 3.261), 0.59941.529, (0.787, 3.437), 0.25261.398, (0.791, 2.470)
8 Pancreatitis (Ref: no)0.95700.2922
0.963, (0.158, 3.083), 0.95771.402, (0.704, 2.525), 0.29461.294, (0.832, 2.013)
9 Gastrointestinal (Ref: no)0.55820.8101
1.205, (0.615, 2.174), 0.55871.059, (0.650, 1.668), 0.81011.123, (0.790, 1.596)
CMV Infection (Ref: no)0.64600.3603
1.165, (0.576, 2.145), 0.64621.343, (0.674, 2.418), 0.36111.251, (0.784, 1.995)
CMV risk (Ref: low risk)0.76550.7151
0.928, (0.562, 1.509), 0.76551.081, (0.714, 1.653), 0.71651.078, (0.766, 1.519)
BKV Nephropathy (Ref: no)0.01120.0358
2.867, (1.096, 6.211), 0.01542.560, (0.896, 5.749), 0.04302.709, (1.532, 4.792)
Humoral Rejection (Ref: no)0.06390.0127
1.874, (0.898, 3.517), 0.06831.969, (1.105, 3.296), 0.01451.931, (1.282, 2.909)
Initial Function (Ref no)0.03790.0016
0.581, (0.350, 0.995), 0.04030.500, (0.325, 0.784), 0.00190.540, (0.374, 0.779)
Rejection1 (Ref: no)0.00340.1090
2.035, (1.251, 3.313), 0.00411.409, (0.918, 2.138), 0.11071.633, (1.179, 2.260)
Creatinine ≥150 (Ref:0.08810.0028
1.542, (0.942, 2.584), 0.09061.910, (1.249, 2.967), 0.00331.743, (1.258, 2.415)
CIT ≥700 (Ref:0.72400.8416
0.907, (0.536, 1.604), 0.72411.052, (0.652, 1.777), 0.84161.002, (0.683, 1.471)
rATG Induktion (Ref: no)0.04030.7995
3.949, (0.644, 12.801), 0.05761.056, (0.696, 1.623), 0.80051.126, (0.735, 1.724)
No of immunosupp drugs (Ref: 2)0.91900.6269
1.027, (0.621, 1.743), 0.91931.126, (0.709, 1.853), 0.62721.085, (0.753, 1.563)
Immunosuppression Cy based (Ref: no)0.82080.5996
1.058, (0.649, 1.719), 0.82061.118, (0.738, 1.705), 0.59991.080, (0.778, 1.499)
Peritransplant infections (Ref: no)0.07580.0838
1.587, (0.933, 2.621), 0.07801.486, (0.931, 2.308), 0.08561.552, (1.100, 2.188)
Severe infection (Ref: no)0.05430.0332
1.600, (0.984, 2.597), 0.05651.566, (1.030, 2.375), 0.03471.629, (1.201, 2.209)
BMI (Ref: ≥25)0.50370.1833
0.840, (0.494, 1.386), 0.50420.749, (0.492, 1..158), 0.1848)0.778, (0.550, 1.100)
Events are defined as death or transplant failure. Patients are censored at their last visit in case of no event. Results for comparison between TX1 and TX2 (Ref) in the marginal Cox regression model are presented in italic.
CI – confidence interval; HR – Hazard Ratio; Ref – reference group; No – number; PRA - panel-reactive antibodies; CMV – cytomegalovirus; BKV – BK virus; CIT – cold ischemia time; immunosupp – immunosuppressive; rATG – rabbit anti thymocyte globulin; BMI – body mass index.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358