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Table 3 Impact of reduced exposure to CNI on the occurrence of de novo DSA in a multivariablea Cox adjusted model

From: Impact of reduced exposure to calcineurin inhibitors on the development of de novo DSA: a cohort of non-immunized first kidney graft recipients between 2007 and 2014

Event

Reduced exposure to CNI

Nb events/Nb patients

Univariate model

Multivariate modela

HR (CI 95%)

p

HR (CI 95%)

p

First detection of one DSA with MFI > 1000

No

2/81 (2.5%)

1.00

 

1.00

 

Yes

35/166 (21.1%)

10.43 (2.50–43.46)

0.001

9.77 (2.34–40.77)

0.002

First detection of one DSA with MFI > 6000

No

1/82 (1.2%)

1.00

 

1.00

 

Yes

22/165 (13.3%)

12.31 (1.66–91.47)

0.014

11.54 (1.55–85.93)

0.017

First detection of one DSA with MFI > 10,000

No

1/84 (1.2%)

1.00

 

1.00

 

Yes

16/163 (9.8%)

8.86 (1.17–66.92)

0.034

7.40 (0.97–56.31)

0.053

First detection of DSA(s) with total MFI > 6000

No

1/82 (1.2%)

1.00

 

1.00

 

Yes

23/165 (13.9%)

12.81 (1.73–94.97)

0.013

12.02 (1.62–89.25)

0.015

First detection of DSA(s) with total MFI > 10,000

No

1/83 (1.2%)

1.00

 

1.00

 

Yes

19/164 (11.6%)

10.75 (1.44–80.43)

0.021

9.50 (1.26–71.43)

0.029

First rejection

No

1/83 (1.2%)

1.00

 

1.00

 

Yes

11/164 (6.7%)

5.65 (0.73–43.74)

0.097

5.65 (0.73–43.74)

0.097

Post-transplant neoplasia

No

10/88 (11.4%)

1.00

 

1.00

 

Yes

18/159 (11.3%)

1.16 (0.53–2.52)

0.71

1.20 (0.55–2.62)

0.64

Post-transplant neoplasia (excluding skin neoplasia)

No

8/88 (9.1%)

1.00

 

1.00

 

Yes

10/159 (6.3%)

0.75 (0.30–1.91)

0.55

0.75 (0.30–1.91)

0.55

Return in dialysis

No

3/87 (3.4%)

1.00

 

1.00

 

Yes

15/160 (9.4%)

3.22 (0.93–11.22)

0.066

3.22 (0.93–11.22)

0.066

Patient survival

No

9/87 (10.3%)

1.00

 

1.00

 

Yes

13/160 (8.1%)

1.01 (0.43–2.38)

0.97

1.03 (0.44–2.43)

0.94

Graft survival

No

12/87 (13.8%)

1.00

 

1.00

 

Yes

28/160 (17.5%)

1.57 (0.80–3.11)

0.19

1.64 (0.82–3.28)

0.16

  1. DSA: Donor Specific Antibody, MFI Mean Fluorescence Intensity. Results with p value less than 5% were emphasized using bold letters
  2. aMultivariable analyses were performed using iterative backward selection, by forcing “reduced exposure to CNI” in the Cox model, with the following variables as candidate covariates: number of HLA mismatches, donor type (living, deceased -standard or extended criteria-), age and gender of the recipient, mycofenolic acid cessation, delayed graft function and induction therapy