Factors associated with mortality within the first year after trial entry on univariable analysis based on Kaplan–Meier and Cox regression proportional hazards approaches
Factor | Hazard ratio (95% CI) | p Value |
---|---|---|
Univariable analysis | ||
Weighted infection burden score | 1.2 (1.2 to 1.2)* | <0.001 |
Weighted leucopenia burden score | 1.2 (1.1 to 1.2)* | <0.001 |
Weighted adverse event (other) burden score | 1.3 (1.2 to 1.5)* | <0.001 |
Vasculitis type | <0.001 | |
MPA | 4.2 (2.3 to 7.7)† | |
Renal limited | 1.3 (0.4 to 4.5)† | |
Age | 1.9 (1.4 to 2.5)‡ | <0.001 |
GFR | <0.001 | |
<15 ml/min | 13.6 (4.2 to 43.8)§ | |
15–60 ml/min | 2.5 (0.7 to 9.3)§ | |
CRP | 1.03 (0.9 to 1.1)¶ | 0.06 |
BVAS | 0.07 | |
<14 | 0.5 (0.2 to 0.9)** | |
15–21 | 0.6 (0.3 to 1.1)** | |
Vasculitis relapse | 0.3 (0.2 to 1.2)†† | 0.1 |
Gender | 1.2 (0.7 to 2.0)‡‡ | 0.48 |
Final VDI | 1.0 (0.7 to 1.4)* | 0.87 |
Multivariable analysis | ||
Weighted infection burden score | 1.2 (1.1 to 1.23)* | <0.001 |
Weighted adverse event burden score | 1.3 (1.1 to 1.4)* | <0.001 |
Weighted leucopenia burden score | 1.2 (1.1 to 1.2)* | <0.001 |
GFR | 0.7 (0.6 to 0.9)§ | 0.002 |
Cumulative cyclophosphamide dose (time-dependent covariate) | 1.2 (1.05 to 1.4)§§ | 0.04 |
Hazard ratios for each variable were derived using Cox regression. Age, vasculitis type, Birmingham vasculitis activity score (BVAS), relapse and C-reactive protein (CRP) were not independently associated with one-year mortality on multivariable analysis.
↵* For every 1-point rise;
↵† Relative to Wegener's granulomatosis;
↵‡ For every decade increase;
↵§ Relative to >60 ml/min;
↵¶ For every 10-point rise in CRP;
↵** Relative to >21;
↵†† Yes vs no;
↵‡‡ Female versus male;
↵§§ For every gram increase.
GFR, glomerular filtration rate; MPA, microscopic polyangiitis; VDI, vasculitis damage index.