Research Article

Shrunken Pore Syndrome Is Associated with Renal Function Decline in Female Patients with Kidney Diseases

Table 1

Baseline characteristics of the study population.

PopulationOverallIgAN ()MN ()
Total ()Non-SPS
(, 93%)
SPS
(, 7%)
Non-SPS
(, 88%)
SPS
(, 12%)

Characteristics
 Age, yearsd37 (27~48)33 (26~44)34 (27~43)50 (41~59)48 (44~55)
 Women, no. (%)c,d274 (51%)220 (57%)12 (40%)40 (37%)2 (14%)
 Mean arterial BP (mmHg), d
Medication
 ACEi or ARB, no. (%)214 (40%)159 (41%)14 (47%)37 (34%)4 (29%)
 Glucocorticoids, no. (%)d316 (59%)215 (56%)19 (63%)72 (67%)10 (71%)
 Immunosuppressants, no. (%)d129 (24%)72 (19%)4 (13%)45 (42%)8 (57%)
Renal pathology
 Glomerulosclerosis, no. (%)a,d393 (73%)299 (78%)28 (93%)59 (55%)7 (50%)
Percent of crescentsd
 C0 (0%)288 (54%)163 (42%)14 (47%)99 (92%)12 (86%)
 C1 (<25%)197 (37%)174 (45%)12 (40%)9 (8%)2 (14%)
 C2 (≥25%)51 (10%)47 (12%)4 (13%)0 (0%)0 (0%)
Basement membrane thickeningd
 Without thickening, no. (%)354 (66%)323 (84%)28 (93%)3 (3%)0 (0%)
 Segmental thickening, no. (%)86 (16%)55 (14%)2 (7%)26 (24%)3 (21%)
 Diffuse thickening, no. (%)96 (18%)6 (2%)0 (0%)79 (73%)11 (79%)
Laboratory
 Creatinine (μmol/L)a,d80 (64~104)80 (63~109)94 (79~123)75 (63~89)72 (62~94)
 eGFR (CKD-EPIcr) (mL/min/1.73 m2)95 (69~112)93 (64~116)82 (53~100)98 (79~108)102 (85~110)
 eGFR (LMrev) (mL/min/1.73 m2)d84 (64~98)82 (61~98)75 (51~87)86 (72~95)90 (78~101)
 Cystatin C (mg/L)a,b,c1.1 (0.9~1.3)1.0 (0.8~1.3)1.5 (1.3~2.2)1.0 (0.8~1.2)1.3 (1.2~1.6)
 eGFR (CKD-EPIcys) (mL/min/1.73 m2)a,b,c76 (58~100)78 (58~102)47 (28~61)80 (65~100)58 (46~65)
 eGFR (CAPA) (mL/min/1.73 m2)a,b,c73 (56~94)76 (58~96)48 (30~59)76 (63~93)57 (45~62)
 eGFRcys/eGFRcr (CKD-EPI)a,b,c,d0.85 (0.74~0.96)0.87 (0.78~0.98)0.59 (0.52~0.62)0.83 (0.76~0.97)0.59 (0.53~0.64)
 eGFRcys/eGFRcr (CAPA-LM)a,b,c,d0.92 (0.81~1.05)0.96 (0.86~1.08)0.66 (0.59~0.68)0.89 (0.82~1.03)0.63 (0.57~0.66)
 Total cholesterol (mmol/L), d4.47 (3.83~5.43)4.26 (3.72~4.84)4.31 (3.71~5.18)6.07 (5.14~7.80)6.92 (5.34~8.85)
 Albumin (g/L), c,d39.8 (34.2 ~43.3)40.8 (38.7 ~44.1)41.1 (36.4~42.7)29.6 (24.3~35.6)27.2 (21.4~31.5)
 Hemoglobin (g/dL),
 Fibrinogen (g/L), c,d3.5 (2.9~4.4)3.3 (2.8~3.9)3.5 (3.0~4.4)4.7 (4.0~5.8)4.5 (4.0~6.2)
 Urine albumin (g/L), d0.6 (0.2~1.7)0.5 (0.2~1.0)0.5 (0.1~1.0)2.7 (0.8~5.2)4.4 (2.2~6.5)
Hematuriad
 Negative (-), no. (%)35 (6%)24 (6%)3 (10%)7 (6%)1 (7%)
 Semi-positive (±), no. (%)36 (7%)23 (6%)3 (10%)8 (7%)2 (14%)
 1+, no. (%)59 (11%)28 (7%)2 (7%)27 (25%)2 (14%)
 2+, no. (%)144 (27%)95 (25%)4 (13%)39 (36%)6 (43%)
 3+, no. (%)251 (47%)208 (54%)16 (53%)24 (22%)3 (21%)

SPS: shrunken pore syndrome; CKD-EPI: Chronic Kidney Disease Epidemiology Collaboration equations for creatinine-based (CKD-EPIcr) or cystatin C-based (CKD-EPIcys) eGFR estimation; CAPA: Caucasian Asian Pediatric Adult equation; LM or LMrev: revised Lund-Malmö equation; IgAN: IgA nephropathy; MN: membranous nephropathy; BP: blood pressure; ACEi: angiotensin converting enzyme inhibitors; ARB: angiotensin receptor blockers; BUN: blood urea nitrogen. Medication represents the usage of corresponding drugs (RAASi, glucocorticoids, or immunosuppressants) in follow-up since baseline. a, b, and c represent statistically significant differences between non-SPS and SPS patients among the IgAN, MN, and the overall population, respectively, while d denotes significant difference between the IgAN and MN patients.