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4 (1.3�C1.6) for females and 1.3 (1.1�C1.4) for males; and the HRs for nonrenal deaths were 1.2 (1.0�C1.3) for females and 1.1 (1.0�C1.3) for males. Compared with those with the first ACR quartile, the risks Selleck STI571 of CVD death were significantly and comparably raised in those with ACR in the second and third quartiles, and strikingly elevated in those in the highest ACR quartiles. The trends persisted with adjustment for age, sex and other factors, including blood pressures and glucose levels (Table ?(Table44). Table 4. HRs (95% CI) of outcomes by ACR quartile and log-transformed (Base 2) ACR Figure 2 shows predicted renal and nonrenal deaths by log-transformed (Base 2) ACR for people aged ��18 years. The statistical significance between the two curves has been calculated by comparing their relative operating characteristic (ROC) curves. It indicated that the ROC curve for renal death predicted by ACR is significantly greater than for nonrenal death. The rate of increase of predictions of nonrenal death rate speeds up at ACR level AP24534 in vivo ACR level (Figure 2). Table 5 shows that those with an ACR �� 2.7 mg/mmol (median) are predicted to have a 3.3-fold increased risk of all natural deaths, and 2.2-fold and 1.9-fold increased risk of nonrenal and CVD deaths, respectively, compared with those with an ACR UNC2881 5. Risk of mortality by ACR �� 2.7 and PAF for Tiwi people aged 18 years and over Fig. 2. Predicted renal and nonrenal death rates (100 person-years) by ACR. Note: the two etched lines stand for actual ACR values equal to 3.4 and 34 mg/mmol, respectively. When analyzed around the ��traditional�� microalbuminuria cutoff of ACR �� 3.4 mg/mmol, the PAFs were 64% for all natural deaths, 41% for nonrenal death and 32% for CVD death. These compare with those of 84%, 65% and 75% for the same categories of deaths calculated by Hoy et al. in the first 5 years of the observation in people before systematic treatment was initiated [6]. Discussion In this aboriginal community, albuminuria (ACR �� 2.7 mg/mmol) predicted nonrenal death, while overt proteinuria (ACR �� 34 mg/mmol) predicted renal death over an average 14 years follow-up (median follow-up of 16 years).

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