Changes in 3-month mineral and bone disorder patterns were associated with all-cause mortality in prevalent hemodialysis patients with secondary hyperparathyroidism
Background There is limited evidence on the association between short-term changes in mineral and bone disorder parameters and survival in maintenance hemodialysis patients. Methods We investigated the association between changing patterns of phosphorus, calcium and intact parathyroid hormone levels...
Ausführliche Beschreibung
Autor*in: |
Kato, Chihiro [verfasserIn] Fujii, Naohiko [verfasserIn] Miyakoshi, Chisato [verfasserIn] Asada, Shinji [verfasserIn] Onishi, Yoshihiro [verfasserIn] Fukuma, Shingo [verfasserIn] Nomura, Takanobu [verfasserIn] Wada, Michihito [verfasserIn] Fukagawa, Masafumi [verfasserIn] Fukuhara, Shunichi [verfasserIn] Akizawa, Tadao [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2020 |
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Übergeordnetes Werk: |
Enthalten in: BMC nephrology - London : BioMed Central, 2000, 21(2020), 1 vom: 12. Okt. |
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Übergeordnetes Werk: |
volume:21 ; year:2020 ; number:1 ; day:12 ; month:10 |
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DOI / URN: |
10.1186/s12882-020-02088-x |
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Katalog-ID: |
SPR041321839 |
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520 | |a Background There is limited evidence on the association between short-term changes in mineral and bone disorder parameters and survival in maintenance hemodialysis patients. Methods We investigated the association between changing patterns of phosphorus, calcium and intact parathyroid hormone levels and all-cause mortality in hemodialysis patients with secondary hyperparathyroidism. Each parameter was divided into three categories (low [L], middle [M] and high [H]), and the changing patterns between two consecutive visits at 3-month intervals were categorized into nine groups (e.g., L-L and M-H). The middle category was defined as 4.0–7.0 mg/dL for phosphorous, 8.5–9.5 mg/dL for calcium and 200–500 pg/mL for intact parathyroid hormone. Adjusted incidence rates and rate ratios were analyzed by weighted Poisson regression models accounting for time-dependent exposures. Results For phosphorus, shifts from low/high to middle category (L-M/H-M) were associated with a lower mortality compared with the L-L and H–H groups, whereas shifts from middle to low/high category (M-L/M-H) were associated with a higher mortality compared with the M-M group. For calcium, shifts from low/middle to high category (L–H/M-H) were associated with a higher mortality compared with the L-L and M-M groups, whereas shifts from high to middle category (H-M) were associated with a lower mortality compared with the H–H group. For intact parathyroid hormone, shifts from low to middle category (L-M) were associated with a lower mortality compared with the L-L group. Conclusions Changes in the 3-month patterns of phosphorus and calcium toward the middle category were associated with lower mortality. Our study also suggests the importance of avoiding hypercalcemia. | ||
650 | 4 | |a Changing pattern |7 (dpeaa)DE-He213 | |
650 | 4 | |a CKD-MBD |7 (dpeaa)DE-He213 | |
650 | 4 | |a Hemodialysis |7 (dpeaa)DE-He213 | |
650 | 4 | |a Secondary hyperparathyroidism |7 (dpeaa)DE-He213 | |
650 | 4 | |a Mortality |7 (dpeaa)DE-He213 | |
700 | 1 | |a Fujii, Naohiko |e verfasserin |4 aut | |
700 | 1 | |a Miyakoshi, Chisato |e verfasserin |4 aut | |
700 | 1 | |a Asada, Shinji |e verfasserin |4 aut | |
700 | 1 | |a Onishi, Yoshihiro |e verfasserin |4 aut | |
700 | 1 | |a Fukuma, Shingo |e verfasserin |4 aut | |
700 | 1 | |a Nomura, Takanobu |e verfasserin |4 aut | |
700 | 1 | |a Wada, Michihito |e verfasserin |4 aut | |
700 | 1 | |a Fukagawa, Masafumi |e verfasserin |4 aut | |
700 | 1 | |a Fukuhara, Shunichi |e verfasserin |4 aut | |
700 | 1 | |a Akizawa, Tadao |e verfasserin |4 aut | |
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10.1186/s12882-020-02088-x doi (DE-627)SPR041321839 (SPR)s12882-020-02088-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Kato, Chihiro verfasserin aut Changes in 3-month mineral and bone disorder patterns were associated with all-cause mortality in prevalent hemodialysis patients with secondary hyperparathyroidism 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There is limited evidence on the association between short-term changes in mineral and bone disorder parameters and survival in maintenance hemodialysis patients. Methods We investigated the association between changing patterns of phosphorus, calcium and intact parathyroid hormone levels and all-cause mortality in hemodialysis patients with secondary hyperparathyroidism. Each parameter was divided into three categories (low [L], middle [M] and high [H]), and the changing patterns between two consecutive visits at 3-month intervals were categorized into nine groups (e.g., L-L and M-H). The middle category was defined as 4.0–7.0 mg/dL for phosphorous, 8.5–9.5 mg/dL for calcium and 200–500 pg/mL for intact parathyroid hormone. Adjusted incidence rates and rate ratios were analyzed by weighted Poisson regression models accounting for time-dependent exposures. Results For phosphorus, shifts from low/high to middle category (L-M/H-M) were associated with a lower mortality compared with the L-L and H–H groups, whereas shifts from middle to low/high category (M-L/M-H) were associated with a higher mortality compared with the M-M group. For calcium, shifts from low/middle to high category (L–H/M-H) were associated with a higher mortality compared with the L-L and M-M groups, whereas shifts from high to middle category (H-M) were associated with a lower mortality compared with the H–H group. For intact parathyroid hormone, shifts from low to middle category (L-M) were associated with a lower mortality compared with the L-L group. Conclusions Changes in the 3-month patterns of phosphorus and calcium toward the middle category were associated with lower mortality. Our study also suggests the importance of avoiding hypercalcemia. Changing pattern (dpeaa)DE-He213 CKD-MBD (dpeaa)DE-He213 Hemodialysis (dpeaa)DE-He213 Secondary hyperparathyroidism (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Fujii, Naohiko verfasserin aut Miyakoshi, Chisato verfasserin aut Asada, Shinji verfasserin aut Onishi, Yoshihiro verfasserin aut Fukuma, Shingo verfasserin aut Nomura, Takanobu verfasserin aut Wada, Michihito verfasserin aut Fukagawa, Masafumi verfasserin aut Fukuhara, Shunichi verfasserin aut Akizawa, Tadao verfasserin aut Enthalten in BMC nephrology London : BioMed Central, 2000 21(2020), 1 vom: 12. Okt. (DE-627)326643672 (DE-600)2041348-8 1471-2369 nnns volume:21 year:2020 number:1 day:12 month:10 https://dx.doi.org/10.1186/s12882-020-02088-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 21 2020 1 12 10 |
spelling |
10.1186/s12882-020-02088-x doi (DE-627)SPR041321839 (SPR)s12882-020-02088-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Kato, Chihiro verfasserin aut Changes in 3-month mineral and bone disorder patterns were associated with all-cause mortality in prevalent hemodialysis patients with secondary hyperparathyroidism 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There is limited evidence on the association between short-term changes in mineral and bone disorder parameters and survival in maintenance hemodialysis patients. Methods We investigated the association between changing patterns of phosphorus, calcium and intact parathyroid hormone levels and all-cause mortality in hemodialysis patients with secondary hyperparathyroidism. Each parameter was divided into three categories (low [L], middle [M] and high [H]), and the changing patterns between two consecutive visits at 3-month intervals were categorized into nine groups (e.g., L-L and M-H). The middle category was defined as 4.0–7.0 mg/dL for phosphorous, 8.5–9.5 mg/dL for calcium and 200–500 pg/mL for intact parathyroid hormone. Adjusted incidence rates and rate ratios were analyzed by weighted Poisson regression models accounting for time-dependent exposures. Results For phosphorus, shifts from low/high to middle category (L-M/H-M) were associated with a lower mortality compared with the L-L and H–H groups, whereas shifts from middle to low/high category (M-L/M-H) were associated with a higher mortality compared with the M-M group. For calcium, shifts from low/middle to high category (L–H/M-H) were associated with a higher mortality compared with the L-L and M-M groups, whereas shifts from high to middle category (H-M) were associated with a lower mortality compared with the H–H group. For intact parathyroid hormone, shifts from low to middle category (L-M) were associated with a lower mortality compared with the L-L group. Conclusions Changes in the 3-month patterns of phosphorus and calcium toward the middle category were associated with lower mortality. Our study also suggests the importance of avoiding hypercalcemia. Changing pattern (dpeaa)DE-He213 CKD-MBD (dpeaa)DE-He213 Hemodialysis (dpeaa)DE-He213 Secondary hyperparathyroidism (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Fujii, Naohiko verfasserin aut Miyakoshi, Chisato verfasserin aut Asada, Shinji verfasserin aut Onishi, Yoshihiro verfasserin aut Fukuma, Shingo verfasserin aut Nomura, Takanobu verfasserin aut Wada, Michihito verfasserin aut Fukagawa, Masafumi verfasserin aut Fukuhara, Shunichi verfasserin aut Akizawa, Tadao verfasserin aut Enthalten in BMC nephrology London : BioMed Central, 2000 21(2020), 1 vom: 12. Okt. (DE-627)326643672 (DE-600)2041348-8 1471-2369 nnns volume:21 year:2020 number:1 day:12 month:10 https://dx.doi.org/10.1186/s12882-020-02088-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 21 2020 1 12 10 |
allfields_unstemmed |
10.1186/s12882-020-02088-x doi (DE-627)SPR041321839 (SPR)s12882-020-02088-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Kato, Chihiro verfasserin aut Changes in 3-month mineral and bone disorder patterns were associated with all-cause mortality in prevalent hemodialysis patients with secondary hyperparathyroidism 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There is limited evidence on the association between short-term changes in mineral and bone disorder parameters and survival in maintenance hemodialysis patients. Methods We investigated the association between changing patterns of phosphorus, calcium and intact parathyroid hormone levels and all-cause mortality in hemodialysis patients with secondary hyperparathyroidism. Each parameter was divided into three categories (low [L], middle [M] and high [H]), and the changing patterns between two consecutive visits at 3-month intervals were categorized into nine groups (e.g., L-L and M-H). The middle category was defined as 4.0–7.0 mg/dL for phosphorous, 8.5–9.5 mg/dL for calcium and 200–500 pg/mL for intact parathyroid hormone. Adjusted incidence rates and rate ratios were analyzed by weighted Poisson regression models accounting for time-dependent exposures. Results For phosphorus, shifts from low/high to middle category (L-M/H-M) were associated with a lower mortality compared with the L-L and H–H groups, whereas shifts from middle to low/high category (M-L/M-H) were associated with a higher mortality compared with the M-M group. For calcium, shifts from low/middle to high category (L–H/M-H) were associated with a higher mortality compared with the L-L and M-M groups, whereas shifts from high to middle category (H-M) were associated with a lower mortality compared with the H–H group. For intact parathyroid hormone, shifts from low to middle category (L-M) were associated with a lower mortality compared with the L-L group. Conclusions Changes in the 3-month patterns of phosphorus and calcium toward the middle category were associated with lower mortality. Our study also suggests the importance of avoiding hypercalcemia. Changing pattern (dpeaa)DE-He213 CKD-MBD (dpeaa)DE-He213 Hemodialysis (dpeaa)DE-He213 Secondary hyperparathyroidism (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Fujii, Naohiko verfasserin aut Miyakoshi, Chisato verfasserin aut Asada, Shinji verfasserin aut Onishi, Yoshihiro verfasserin aut Fukuma, Shingo verfasserin aut Nomura, Takanobu verfasserin aut Wada, Michihito verfasserin aut Fukagawa, Masafumi verfasserin aut Fukuhara, Shunichi verfasserin aut Akizawa, Tadao verfasserin aut Enthalten in BMC nephrology London : BioMed Central, 2000 21(2020), 1 vom: 12. Okt. (DE-627)326643672 (DE-600)2041348-8 1471-2369 nnns volume:21 year:2020 number:1 day:12 month:10 https://dx.doi.org/10.1186/s12882-020-02088-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 21 2020 1 12 10 |
allfieldsGer |
10.1186/s12882-020-02088-x doi (DE-627)SPR041321839 (SPR)s12882-020-02088-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Kato, Chihiro verfasserin aut Changes in 3-month mineral and bone disorder patterns were associated with all-cause mortality in prevalent hemodialysis patients with secondary hyperparathyroidism 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There is limited evidence on the association between short-term changes in mineral and bone disorder parameters and survival in maintenance hemodialysis patients. Methods We investigated the association between changing patterns of phosphorus, calcium and intact parathyroid hormone levels and all-cause mortality in hemodialysis patients with secondary hyperparathyroidism. Each parameter was divided into three categories (low [L], middle [M] and high [H]), and the changing patterns between two consecutive visits at 3-month intervals were categorized into nine groups (e.g., L-L and M-H). The middle category was defined as 4.0–7.0 mg/dL for phosphorous, 8.5–9.5 mg/dL for calcium and 200–500 pg/mL for intact parathyroid hormone. Adjusted incidence rates and rate ratios were analyzed by weighted Poisson regression models accounting for time-dependent exposures. Results For phosphorus, shifts from low/high to middle category (L-M/H-M) were associated with a lower mortality compared with the L-L and H–H groups, whereas shifts from middle to low/high category (M-L/M-H) were associated with a higher mortality compared with the M-M group. For calcium, shifts from low/middle to high category (L–H/M-H) were associated with a higher mortality compared with the L-L and M-M groups, whereas shifts from high to middle category (H-M) were associated with a lower mortality compared with the H–H group. For intact parathyroid hormone, shifts from low to middle category (L-M) were associated with a lower mortality compared with the L-L group. Conclusions Changes in the 3-month patterns of phosphorus and calcium toward the middle category were associated with lower mortality. Our study also suggests the importance of avoiding hypercalcemia. Changing pattern (dpeaa)DE-He213 CKD-MBD (dpeaa)DE-He213 Hemodialysis (dpeaa)DE-He213 Secondary hyperparathyroidism (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Fujii, Naohiko verfasserin aut Miyakoshi, Chisato verfasserin aut Asada, Shinji verfasserin aut Onishi, Yoshihiro verfasserin aut Fukuma, Shingo verfasserin aut Nomura, Takanobu verfasserin aut Wada, Michihito verfasserin aut Fukagawa, Masafumi verfasserin aut Fukuhara, Shunichi verfasserin aut Akizawa, Tadao verfasserin aut Enthalten in BMC nephrology London : BioMed Central, 2000 21(2020), 1 vom: 12. Okt. (DE-627)326643672 (DE-600)2041348-8 1471-2369 nnns volume:21 year:2020 number:1 day:12 month:10 https://dx.doi.org/10.1186/s12882-020-02088-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 21 2020 1 12 10 |
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10.1186/s12882-020-02088-x doi (DE-627)SPR041321839 (SPR)s12882-020-02088-x-e DE-627 ger DE-627 rakwb eng 610 ASE 44.00 bkl Kato, Chihiro verfasserin aut Changes in 3-month mineral and bone disorder patterns were associated with all-cause mortality in prevalent hemodialysis patients with secondary hyperparathyroidism 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background There is limited evidence on the association between short-term changes in mineral and bone disorder parameters and survival in maintenance hemodialysis patients. Methods We investigated the association between changing patterns of phosphorus, calcium and intact parathyroid hormone levels and all-cause mortality in hemodialysis patients with secondary hyperparathyroidism. Each parameter was divided into three categories (low [L], middle [M] and high [H]), and the changing patterns between two consecutive visits at 3-month intervals were categorized into nine groups (e.g., L-L and M-H). The middle category was defined as 4.0–7.0 mg/dL for phosphorous, 8.5–9.5 mg/dL for calcium and 200–500 pg/mL for intact parathyroid hormone. Adjusted incidence rates and rate ratios were analyzed by weighted Poisson regression models accounting for time-dependent exposures. Results For phosphorus, shifts from low/high to middle category (L-M/H-M) were associated with a lower mortality compared with the L-L and H–H groups, whereas shifts from middle to low/high category (M-L/M-H) were associated with a higher mortality compared with the M-M group. For calcium, shifts from low/middle to high category (L–H/M-H) were associated with a higher mortality compared with the L-L and M-M groups, whereas shifts from high to middle category (H-M) were associated with a lower mortality compared with the H–H group. For intact parathyroid hormone, shifts from low to middle category (L-M) were associated with a lower mortality compared with the L-L group. Conclusions Changes in the 3-month patterns of phosphorus and calcium toward the middle category were associated with lower mortality. Our study also suggests the importance of avoiding hypercalcemia. Changing pattern (dpeaa)DE-He213 CKD-MBD (dpeaa)DE-He213 Hemodialysis (dpeaa)DE-He213 Secondary hyperparathyroidism (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 Fujii, Naohiko verfasserin aut Miyakoshi, Chisato verfasserin aut Asada, Shinji verfasserin aut Onishi, Yoshihiro verfasserin aut Fukuma, Shingo verfasserin aut Nomura, Takanobu verfasserin aut Wada, Michihito verfasserin aut Fukagawa, Masafumi verfasserin aut Fukuhara, Shunichi verfasserin aut Akizawa, Tadao verfasserin aut Enthalten in BMC nephrology London : BioMed Central, 2000 21(2020), 1 vom: 12. Okt. (DE-627)326643672 (DE-600)2041348-8 1471-2369 nnns volume:21 year:2020 number:1 day:12 month:10 https://dx.doi.org/10.1186/s12882-020-02088-x kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 ASE AR 21 2020 1 12 10 |
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Enthalten in BMC nephrology 21(2020), 1 vom: 12. Okt. volume:21 year:2020 number:1 day:12 month:10 |
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Kato, Chihiro ddc 610 bkl 44.00 misc Changing pattern misc CKD-MBD misc Hemodialysis misc Secondary hyperparathyroidism misc Mortality Changes in 3-month mineral and bone disorder patterns were associated with all-cause mortality in prevalent hemodialysis patients with secondary hyperparathyroidism |
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610 ASE 44.00 bkl Changes in 3-month mineral and bone disorder patterns were associated with all-cause mortality in prevalent hemodialysis patients with secondary hyperparathyroidism Changing pattern (dpeaa)DE-He213 CKD-MBD (dpeaa)DE-He213 Hemodialysis (dpeaa)DE-He213 Secondary hyperparathyroidism (dpeaa)DE-He213 Mortality (dpeaa)DE-He213 |
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Kato, Chihiro Fujii, Naohiko Miyakoshi, Chisato Asada, Shinji Onishi, Yoshihiro Fukuma, Shingo Nomura, Takanobu Wada, Michihito Fukagawa, Masafumi Fukuhara, Shunichi Akizawa, Tadao |
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changes in 3-month mineral and bone disorder patterns were associated with all-cause mortality in prevalent hemodialysis patients with secondary hyperparathyroidism |
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Changes in 3-month mineral and bone disorder patterns were associated with all-cause mortality in prevalent hemodialysis patients with secondary hyperparathyroidism |
abstract |
Background There is limited evidence on the association between short-term changes in mineral and bone disorder parameters and survival in maintenance hemodialysis patients. Methods We investigated the association between changing patterns of phosphorus, calcium and intact parathyroid hormone levels and all-cause mortality in hemodialysis patients with secondary hyperparathyroidism. Each parameter was divided into three categories (low [L], middle [M] and high [H]), and the changing patterns between two consecutive visits at 3-month intervals were categorized into nine groups (e.g., L-L and M-H). The middle category was defined as 4.0–7.0 mg/dL for phosphorous, 8.5–9.5 mg/dL for calcium and 200–500 pg/mL for intact parathyroid hormone. Adjusted incidence rates and rate ratios were analyzed by weighted Poisson regression models accounting for time-dependent exposures. Results For phosphorus, shifts from low/high to middle category (L-M/H-M) were associated with a lower mortality compared with the L-L and H–H groups, whereas shifts from middle to low/high category (M-L/M-H) were associated with a higher mortality compared with the M-M group. For calcium, shifts from low/middle to high category (L–H/M-H) were associated with a higher mortality compared with the L-L and M-M groups, whereas shifts from high to middle category (H-M) were associated with a lower mortality compared with the H–H group. For intact parathyroid hormone, shifts from low to middle category (L-M) were associated with a lower mortality compared with the L-L group. Conclusions Changes in the 3-month patterns of phosphorus and calcium toward the middle category were associated with lower mortality. Our study also suggests the importance of avoiding hypercalcemia. |
abstractGer |
Background There is limited evidence on the association between short-term changes in mineral and bone disorder parameters and survival in maintenance hemodialysis patients. Methods We investigated the association between changing patterns of phosphorus, calcium and intact parathyroid hormone levels and all-cause mortality in hemodialysis patients with secondary hyperparathyroidism. Each parameter was divided into three categories (low [L], middle [M] and high [H]), and the changing patterns between two consecutive visits at 3-month intervals were categorized into nine groups (e.g., L-L and M-H). The middle category was defined as 4.0–7.0 mg/dL for phosphorous, 8.5–9.5 mg/dL for calcium and 200–500 pg/mL for intact parathyroid hormone. Adjusted incidence rates and rate ratios were analyzed by weighted Poisson regression models accounting for time-dependent exposures. Results For phosphorus, shifts from low/high to middle category (L-M/H-M) were associated with a lower mortality compared with the L-L and H–H groups, whereas shifts from middle to low/high category (M-L/M-H) were associated with a higher mortality compared with the M-M group. For calcium, shifts from low/middle to high category (L–H/M-H) were associated with a higher mortality compared with the L-L and M-M groups, whereas shifts from high to middle category (H-M) were associated with a lower mortality compared with the H–H group. For intact parathyroid hormone, shifts from low to middle category (L-M) were associated with a lower mortality compared with the L-L group. Conclusions Changes in the 3-month patterns of phosphorus and calcium toward the middle category were associated with lower mortality. Our study also suggests the importance of avoiding hypercalcemia. |
abstract_unstemmed |
Background There is limited evidence on the association between short-term changes in mineral and bone disorder parameters and survival in maintenance hemodialysis patients. Methods We investigated the association between changing patterns of phosphorus, calcium and intact parathyroid hormone levels and all-cause mortality in hemodialysis patients with secondary hyperparathyroidism. Each parameter was divided into three categories (low [L], middle [M] and high [H]), and the changing patterns between two consecutive visits at 3-month intervals were categorized into nine groups (e.g., L-L and M-H). The middle category was defined as 4.0–7.0 mg/dL for phosphorous, 8.5–9.5 mg/dL for calcium and 200–500 pg/mL for intact parathyroid hormone. Adjusted incidence rates and rate ratios were analyzed by weighted Poisson regression models accounting for time-dependent exposures. Results For phosphorus, shifts from low/high to middle category (L-M/H-M) were associated with a lower mortality compared with the L-L and H–H groups, whereas shifts from middle to low/high category (M-L/M-H) were associated with a higher mortality compared with the M-M group. For calcium, shifts from low/middle to high category (L–H/M-H) were associated with a higher mortality compared with the L-L and M-M groups, whereas shifts from high to middle category (H-M) were associated with a lower mortality compared with the H–H group. For intact parathyroid hormone, shifts from low to middle category (L-M) were associated with a lower mortality compared with the L-L group. Conclusions Changes in the 3-month patterns of phosphorus and calcium toward the middle category were associated with lower mortality. Our study also suggests the importance of avoiding hypercalcemia. |
collection_details |
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container_issue |
1 |
title_short |
Changes in 3-month mineral and bone disorder patterns were associated with all-cause mortality in prevalent hemodialysis patients with secondary hyperparathyroidism |
url |
https://dx.doi.org/10.1186/s12882-020-02088-x |
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author2 |
Fujii, Naohiko Miyakoshi, Chisato Asada, Shinji Onishi, Yoshihiro Fukuma, Shingo Nomura, Takanobu Wada, Michihito Fukagawa, Masafumi Fukuhara, Shunichi Akizawa, Tadao |
author2Str |
Fujii, Naohiko Miyakoshi, Chisato Asada, Shinji Onishi, Yoshihiro Fukuma, Shingo Nomura, Takanobu Wada, Michihito Fukagawa, Masafumi Fukuhara, Shunichi Akizawa, Tadao |
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doi_str |
10.1186/s12882-020-02088-x |
up_date |
2024-07-03T21:27:55.776Z |
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