Evidence map›Paper›PMID 34262687›Full record

ArticleTherapeutic advances in endocrinology and metabolism2021

Association between the risk of death and serum calcium, phosphate, and intact parathyroid hormone levels in older patients undergoing maintenance hemodialysis: a cohort study in Beijing.

Dishan Li, Wenhu Liu, Hongdong Huang, Wang Guo, Zongli Diao, Xinpan Chen, Weiwei Wangs

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Article in Therapeutic advances in endocrinology and metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Dishan LiDepartment of Nephrology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Wenhu LiuDepartment of Nephrology, Beijing Friendship Hospital, Capital Medical University, 95 Yong'An Road, Beijing 100050, China.ORCID https://orcid.org/0000-0002-6532-4394
Hongdong HuangDepartment of Nephrology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Wang GuoDepartment of Nephrology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Zongli DiaoDepartment of Nephrology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Xinpan ChenDepartment of Nephrology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Weiwei WangsNational Clinical Research Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of patients ⩾65 years who require maintenance hemodialysis (MHD) is increasing. Although reduced bone turnover in older patients receiving hemodialysis, as reflected by lower serum intact parathyroid hormone (iPTH) and phosphate (P) levels, has been reported, focus on the association between abnormal bone metabolism and the risk of death in older patients receiving MHD has been limited.

methodsWe retrospectively examined data from the Beijing Hemodialysis Quality Control and Improvement Center for 1410 older patients who underwent hemodialysis from 1 January 2012 to 31 December 2016. Baseline, time-dependent (TD) Cox proportional hazards models and Kaplan-Meier analyses were used to evaluate the association between the markers of mineral and bone disorder (MBD) [calcium (Ca), P, and iPTH] and survival. The Kidney Disease: Improving Global Outcomes (KDIGO) target ranges were included as reference values.

resultsSerum P levels >2.49 mmol/l increased the risk of all-cause death [hazard ratio (HR): 1.46; 95% confidence interval (CI): 1.04-2.07;

conclusionOlder patients undergoing MHD who achieved the KDIGO target levels for any two or three MBD parameters had lower risks of all-cause and cardiovascular death.

Indexed as

calciumintact parathyroid hormonemaintenance hemodialysisolder patientsphosphate

Identifiers

PMID34262687
PMCPMC8246503

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