Evidence map›Paper›PMID 41171553›Full record

Observational studyClinical and experimental nephrology2026

Association between serum hepcidin-25 levels and hyporesponsiveness to erythropoiesis-stimulating agents in Japanese patients receiving hemodialysis: a cross-sectional study.

Ryo Fujikawa, Nobuo Nagano, Yuko Mitobe, Kyoko Ito

Abstract readObservational Study
In one paragraph

Observational study in Clinical and experimental nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ryo FujikawaMedical Affairs Department, Torii Pharmaceutical Co., Ltd., 3-4-1 Nihonbashi-Honcho, Chuo-Ku, Tokyo, 103-8439, Japan.ORCID http://orcid.org/0009-0002-4763-3588
Nobuo NaganoKidney Disease and Dialysis Center, Hidaka Hospital, Hidaka-Kai, 886 Nakao-Machi, Takasaki, Gunma, 370-0001, Japan.ORCID http://orcid.org/0000-0001-6527-3286
Yuko MitobeMedical Affairs Department, Torii Pharmaceutical Co., Ltd., 3-4-1 Nihonbashi-Honcho, Chuo-Ku, Tokyo, 103-8439, Japan. yuko.mitobe@torii.co.jp.ORCID http://orcid.org/0000-0001-8897-8561
Kyoko ItoKidney Disease and Dialysis Center, Hidaka Hospital, Hidaka-Kai, 886 Nakao-Machi, Takasaki, Gunma, 370-0001, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepcidin-25 plays an important role in regulating iron metabolism; however, the association between hepcidin-25 levels and hyporesponsiveness to erythropoiesis-stimulating agents (ESAs) is controversial. We aimed to clarify the associations between serum hepcidin-25 levels and hyporesponsiveness to ESAs in Japanese patients receiving hemodialysis, and between hepcidin-25 levels and other factors.

methodsThis observational cross-sectional study included hemodialysis patients recruited at Heisei-Hidaka Clinic in Japan from August 2023 to June 2024. Serum hepcidin-25 levels were measured by latex immunoassay. Hyporesponsiveness to ESAs was determined by the ESA resistance index (ERI). The correlation between hepcidin-25 levels and ERI was evaluated using Pearson's correlation coefficient. We also investigated the patient characteristics associated with hepcidin-25 levels using multiple regression analysis.

resultsHepcidin-25 levels were significantly negatively correlated with ERI (r = - 0.438, p = 0.0005). Hepcidin-25 levels also showed significant positive correlations with serum iron, transferrin saturation (TSAT), serum ferritin, and high sensitive C-reactive protein (hs-CRP), and significant negative correlations with hematocrit, unsaturated iron-binding capacity, total iron-binding capacity, and serum erythropoietin levels. Hepcidin-25 levels were significantly higher in the patients who received oral iron-containing preparations than in those without these preparations. Multiple regression analysis showed significant partial regression coefficients for ERI, hematocrit, TSAT, serum ferritin, hs-CRP, and the administration of oral iron-containing preparations.

conclusionSerum hepcidin-25 levels were significantly negatively correlated with the ERI. The results suggest that hepcidin-25 levels might be associated with ERI, hematocrit, TSAT, serum ferritin, hs-CRP, and the administration of oral iron-containing preparations.

Indexed as

AnemiaDrug ResistanceHematinicsHepcidinsRenal DialysisAgedC-Reactive ProteinCross-Sectional StudiesEast Asian PeopleFemaleFerritinsHumansIronJapanMaleMiddle AgedC-Reactive ProteinFerritinsHematinicshepcidin 25, humanHepcidinsIronAnemia in chronic kidney diseaseHemodialysis patientsHepcidin-25Hyporesponsiveness to erythropoiesis-stimulating agentsLatex immunoassay

Identifiers

PMID41171553
PMCPMC12886222

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.