Evidence map›Paper›PMID 41982504›Full record

ArticleCase reports in nephrology2026

Indirect Disaster-Related Deaths Among Hemodialysis Patients Following the Fukushima Daiichi Nuclear Power Plant Accident.

Ryoma Yoshida, Toyoaki Sawano, Yuna Uchi, Moe Kawashima, Kemmei Kitazawa, Hidenori Marui, Hiroki Yoshimura, Saori Nonaka, Naomi Ito, Chika Yamamoto and 11 more

Abstract read
In one paragraph

Article in Case reports in nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

21 authors.

Ryoma YoshidaMaster's Program in Medical Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan, tsukuba.ac.jp.ORCID https://orcid.org/0009-0009-2852-8599
Toyoaki SawanoDepartment of Radiation Health Management, Fukushima Medical University, Fukushima, Japan, fmu.ac.jp.ORCID https://orcid.org/0000-0002-1482-6618
Yuna UchiDepartment of Radiation Health Management, Fukushima Medical University, Fukushima, Japan, fmu.ac.jp.
Moe KawashimaDepartment of Radiation Health Management, Fukushima Medical University, Fukushima, Japan, fmu.ac.jp.
Kemmei KitazawaDepartment of Radiation Health Management, Fukushima Medical University, Fukushima, Japan, fmu.ac.jp.
Hidenori MaruiDepartment of Radiation Health Management, Fukushima Medical University, Fukushima, Japan, fmu.ac.jp.
Hiroki YoshimuraDepartment of Radiation Health Management, Fukushima Medical University, Fukushima, Japan, fmu.ac.jp.
Saori NonakaDepartment of Radiation Health Management, Fukushima Medical University, Fukushima, Japan, fmu.ac.jp.
Naomi ItoDepartment of Radiation Health Management, Fukushima Medical University, Fukushima, Japan, fmu.ac.jp.
Chika YamamotoDepartment of Radiation Health Management, Fukushima Medical University, Fukushima, Japan, fmu.ac.jp.
Toshiki AbeDepartment of Radiation Health Management, Fukushima Medical University, Fukushima, Japan, fmu.ac.jp.
Michio MurakamiDepartment of Health Risk Communication, Fukushima Medical University, Fukushima, Japan, fmu.ac.jp.
Momoka YamamuraDepartment of Radiation Health Management, Fukushima Medical University, Fukushima, Japan, fmu.ac.jp.
Tianchen ZhaoDepartment of Radiation Health Management, Fukushima Medical University, Fukushima, Japan, fmu.ac.jp.
Mamoru SakakibaraReinstatement Support Center for Nurses, Incorporated Foundation of Tokiwa-kai, Iwaki, Japan.
Kazuko YagiuchiSt. Olive Nursing Home, Shirakawa, Japan.
Mako OtsukiDepartment of Nursing, Fukushima Medical University Hospital, Fukushima, Japan, fmu.ac.jp.
Akihiko OzakiBreast and Thyroid Center, Jyoban Hospital of Tokiwa Foundation, Iwaki, Japan.
Tomoyoshi OikawaDepartment of Neurosurgery, Minamisoma Municipal General Hospital, Minamisoma, Japan.
Shinichi NiwaDepartment of Psychiatry, Aizu Medical Center, Fukushima Medical University, Aizuwakamatsu, Japan, fmu.ac.jp.
Masaharu TsubokuraDepartment of Radiation Health Management, Fukushima Medical University, Fukushima, Japan, fmu.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Disaster-related deaths (DRDs) are indirect fatalities caused by physical or psychological stress during evacuation. Patients undergoing hemodialysis (HD) face increased vulnerability during disasters due to reduced dialysis frequency, elevated mental stress, and limited access to medical resources. Although their risk is heightened, detailed analyses of DRDs in HD patients remain sparse. Methods: This retrospective study analyzed 13 HD-related DRD cases in Minamisoma City, Fukushima Prefecture, following the Fukushima Daiichi Nuclear Power Plant accident. A total of 520 DRDs were certified in the city. Data from local government records were extracted, focusing on time of death, causes of death, and psychiatric symptoms. Results: The mean age (± standard deviation) at death for HD patients was 77.92 (±8.37) years, which was younger than the mean age (± standard deviation) of 82.81 (±11.97) years among non-HD individuals (Welch's Discussion: This case series illustrates the severe impact of disruptions in medical care and the stress of repeated evacuations. Challenges include insufficient continuity of care and prolonged psychological distress, particularly during the chronic disaster phase. Our findings suggest that ensuring uninterrupted HD and providing long-term psychological support may be essential to mitigating DRDs in this population.

Identifiers

PMID41982504
PMCPMC13071463

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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.