The FRAX® as a predictor of mortality in Japanese incident hemodialysis patients: an observational, follow-up study

Verfasser / Beitragende:
[Toshihide Hayashi, Nobuhiko Joki, Yuri Tanaka, Masaki Iwasaki, Shun Kubo, Takasuke Asakawa, Ai Matsukane, Yasunori Takahashi, Yoshihiko Imamura, Koichi Hirahata, Hiroki Hase]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Bone and Mineral Metabolism, 33/6(2015-11-01), 674-683
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00774-014-0631-5  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00774-014-0631-5 
245 0 4 |a The FRAX® as a predictor of mortality in Japanese incident hemodialysis patients: an observational, follow-up study  |h [Elektronische Daten]  |c [Toshihide Hayashi, Nobuhiko Joki, Yuri Tanaka, Masaki Iwasaki, Shun Kubo, Takasuke Asakawa, Ai Matsukane, Yasunori Takahashi, Yoshihiko Imamura, Koichi Hirahata, Hiroki Hase] 
520 3 |a The World Health Organization Fracture Risk Assessment Tool (FRAX®) was recently developed to estimate the 10-year absolute risk of osteoporotic fracture among the general population. However, the evidence for its use in chronic kidney disease patients has been lacking, and the association between the FRAX® and mortality is unknown. Therefore, a hospital-based, prospective, cohort study was conducted to evaluate the predictive ability of the FRAX® for mortality in hemodialysis patients. A total of 252 patients who had been started on maintenance hemodialysis, 171 men and 81 women, with a mean age of 67±14years, was studied. The endpoint was defined as all-cause death. The Cox proportional hazards model was used to calculate hazard ratios and 95% confidence intervals. During the mean follow-up period of 3.4±2.7years, 61 deaths occurred. The median (interquartile range) of the FRAX® for major osteoporotic fracture was 6.9 (4.6-12.0) % in men and 19.0 (7.6-33.0) % in women. Cumulative survival rates at 5years after starting dialysis, with the FRAX® levels above and below the median, were 51.9 and 87.9%, respectively, in men and 67.4 and 83.7%, respectively, in women. Overall, in men, the multivariate Cox regression analyses revealed that the log-transformed FRAX® remained an independent predictor of death after adjusting by confounding variables. However, in women, the significant association between the FRAX® value and the outcome was eliminated if age was put into these models. Among Japanese hemodialysis patients, the FRAX® seems to be useful for predicting death, especially in men. 
540 |a The Japanese Society for Bone and Mineral Research and Springer Japan, 2015 
690 7 |a CKD  |2 nationallicence 
690 7 |a FRAX  |2 nationallicence 
690 7 |a Hemodialysis  |2 nationallicence 
690 7 |a Mortality  |2 nationallicence 
700 1 |a Hayashi  |D Toshihide  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
700 1 |a Joki  |D Nobuhiko  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
700 1 |a Tanaka  |D Yuri  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
700 1 |a Iwasaki  |D Masaki  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
700 1 |a Kubo  |D Shun  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
700 1 |a Asakawa  |D Takasuke  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
700 1 |a Matsukane  |D Ai  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
700 1 |a Takahashi  |D Yasunori  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
700 1 |a Imamura  |D Yoshihiko  |u Division of Dialysis, Nissan Tamagawa Hospital, Tokyo, Japan  |4 aut 
700 1 |a Hirahata  |D Koichi  |u Hirahata Clinic, Tokyo, Japan  |4 aut 
700 1 |a Hase  |D Hiroki  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
773 0 |t Journal of Bone and Mineral Metabolism  |d Springer Japan  |g 33/6(2015-11-01), 674-683  |x 0914-8779  |q 33:6<674  |1 2015  |2 33  |o 774 
856 4 0 |u https://doi.org/10.1007/s00774-014-0631-5  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hayashi  |D Toshihide  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Joki  |D Nobuhiko  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tanaka  |D Yuri  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Iwasaki  |D Masaki  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kubo  |D Shun  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Asakawa  |D Takasuke  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Matsukane  |D Ai  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takahashi  |D Yasunori  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Imamura  |D Yoshihiko  |u Division of Dialysis, Nissan Tamagawa Hospital, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hirahata  |D Koichi  |u Hirahata Clinic, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hase  |D Hiroki  |u Division of Nephrology, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-Ku, 153-8515, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Bone and Mineral Metabolism  |d Springer Japan  |g 33/6(2015-11-01), 674-683  |x 0914-8779  |q 33:6<674  |1 2015  |2 33  |o 774