Effect of Early Nephrology Referral on the Initiation of Hemodialysis and Survival in Patients With Chronic Kidney Disease and Cardiovascular Diseases
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概要
- 論文の詳細を見る
Background The timing of referral to nephrologists is highly variable in patients with chronic kidney disease (CKD). The impact of early referral on the timing of hemodialysis (HD) and mortality in the patients with CKD and cardiovascular diseases (CVD) was evaluated in this present study. Methods and Results A total of 366 patients with CKD and CVD began HD at the National Cardiovascular Center between 1983 and 2003, and survival was followed until 2005. The times between the first evaluation by a nephrologist and the date of the first HD were categorized as late (LR <6 months) or early (ER ≥6 months) referral. Patients were classified into the ER (n=194) and LR (n=172) groups. Clinical data and renal function were not different. In the LR group, the renal function declined more rapidly and the duration between the first visit to the hospital and the first HD was shorter than the ER group. The survival rate after the initiation of HD was better in the ER group. Age, pre end-stage renal disease therapy and cardiac function had a significant impact on survival. Conclusions Early nephrology referral is important and necessary for for patients with CKD and CVD in terms of a better renal prognosis and survival.
- 社団法人日本循環器学会の論文
- 2007-03-20
著者
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KAWANO Yuhei
National Cardiovascular Center
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HORIO Takeshi
National Cardiovascular Center
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Nakagami Hironori
Division Of Gene Therapy Science Osaka University Graduate School Of Medicine
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Harada Takashi
Division Of Nephrology Clinical Research Center National Kyushu Medical Center
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Kawano Yuhei
Division Of Hypertension And Nephrology National Cardiovascular Center
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Kamide Kei
Division Of Hypertension And Nephrology Department Of Medicine National Cardiovascular Center
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Horio Takeshi
国立循環器病センター 高血圧腎臓内科
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Takahashi Hakuo
Department Of Cardiovascular Medicine Shinshu University Graduate School Of Medicine
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Niki Hisae
国立がんセンター中央病院 消化器内科
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Nakatani Satoshi
国立循環器病センター
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Yoshihara Fumiki
Division Of Hypertension And Nephrology National Cardiovascular Center
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Fujioka Yoshihiko
国立循環器病センター
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Yoshihara Fumiki
国立循環器病センター 高血圧腎臓内科
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Nakamura Seishi
Division Of Cardiology Takarazuka Hospital
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HORIO Takeshi
Division of Hypertension and Nephrology, National Cardiovascular Center
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Kawano Yuhei
Division Of Hypertension And Nephrology Department Of Internal Medicine National Cardiovascular Cent
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Nakahama Hajime
Division Of Hypertension And Nephrology National Cardiovascular Center
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Katanosaka Yuki
国立循環器病センター
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Honda Takeshi
Department Of Hypertension And Cardiorenal Medicine Dokkyo University School Of Medicine
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Nakagami Hironori
Division Of Clinical Gene Therapy Osaka University Graduate School Of Medicine
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Tanaka H
Department Of Urology Kawasaki Medical School
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Nonogi Hiroshi
Saitama Medical University
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Takahashi Hakuo
Clinical Laboratory Medicine Kansai Medical University
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Nakatani Satoshi
Cardiovascular Division Of Medicine National Cardiovascular Center
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Horio Takeshi
Division Of Hypertension And Nephrology Department Of Medicine National Cardiovascular Center
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HARADA Takashi
Ministry of Health and Welfare of Japan and Japanese Society of Nephrology
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Kamide Kei
Division Of Cardiovascular Medicine Department Of Medicine School Of Medicine Jichi Medical Universi
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Nakahama Hajime
Division Of Cardiology National Cardiovascular Center
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Horiguchi Takashi
Department Of Neurosurgery Keio University School Of Medicine
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Horio Takeshi
Divisions Of Hypertension And Nephrology National Cardiovascular Center
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Tanaka Hiroyoshi
Department Of Urology Kawasaki Medical School
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Nonogi Hiroshi
Department Of Cardiology Medical School Osaka University
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Nonogi Hiroshi
Division Of Cardiac Care Unit Department Of Cardiovascular Medicine National Cerebral And Cardiovasc
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Honda Takeshi
The Department Of Hypertension And Cardiorenal Medicine Dokkyo University School Of Medicine
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Nagase Satoshi
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Dentistry And P
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Hagino Takeshi
Divisions Of Hypertension And Nephrology National Cardiovascular Center
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Horie Takashi
Department Of Cardiovascular Medicine Shinshu University Graduate School Of Medicine
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Nakamura Satoko
Department Of Internal Medicine National Cardiovascular Center
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Nagase Satoshi
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Dentistry And P
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Horio Takeshi
Division Of Hypertension And Nephrology
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Kamide Kei
Division Of Cardiovascular Medicine Department Of Medicine Jichi Medical University School Of Medicine
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Hirose Takuo
Department Of Preventive And Public Health Dentistry Fukuoka Dental Colledge
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Hayashi Norihiro
Department Of Clinical Pharmacology And Pharmacogenomics Graduate School Of Pharmaceutical Sciences Osaka University
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