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血清钙、磷、PTH 和 ALP 对腹膜透析患者死亡率的作用:使用 TWRDS 2005-2012 进行的全国性、基于人群的纵向研究。

Roles of Serum Calcium, Phosphorus, PTH and ALP on Mortality in Peritoneal Dialysis Patients: A Nationwide, Population-based Longitudinal Study Using TWRDS 2005-2012.

机构信息

Division of Nephrology, Department of Internal Medicine, Taipei Medical University-Wanfang Hospital, Taipei, Taiwan.

Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.

出版信息

Sci Rep. 2017 Feb 24;7(1):33. doi: 10.1038/s41598-017-00080-4.


DOI:10.1038/s41598-017-00080-4
PMID:28232731
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5428378/
Abstract

Biomarkers of chronic kidney disease-mineral and bone disorder (CKD-MBD) correlate with morbidity and mortality in dialysis patients. However, the comparative roles of each CKD-MBD biomarker remained undetermined on long-term peritoneal dialysis (PD) patients. This retrospective study, employing a population-based database, aimed to evaluate the performance and provide the best evidence of each biomarker of CKD-MBD as predictor of all-cause mortality. Throughout the 8-year study period, total 12,116 PD patients were included in this study. Cox proportional regression and Kaplan-Meier method were used for survival analysis. For Cox regression model, baseline measurements and time-varying covariates were used for analysis. In Cox regression model using time-dependent covariates, serum calcium level of ≧9.5 mg/dL was associated with increased mortality. For phosphorus, serum levels of either ≧6.5 mg/dL or <3.5 mg/dL were associated with increased mortality. For parathyroid hormone (PTH), higher serum levels were not associated increased mortality. For alkaline phosphatase (ALP), mortality increased at levels ≧100 IU/L. Our findings suggested that the detrimental effect of ALP on survival was more consistent, while serum calcium, phosphorus and PTH may have a less prominent effect on mortality. This study provided additional information for manipulating CKD-MBD biomarkers in PD patients.

摘要

慢性肾脏病-矿物质和骨异常(CKD-MBD)的生物标志物与透析患者的发病率和死亡率相关。然而,在长期腹膜透析(PD)患者中,每种 CKD-MBD 生物标志物的相对作用仍未确定。这项回顾性研究利用基于人群的数据库,旨在评估每个 CKD-MBD 生物标志物作为全因死亡率预测因子的表现,并提供最佳证据。在整个 8 年的研究期间,共有 12116 名 PD 患者纳入本研究。采用 Cox 比例回归和 Kaplan-Meier 方法进行生存分析。对于 Cox 回归模型,使用基线测量值和时变协变量进行分析。在使用时变协变量的 Cox 回归模型中,血清钙水平≧9.5mg/dL 与死亡率增加相关。对于磷,血清水平≧6.5mg/dL 或<3.5mg/dL 与死亡率增加相关。对于甲状旁腺激素(PTH),较高的血清水平与死亡率增加无关。对于碱性磷酸酶(ALP),水平≧100IU/L 时死亡率增加。我们的研究结果表明,ALP 对生存的不利影响更一致,而血清钙、磷和 PTH 对死亡率的影响可能不太明显。这项研究为 PD 患者的 CKD-MBD 生物标志物的操纵提供了额外的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8319/5428378/dc944920be3f/41598_2017_80_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8319/5428378/ca9f8f0e2a31/41598_2017_80_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8319/5428378/dc944920be3f/41598_2017_80_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8319/5428378/ca9f8f0e2a31/41598_2017_80_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8319/5428378/dc944920be3f/41598_2017_80_Fig2_HTML.jpg

相似文献

[1]
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Sci Rep. 2017-2-24

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Comment on "Association of serum alkaline phosphatase levels with bone mineral density, osteoporosis prevalence, and mortality in US adults with osteoporosis: evidence from NHANES 2005-2018".

Osteoporos Int. 2025-4

[2]
Association between serum intact parathyroid hormone and survival in dialysis patients.

Int Urol Nephrol. 2025-3

[3]
Risk factors of different mortality periods in older patients with end-stage renal disease undergoing urgent-start peritoneal dialysis: a retrospective observational study.

BMC Geriatr. 2024-4-15

[4]
Longer serum phosphorus time in range associated with lower mortality risk among peritoneal dialysis patients: a multicenter retrospective cohort study.

BMC Nephrol. 2024-3-29

[5]
Residual kidney function modifies the effect of cinacalcet on serum phosphorus levels among peritoneal dialysis patients.

J Nephrol. 2024-5

[6]
Associations of calcium, phosphate and intact parathyroid hormone levels with mortality, residual kidney function and technical failure among patients on peritoneal dialysis.

Clin Kidney J. 2023-9-7

[7]
Hungry bone syndrome in peritoneal dialysis patients after parathyroid surgery.

Endocr Connect. 2023-9-22

[8]
Radiofrequency echographic multi-spectrometry and DXA for the evaluation of bone mineral density in a peritoneal dialysis setting.

Aging Clin Exp Res. 2023-1

[9]
Associations between liver function parameters and poor clinical outcomes in peritoneal dialysis patients.

Ther Apher Dial. 2023-2

[10]
Epidemiology of peritoneal dialysis outcomes.

Nat Rev Nephrol. 2022-12

本文引用的文献

[1]
Measurement Error as Alternative Explanation for the Observation that CrCl/GFR Ratio is Higher at Lower GFR.

Clin J Am Soc Nephrol. 2016-9-7

[2]
Effect Modifying Role of Serum Calcium on Mortality-Predictability of PTH and Alkaline Phosphatase in Hemodialysis Patients: An Investigation Using Data from the Taiwan Renal Registry Data System from 2005 to 2012.

PLoS One. 2015-6-24

[3]
Improvement of mineral and bone metabolism markers is associated with better survival in haemodialysis patients: the COSMOS study.

Nephrol Dial Transplant. 2015-4-28

[4]
Peritoneal dialysis per se is a risk factor for sclerostin-associated adynamic bone disease.

Kidney Int. 2014-12-10

[5]
Chapter 3: Use of ESAs and other agents to treat anemia in CKD.

Kidney Int Suppl (2011). 2012-8

[6]
A higher serum alkaline phosphatase is associated with the incidence of hip fracture and mortality among patients receiving hemodialysis in Japan.

Nephrol Dial Transplant. 2014-8

[7]
Alkaline phosphatase and mortality in patients on peritoneal dialysis.

Clin J Am Soc Nephrol. 2014-4

[8]
Comparative mortality-predictability using alkaline phosphatase and parathyroid hormone in patients on peritoneal dialysis and hemodialysis.

Perit Dial Int. 2014

[9]
Relationship between alkaline phosphatase and all-cause mortality in peritoneal dialysis patients.

Adv Perit Dial. 2013

[10]
Bone microarchitecture is more severely affected in patients on hemodialysis than in those receiving peritoneal dialysis.

Kidney Int. 2012-6-20

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