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Cause-specific excess mortality among dialysis patients : A comparison with the general population in Japan
http://hdl.handle.net/10191/31786
http://hdl.handle.net/10191/317863084d9b2-79d2-4547-8e4f-70c7dd51cd62
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manuscript (111.6 kB)
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figure and tables (223.6 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2015-02-03 | |||||
| タイトル | ||||||
| タイトル | Cause-specific excess mortality among dialysis patients : A comparison with the general population in Japan | |||||
| タイトル | ||||||
| タイトル | Cause-specific excess mortality among dialysis patients : A comparison with the general population in Japan | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | dialysis | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | general population | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | excess mortality | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | standardized mortality ratio | |||||
| 資源タイプ | ||||||
| 資源 | http://purl.org/coar/resource_type/c_6501 | |||||
| タイプ | journal article | |||||
| 著者 |
Wakasugi, Minako
× Wakasugi, Minako× Kazama, Junichiro James× Yamamoto, Suguru× Kawamura, Kazuko× Narita, Ichiei |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Background: Despite significant therapeutic advances, mortality of dialysis patients remains unacceptably high. The aim of this study is to compare mortality and its causes in dialysis patients with those in the general Japanese population. Methods: We used data for 2008 and 2009 from the Japanese Society for Dialysis Therapy registry and a national Vital Statistics survey. Cardiovascular mortality was defined as death attributed to heart failure, cerebrovascular disorders, myocardial infarction, hyperkalemia/sudden death, and pulmonary thromboembolism. Non-cardiovascular mortality was defined as death attributed to infection, malignancies, cachexia/uremia, chronic hepatitis/cirrhosis, ileus, bleeding, suicide/refusal of treatment, and miscellaneous. We calculated standardized mortality ratios and age-adjusted mortality differences between dialysis patients and the general population for all-cause, cardiovascular versus non-cardiovascular, and cause-specific mortality. Results: During the two-year study period, there were 2 284 272 and 51 432 deaths out of 126 million people and 273 237 dialysis patients, respectively. The standardized mortality ratio for all-cause mortality was 4.6 (95% confidence interval, 4.6-4.7) for the dialysis patients compared to the general population. Age-adjusted mortality differences for cardiovascular and non-cardiovascular disease were 33.1 and 30.0 per 1 000 person-years, respectively. The standardized mortality rate ratios were significant for all cause-specific mortality rates except accidental death. Conclusions: Our study revealed that excess mortality in dialysis patients compared to the general population in Japan is large, and differs according to age and cause of death. Causespecific mortality studies should be planned to improve life expectancies of dialysis patients. | |||||
| 書誌情報 |
Therapeutic Apheresis and Dialysis en : Therapeutic Apheresis and Dialysis 巻 17, 号 3, p. 298-304, 発行日 2013-06 |
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| 出版者 | ||||||
| 出版者 | Wiley-Blackwell | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 17449979 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AA12013945 | |||||
| DOI | ||||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | info:doi/10.1111/j.1744-9987.2012.01144.x | |||||
| 権利 | ||||||
| 権利情報 | This is the accepted version of the following article: Wakasugi, M., Kazama, J. J., Yamamoto, S., Kawamura, K. and Narita, I. (2013), Cause-Specific Excess Mortality Among Dialysis Patients: Comparison With the General Population in Japan. Therapeutic Apheresis and Dialysis, 17: 298–304. doi: 10.1111/j.1744-9987.2012.01144.x, which has been published in final form [ http://dx.doi.org/10.1111/j.1744-9987.2012.01144.x]. | |||||
| 著者版フラグ | ||||||
| 値 | author | |||||
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Cite as
Wakasugi, Minako, Kazama, Junichiro James, Yamamoto, Suguru, Kawamura, Kazuko, Narita, Ichiei, 2013, Cause-specific excess mortality among dialysis patients : A comparison with the general population in Japan: Wiley-Blackwell, 298–304 p.
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