Prevalence and risk factors for vascular calcification in Chinese patients receiving dialysis: baseline results from a prospective cohort study

被引:103
作者
Liu, Zhi-Hong [1 ]
Yu, Xue-Qing [2 ]
Yang, Jun-Wei [3 ]
Jiang, Ai-Li [4 ]
Liu, Bi-Cheng [5 ]
Xing, Chang-Ying [6 ]
Lou, Ji-Zhuang [7 ]
Wang, Mei [8 ]
Cheng, Hong [9 ]
Liu, Jun [10 ]
Fu, Jun-Zhou [11 ]
Zhang, Ai-Hua [12 ]
Zhang, Miao [13 ]
Zhou, Qiao-Ling [14 ]
Yu, Chen [15 ]
Wang, Rong [16 ]
Wang, Li [17 ,18 ]
Chen, Yu-Qing [19 ]
Guan, Tian-Jun [20 ]
Peng, Ai [21 ]
Chen, Nan [22 ]
Hao, Chuan-Ming [23 ]
Chen, Xu-Yang [19 ]
机构
[1] Nanjing Univ, Jinling Hosp, Natl Clin Res Ctr Kidney Dis, Dept Nephrol,Sch Med, 305 East Zhong Shan Rd, Nanjing 210002, Jiangsu, Peoples R China
[2] Sun Yat Sen Univ, Dept Nephrol, Affiliated Hosp 1, Guangzhou, Guangdong, Peoples R China
[3] Nanjing Med Univ, Ctr Kidney Dis, Affiliated Hosp 2, Nanjing, Jiangsu, Peoples R China
[4] Tianjin Med Univ, Dept Kidney Dis & Blood Purificat, Hosp 2, Tianjin, Peoples R China
[5] Southeast Univ, Inst Nephrol, Zhongda Hosp, Nanjing, Jiangsu, Peoples R China
[6] Nanjing Med Univ, Dept Nephrol, Affiliated Hosp 1, Nanjing, Jiangsu, Peoples R China
[7] Nanjing First Hosp, Dept Nephrol, Nanjing, Jiangsu, Peoples R China
[8] Peking Univ, Dept Nephrol, Peoples Hosp, Beijing, Peoples R China
[9] Beijing Anzhen Hosp, Dept Nephrol, Beijing, Peoples R China
[10] Southern Med Univ, Dept Nephrol, Nanfang Hosp, Guangzhou, Guangdong, Peoples R China
[11] Guangzhou First Peoples Hosp, Dept Nephrol, Guangzhou, Guangdong, Peoples R China
[12] Peking Univ, Dept Nephrol, Hosp 3, Beijing, Peoples R China
[13] Nanjing Univ, Dept Nephrol, Med Sch, Nanjing Drum Tower Hosp, Nanjing, Jiangsu, Peoples R China
[14] Cent S Univ, Dept Nephrol, Xiangya Hosp, Changsha, Hunan, Peoples R China
[15] Shanghai Tongji Hosp, Shandong Prov Hosp, Shanghai, Peoples R China
[16] Shandong Prov Hosp, Dept Nephrol, Jinan, Shandong, Peoples R China
[17] Sichuan Acad Med Sci, Dept Nephrol, Chengdu, Sichuan, Peoples R China
[18] Sichuan Prov Peoples Hosp, Chengdu, Sichuan, Peoples R China
[19] Peking Univ, Renal Div, Dept Med, Hosp 1, Beijing, Peoples R China
[20] Xiamen Univ, Dept Nephrol, Zhongshan Hosp, Xiamen, Peoples R China
[21] Shanghai Tenth Peoples Hosp, Dept Nephrol, Shanghai, Peoples R China
[22] Shanghai Jiao Tong Univ, Ruijin Hosp, Dept Nephrol, Sch Med, Shanghai, Peoples R China
[23] Fudan Univ, Huashan Hosp, Dept Nephrol, Shanghai, Peoples R China
关键词
Cardiovascular calcification; Chinese; Hemodialysis; Peritoneal dialysis; Prevalence; Prospective; CHRONIC KIDNEY-DISEASE; ABDOMINAL AORTIC CALCIFICATION; CORONARY-ARTERY CALCIFICATION; STAGE RENAL-DISEASE; HEMODIALYSIS-PATIENTS; PERITONEAL-DIALYSIS; CARDIOVASCULAR OUTCOMES; VALVE CALCIFICATION; MORTALITY RISK; ALL-CAUSE;
D O I
10.1080/03007995.2018.1467886
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: With limited data available on calcification prevalence in chronic kidney disease (CKD) patients on dialysis, the China Dialysis Calcification Study (CDCS) determined the prevalence of vascular/valvular calcification (VC) and association of risk factors in Chinese patients with prevalent hemodialysis (HD) or peritoneal dialysis (PD). Methods: CKD patients undergoing HD/PD for >= 6 months were enrolled. Prevalence data for calcification and medical history were documented at baseline. Coronary artery calcification (CAC) was assessed by electron beam or multi-slice computed tomography (EBCT/MSCT), abdominal aortic calcification (AAC) by lateral lumbar radiography, and cardiac valvular calcification (ValvC) by echocardiography. Serum phosphorus, calcium, intact parathyroid hormone (iPTH), and 25-hydroxyvitamin D and FGF-23 were evaluated. A logistic regression model was used to evaluate the association between risk factors and VC. Results: Of 1,497 patients, 1,493 (78.3% HD, 21.7% PD) had >= 1 baseline calcification image (final analysis cohort, FAC) and 1,423 (78.8% HD, 21.2% PD) had baseline calcification data complete (BCDC). Prevalence of VC was 77.4% in FAC (80.8% HD, 65.1% PD, p<.001) and 77.5% in BCDC (80.7% HD, 65.8% PD). The proportion of BCDC patients with single-site calcification were 20% for CAC, 4.3% for AAC, and 4.3% for cardiac valvular calcification (ValvC), respectively. Double site calcifications were 23.4% for CAC and AAC, 6.5% for CAC and ValvC, and 1.1% for AAC and ValvC, respectively. In total, 17.9% patients had calcification at all three sites. Conclusions: High prevalence of total VC in Chinese CKD patients will supplement current knowledge, which is mostly limited, contributing in creating awareness and optimizing VC management.
引用
收藏
页码:1491 / 1500
页数:10
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