Independent and joint associations of nutritional status indicators with mortality risk among chronic hemodialysis patients in the Dialysis Outcomes and Practice Patterns Study (DOPPS).

Detalhes bibliográficos
Autor(a) principal: Lopes, Antonio Alberto da Silva
Data de Publicação: 2010
Outros Autores: Bragg Gresham, Jennifer L., Elder, Stacey J., Ginsberg, Nancy, Goodkin, David A., Pifer, Trinh, Lameire, Norbert
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/13471
Resumo: Texto completo: acesso restrito. p.224-234
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spelling Lopes, Antonio Alberto da SilvaBragg Gresham, Jennifer L.Elder, Stacey J.Ginsberg, NancyGoodkin, David A.Pifer, TrinhLameire, NorbertLopes, Antonio Alberto da SilvaBragg Gresham, Jennifer L.Elder, Stacey J.Ginsberg, NancyGoodkin, David A.Pifer, TrinhLameire, Norbert2013-11-01T11:48:11Z20101051-2276http://repositorio.ufba.br/ri/handle/ri/13471v. 20, n. 4Texto completo: acesso restrito. p.224-234Objective: To consider the Kidney Disease Outcomes Quality Initiative recommendation of using multiple nutritional measurements for patients on maintenance dialysis, we explored data for independent and joint associations of nutritional indicators with mortality risk among maintenance hemodialysis patients treated in 12 countries. Setting: Dialysis units in seven European countries, the United States, Canada, Australia, New Zealand, and Japan. Main Outcome: Mortality risk. Methods: We conducted a prospective cohort study of 40,950 patients from phases I to III of the Dialysis Outcomes and Practice Patterns Study (1996–2008). Independent and joint effects (interactions) of nutritional indicators (serum creatinine, serum albumin, normalized protein catabolic rate, body mass index [BMI]) on mortality risk were assessed by Cox regression with adjustments for demographics, years on dialysis, and comorbidities. Results: Important variations in nutritional indicators were seen by country and patient characteristics. Poorer nutritional status assessed by each indicator was independently associated with higher mortality risk across regions. Significant multiplicative interactions (each p ≤ 0.01) between indicators were also observed. For example, by using patients with serum creatinine 7.5–10.5 mg/dL and BMI 21–25 kg/m2 as referent, BMI <21 kg/m2 was associated with lower mortality risk among patients with creatinine >10.5 mg/dL (relative risk = 0.68) but with higher mortality risk among those with creatinine <7.5 mg/dL (relative risk = 1.38). The association of lower albumin concentration with higher mortality risk was stronger for patients with lower BMI or lower creatinine. Conclusion: The joint effects of nutritional indicators on mortality indicate the need to use multiple measurements when assessing the nutritional status of hemodialysis patients.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2013-08-23T15:02:43Z No. of bitstreams: 1 1-s2.0-S1051227609002805-main.pdf: 173339 bytes, checksum: 73e4ddf02a89302140f38496a1faf2d2 (MD5)Approved for entry into archive by Rodrigo Meirelles (rodrigomei@ufba.br) on 2013-11-01T11:48:11Z (GMT) No. of bitstreams: 1 1-s2.0-S1051227609002805-main.pdf: 173339 bytes, checksum: 73e4ddf02a89302140f38496a1faf2d2 (MD5)Made available in DSpace on 2013-11-01T11:48:11Z (GMT). No. of bitstreams: 1 1-s2.0-S1051227609002805-main.pdf: 173339 bytes, checksum: 73e4ddf02a89302140f38496a1faf2d2 (MD5) Previous issue date: 2010http://dx.doi.org/10.1053/j.jrn.2009.10.002reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAIndependent and joint associations of nutritional status indicators with mortality risk among chronic hemodialysis patients in the Dialysis Outcomes and Practice Patterns Study (DOPPS).Journal of Renal Nutritioninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengLICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/13471/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52ORIGINAL1-s2.0-S1051227609002805-main.pdf1-s2.0-S1051227609002805-main.pdfapplication/pdf173339https://repositorio.ufba.br/bitstream/ri/13471/1/1-s2.0-S1051227609002805-main.pdf73e4ddf02a89302140f38496a1faf2d2MD51TEXT1-s2.0-S1051227609002805-main.pdf.txt1-s2.0-S1051227609002805-main.pdf.txtExtracted texttext/plain43356https://repositorio.ufba.br/bitstream/ri/13471/3/1-s2.0-S1051227609002805-main.pdf.txt3239d20e37ecb70884b30ed26fff9e39MD53ri/134712022-07-05 14:02:49.699oai:repositorio.ufba.br:ri/13471VGVybW8gZGUgTGljZW7vv71hLCBu77+9byBleGNsdXNpdm8sIHBhcmEgbyBkZXDvv71zaXRvIG5vIHJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRkJBCgogICAgUGVsbyBwcm9jZXNzbyBkZSBzdWJtaXNz77+9byBkZSBkb2N1bWVudG9zLCBvIGF1dG9yIG91IHNldQpyZXByZXNlbnRhbnRlIGxlZ2FsLCBhbyBhY2VpdGFyIGVzc2UgdGVybW8gZGUgbGljZW7vv71hLCBjb25jZWRlIGFvClJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVbml2ZXJzaWRhZGUgRmVkZXJhbCBkYSBCYWhpYSBvIGRpcmVpdG8KZGUgbWFudGVyIHVtYSBj77+9cGlhIGVtIHNldSByZXBvc2l077+9cmlvIGNvbSBhIGZpbmFsaWRhZGUsIHByaW1laXJhLCAKZGUgcHJlc2VydmHvv73vv71vLiBFc3NlcyB0ZXJtb3MsIG7vv71vIGV4Y2x1c2l2b3MsIG1hbnTvv71tIG9zIGRpcmVpdG9zIGRlIAphdXRvci9jb3B5cmlnaHQsIG1hcyBlbnRlbmRlIG8gZG9jdW1lbnRvIGNvbW8gcGFydGUgZG8gYWNlcnZvIGludGVsZWN0dWFsIGRlc3NhIFVuaXZlcnNpZGFkZS4gCgogICAgUGFyYSBvcyBkb2N1bWVudG9zIHB1YmxpY2Fkb3MgY29tIHJlcGFzc2UgZGUgZGlyZWl0b3MgZGUgZGlzdHJpYnVp77+977+9bywgZXNzZSB0ZXJtbyBkZSBsaWNlbu+/vWEgZW50ZW5kZSBxdWU6IAoKICAgIE1hbnRlbmRvIG9zICBkaXJlaXRvcyBhdXRvcmFpcywgcmVwYXNzYWRvcyBhIHRlcmNlaXJvcywgZW0gY2FzbyAKZGUgcHVibGljYe+/ve+/vWVzLCBvIHJlcG9zaXTvv71yaW8gcG9kZSByZXN0cmluZ2lyIG8gYWNlc3NvIGFvIHRleHRvIAppbnRlZ3JhbCwgbWFzIGxpYmVyYSBhcyBpbmZvcm1h77+977+9ZXMgc29icmUgbyBkb2N1bWVudG8gKE1ldGFkYWRvcyBkZXNjcml0aXZvcykuCgogRGVzdGEgZm9ybWEsIGF0ZW5kZW5kbyBhb3MgYW5zZWlvcyBkZXNzYSB1bml2ZXJzaWRhZGUgCmVtIG1hbnRlciBzdWEgcHJvZHXvv73vv71vIGNpZW5077+9ZmljYSBjb20gYXMgcmVzdHJp77+977+9ZXMgaW1wb3N0YXMgcGVsb3MgCmVkaXRvcmVzIGRlIHBlcmnvv71kaWNvcy4gCgogICAgUGFyYSBhcyBwdWJsaWNh77+977+9ZXMgZW0gaW5pY2lhdGl2YXMgcXVlIHNlZ3VlbSBhIHBvbO+/vXRpY2EgZGUgCkFjZXNzbyBBYmVydG8sIG9zIGRlcO+/vXNpdG9zIGNvbXB1bHPvv71yaW9zIG5lc3NlIHJlcG9zaXTvv71yaW8gbWFudO+/vW0gCm9zIGRpcmVpdG9zIGF1dG9yYWlzLCBtYXMgbWFudO+/vW0gbyBhY2Vzc28gaXJyZXN0cml0byBhbyBtZXRhZGFkb3MgCmUgdGV4dG8gY29tcGxldG8uIEFzc2ltLCBhIGFjZWl0Ye+/ve+/vW8gZGVzc2UgdGVybW8gbu+/vW8gbmVjZXNzaXRhIGRlIApjb25zZW50aW1lbnRvIHBvciBwYXJ0ZSBkZSBhdXRvcmVzL2RldGVudG9yZXMgZG9zIGRpcmVpdG9zLCBwb3IgCmVzdGFyZW0gZW0gaW5pY2lhdGl2YXMgZGUgYWNlc3NvIGFiZXJ0by4KCiAgICBFbSBhbWJvcyBvIGNhc28sIGVzc2UgdGVybW8gZGUgbGljZW7vv71hLCBwb2RlIHNlciBhY2VpdG8gcGVsbyAKYXV0b3IsIGRldGVudG9yZXMgZGUgZGlyZWl0b3MgZS9vdSB0ZXJjZWlyb3MgYW1wYXJhZG9zIHBlbGEgCnVuaXZlcnNpZGFkZS4gRGV2aWRvIGFvcyBkaWZlcmVudGVzIHByb2Nlc3NvcyBwZWxvIHF1YWwgYSBzdWJtaXNz77+9byAKcG9kZSBvY29ycmVyLCBvIHJlcG9zaXTvv71yaW8gcGVybWl0ZSBhIGFjZWl0Ye+/ve+/vW8gZGEgbGljZW7vv71hIHBvciAKdGVyY2Vpcm9zLCBzb21lbnRlIG5vcyBjYXNvcyBkZSBkb2N1bWVudG9zIHByb2R1emlkb3MgcG9yIGludGVncmFudGVzIApkYSBVRkJBIGUgc3VibWV0aWRvcyBwb3IgcGVzc29hcyBhbXBhcmFkYXMgcG9yIGVzdGEgaW5zdGl0dWnvv73vv71vLgo=Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:02:49Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Independent and joint associations of nutritional status indicators with mortality risk among chronic hemodialysis patients in the Dialysis Outcomes and Practice Patterns Study (DOPPS).
dc.title.alternative.pt_BR.fl_str_mv Journal of Renal Nutrition
title Independent and joint associations of nutritional status indicators with mortality risk among chronic hemodialysis patients in the Dialysis Outcomes and Practice Patterns Study (DOPPS).
spellingShingle Independent and joint associations of nutritional status indicators with mortality risk among chronic hemodialysis patients in the Dialysis Outcomes and Practice Patterns Study (DOPPS).
Lopes, Antonio Alberto da Silva
title_short Independent and joint associations of nutritional status indicators with mortality risk among chronic hemodialysis patients in the Dialysis Outcomes and Practice Patterns Study (DOPPS).
title_full Independent and joint associations of nutritional status indicators with mortality risk among chronic hemodialysis patients in the Dialysis Outcomes and Practice Patterns Study (DOPPS).
title_fullStr Independent and joint associations of nutritional status indicators with mortality risk among chronic hemodialysis patients in the Dialysis Outcomes and Practice Patterns Study (DOPPS).
title_full_unstemmed Independent and joint associations of nutritional status indicators with mortality risk among chronic hemodialysis patients in the Dialysis Outcomes and Practice Patterns Study (DOPPS).
title_sort Independent and joint associations of nutritional status indicators with mortality risk among chronic hemodialysis patients in the Dialysis Outcomes and Practice Patterns Study (DOPPS).
author Lopes, Antonio Alberto da Silva
author_facet Lopes, Antonio Alberto da Silva
Bragg Gresham, Jennifer L.
Elder, Stacey J.
Ginsberg, Nancy
Goodkin, David A.
Pifer, Trinh
Lameire, Norbert
author_role author
author2 Bragg Gresham, Jennifer L.
Elder, Stacey J.
Ginsberg, Nancy
Goodkin, David A.
Pifer, Trinh
Lameire, Norbert
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Lopes, Antonio Alberto da Silva
Bragg Gresham, Jennifer L.
Elder, Stacey J.
Ginsberg, Nancy
Goodkin, David A.
Pifer, Trinh
Lameire, Norbert
Lopes, Antonio Alberto da Silva
Bragg Gresham, Jennifer L.
Elder, Stacey J.
Ginsberg, Nancy
Goodkin, David A.
Pifer, Trinh
Lameire, Norbert
description Texto completo: acesso restrito. p.224-234
publishDate 2010
dc.date.issued.fl_str_mv 2010
dc.date.accessioned.fl_str_mv 2013-11-01T11:48:11Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/13471
dc.identifier.issn.none.fl_str_mv 1051-2276
dc.identifier.number.pt_BR.fl_str_mv v. 20, n. 4
identifier_str_mv 1051-2276
v. 20, n. 4
url http://repositorio.ufba.br/ri/handle/ri/13471
dc.language.iso.fl_str_mv eng
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