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Large-scale observational study of hemodialysis patients designed to evaluate associations between practice patterns, biomarkers, and clinical outcomes

Research Project

Project/Area Number 25461257
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Kidney internal medicine
Research InstitutionTokai University

Principal Investigator

FUKAGAWA Masafumi  東海大学, 医学部, 教授 (00211516)

Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2015: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2013: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Keywords慢性腎臓病 / 血液透析 / 生命予後 / 大規模観察研究 / バイオマーカー
Outline of Final Research Achievements

In a retrospective cohort study of 2,292 hemodialysis patients, treatment with lanthanum was independently associated with a significant survival benefit in hemodialysis patients with inadequately controlled hyperphosphatemia. We found no significant associations of better glycemic control or use of inhibitors of renin-angiotensin system with improved survival.
We also performed a prospective cohort study: a total of 654 hemodialysis patients were recruited and were prospectively followed for 3 years. Baseline median FGF23 levels and mean soluble Klotho levels were 1,878 pg/ml and 377 pg/ml, respectively. We will evaluate associations of FGF23 levels, soluble Klotho levels, and other patient characteristics with mortality and cardiovascular events.

Report

(4 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (28 results)

All 2016 2015 2014 2013 Other

All Journal Article (13 results) (of which Peer Reviewed: 12 results,  Open Access: 2 results,  Acknowledgement Compliant: 1 results) Presentation (11 results) Book (4 results)

  • [Journal Article] Frequent monitoring of mineral metabolism in hemodialysis patients with secondary hyperparathyroidism: associations with achievement of treatment goals and with adjustments in therapy.2016

    • Author(s)
      Yokoyama K, Kurita N, Fukuma S, Akizawa T, Fukagawa M, Onishi Y, Kurokawa K, Fukuhara S.
    • Journal Title

      Nephrol Dial Transplant.

      Volume: in press Pages: gfw020-gfw020

    • DOI

      10.1093/ndt/gfw020

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Phosphate - a poison for humans?2016

    • Author(s)
      Komaba H, Fukagawa M
    • Journal Title

      Kidney Int

      Volume: NA

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Use of Renin-Angiotensin system inhibitors is associated with reduction of fracture risk in hemodialysis patients.2015

    • Author(s)
      Yamamoto S, Kido R, Onishi Y, Fukuma S, Akizawa T, Fukagawa M, Kazama JJ, Narita I, Fukuhara S.
    • Journal Title

      PLoS One

      Volume: 10 Issue: 4 Pages: e0122691-e0122691

    • DOI

      10.1371/journal.pone.0122691

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Contribution of dysregulated serum magnesium to mortality in hemodialysis patients with secondary hyperparathyroidism: a 3-year cohort study.2015

    • Author(s)
      Kurita N, Akizawa T, Fukagawa M, Onishi Y, Kurokawa K, Fukuhara S
    • Journal Title

      Clin Kidney J

      Volume: 8 Issue: 6 Pages: 744-752

    • DOI

      10.1093/ckj/sfv097

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Survival advantage of lanthanum carbonate for hemodialysis patients with uncontrolled hyperphosphatemia.2015

    • Author(s)
      Komaba H, Kakuta T, Suzuki H, Hida M, Suga T, Fukagawa M
    • Journal Title

      Nephrol Dial Transplant.

      Volume: 1 Issue: 1 Pages: 107-14

    • DOI

      10.1093/ndt/gfu335

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Recent changes in therapeutic approaches and association with outcomes among patients with secondary hyperparathyroidism on chronic hemodialysis: the DOPPS study.2015

    • Author(s)
      Tentori F, Wang M, Bieber BA, Karaboyas A, Li Y, Jacobson SH, Andreucci VE, Fukagawa M, Frimat L, Mendelssohn DC, Port FK, Pisoni RL, Robinson BM
    • Journal Title

      Clin J Am Soc Nephrol.

      Volume: 10 Issue: 1 Pages: 98-109

    • DOI

      10.2215/cjn.12941213

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Parathyroidectomy and survival among Japanese hemodialysis patients with secondary hyperparathyroidism.2015

    • Author(s)
      Komaba H, Taniguchi M, Wada A, Iseki K, Tsubakihara Y, Fukagawa M
    • Journal Title

      Kidney Int.

      Volume: 10 Issue: 2 Pages: 1038-1038

    • DOI

      10.1038/ki.2015.72

    • Related Report
      2014 Research-status Report
  • [Journal Article] Association of serum bicarbonate with bone fractures in hemodialysis patients: the mineral and bone disorder outcomes study for Japanese CKD stage 5D patients (MBD-5D).2014

    • Author(s)
      Kato A, Kido R, Onishi Y, Kurita N, Fukagawa M, Akizawa T, Fukuhara S
    • Journal Title

      Nephron Clin Pract.

      Volume: 128 Issue: 1-2 Pages: 79-87

    • DOI

      10.1159/000365089

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Efficacy and safety of SBR759, a novel calcium free, iron (III)-based phosphate binder, versus placebo in chronic kidney disease stage V Japanese patients on maintenance renal replacement therapy.2014

    • Author(s)
      Fukagawa M, Kasuga H, Joseph D, Sawada H, Junge G, Moore A, Akiba T
    • Journal Title

      Clin Exp Nephrol

      Volume: 18 Pages: 135-143

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Abnormal mineral metabolism associated with higher absolute mortality in hemodialysis patients with secondary hyperparathyroidism: evidence from marginal structural models used to adjust for time-dependent confoundings.2014

    • Author(s)
      Fukagawa M, Kido E, Komaba H, Onishi Y, Yamaguchi T, Hasegawa T, Kurita N, Akizawa T, Kurokawa K, Fukuhara S
    • Journal Title

      Am J Kidney Dis

      Volume: none

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Cost-effective ness of alendronate for the treatment of osteopenic postmenopausal women in Japan.2013

    • Author(s)
      Moriwaki K, Komaba H, Noto S, Yanagisawa S, Takiguchi T, Inoue H, Toujo T, Fukagawa M, Takahashi HE
    • Journal Title

      J Bone Mineral Res

      Volume: 28(2) Pages: 395-403

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Impact of mineral metabolism on mortality in hemodialysis patients: Serum phosphate level should be controlled firstly and consistently.2013

    • Author(s)
      Taniguchi M, Fukagawa M, Fujii N, Hamano T, Shoji T, Yokoyama K, Nakai S, Shigematsu T, Iseki K, Tsubakihara Y, Committee of Renal Data Registry of the Japanese Society for Dialysis Therapy
    • Journal Title

      Ther Aphr Dial

      Volume: 17(2) Pages: 221-228

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Accumulated uremic toxins attenuate elastic bone mechanical properties in rats with chronic kidney disease.2013

    • Author(s)
      Iwasaki Y, Kazama JJ, Yamato H, Shimoda H, Fukagawa M
    • Journal Title

      Bone

      Volume: 57(2) Pages: 477-483

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] Cinacalcet, FGF23/Klotho, and Parathyroid Hyperplasia2015

    • Author(s)
      Fukagawa M
    • Organizer
      2nd International Symposium on the Cacium-sensing receptor,
    • Place of Presentation
      San Diego, CA, USA.
    • Year and Date
      2015-03-04
    • Related Report
      2014 Research-status Report
  • [Presentation] Renal Grand Round: Pathogenesis and treatment of severe secondary hyperparathyroidism with hyperplasia.2015

    • Author(s)
      Fukagawa M
    • Organizer
      University of California at Irvine.
    • Place of Presentation
      Irvine, CA, USA.
    • Year and Date
      2015-03-02
    • Related Report
      2014 Research-status Report
  • [Presentation] Current status and issues of CKD-MBD management in Japan.2014

    • Author(s)
      Fukagawa M
    • Organizer
      103回台湾腎臓医学会
    • Place of Presentation
      台北
    • Year and Date
      2014-12-14
    • Related Report
      2014 Research-status Report
  • [Presentation] Future concepts of CKD-MBD2014

    • Author(s)
      Fukagawa M
    • Organizer
      3rd Beijing friendship forum on CKD-MBD
    • Place of Presentation
      北京 日中友好病院
    • Year and Date
      2014-08-10
    • Related Report
      2014 Research-status Report
  • [Presentation] CKD-MBD2014

    • Author(s)
      Fukagawa M
    • Organizer
      APSN Continuing Medical Education
    • Place of Presentation
      Yokohama
    • Year and Date
      2014-07-03
    • Related Report
      2014 Research-status Report
  • [Presentation] Inhibition of renin-angiotensin system was associated with lower hospitalization rate due to bone fracture in hemodialysis patients with secondary hyperparathyroidism.

    • Author(s)
      Yamamoto S, Kido R, Onishi Y, Fukuma S, Kurita N, Akizawa T, Fukagawa M, Kazama JJ, Narita I, Fukuhara S
    • Organizer
      50th EDTA-ERA Congresss
    • Place of Presentation
      ICC Istanbul Congress Center
    • Related Report
      2013 Research-status Report
  • [Presentation] Oral administration of pyeidoxamine prevents progressive deterioration of peritoneal function in uremic rats on peritoneal dialysis.

    • Author(s)
      Mori Y, Kakuta T, Fukagawa M
    • Organizer
      ISN World Congress of Nephrology
    • Place of Presentation
      Hong Kong Convention and Exhibition Centre
    • Related Report
      2013 Research-status Report
  • [Presentation] Glycemic control and the risk of mortality among hemodialysis patients in Japan.

    • Author(s)
      Kaneyama N, Komaba H, Suzuki H, Kakuta T, Suga T, Fukagawa M
    • Organizer
      ASN Kidney Week
    • Place of Presentation
      Georgia World Congress Center
    • Related Report
      2013 Research-status Report
  • [Presentation] Association of intravenous vitamin D receptor activator and sevelamer with vascular access-associated hospitalization

    • Author(s)
      Taniguchi M, Komaba H, Hamano T, Fukagawa M
    • Organizer
      ASN Kidney Week
    • Place of Presentation
      Georgia World Congress Center
    • Related Report
      2013 Research-status Report
  • [Presentation] Cardiothracic ratio and all-cause and cardiovascular disease mortality in patients on hemodialysis: Results from the MBD-5D study.

    • Author(s)
      Ogata H, Mizobuchi M, Kinugasa E, Fukagawa M, Akizawa T, Fukuhara S
    • Organizer
      ASN Kidney Week
    • Place of Presentation
      Georgia World Congress Center
    • Related Report
      2013 Research-status Report
  • [Presentation] Active vitamin D and nutrition are predictors of infectious diseases in seconday hyperparathyroidism of uremia (SHPT) on maintenance hemodialysis patients: Results from the MBD5D study.

    • Author(s)
      Imanishi Y, Kobayashi I, Inaba M, Fukagawa M, Akizawa T, Fukuhara S
    • Organizer
      ASN Kidney Week
    • Place of Presentation
      Georgia World Congress Center
    • Related Report
      2013 Research-status Report
  • [Book] ビタミンDと腎疾患,岡野登志夫編,ビタミンDと疾患:基礎の理解と臨床への応用 改訂版2014

    • Author(s)
      駒場大峰,深川雅史
    • Total Pages
      10
    • Publisher
      医薬ジャーナル社
    • Related Report
      2013 Research-status Report
  • [Book] CKD-MBDハンドブック 第2版2013

    • Author(s)
      深川雅史編
    • Total Pages
      325
    • Publisher
      日本メディカルセンター
    • Related Report
      2013 Research-status Report
  • [Book] カルシウム•リンの異常,安田隆,平和伸仁,小山雄太編集,臨床腎臓内科学2013

    • Author(s)
      小泉賢洋,深川雅史
    • Total Pages
      7
    • Publisher
      南山堂
    • Related Report
      2013 Research-status Report
  • [Book] PTH値と生命予後,黒川清監修,秋澤忠男,斎藤明,秋葉隆,福原俊一編集,DOPPS 透析臨床にもたらしたimpact2013

    • Author(s)
      駒場大峰,深川雅史
    • Total Pages
      3
    • Publisher
      日本メディカルセンター
    • Related Report
      2013 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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