A5084372704- Dialysis and Renal Disease Management
- Meta-analysis and systematic reviews
- Palliative Care and End-of-Life Issues
- Erythropoietin and Anemia Treatment
- Chronic Kidney Disease and Diabetes
- Balance, Gait, and Falls Prevention
- Pancreatitis Pathology and Treatment
- Hemoglobinopathies and Related Disorders
- Cardiac Arrest and Resuscitation
- Iron Metabolism and Disorders
- Pharmacological Effects and Toxicity Studies
- Liver Disease Diagnosis and Treatment
- Eosinophilic Esophagitis
- Venous Thromboembolism Diagnosis and Management
- Sleep and Work-Related Fatigue
- Traumatic Brain Injury and Neurovascular Disturbances
- Metabolism and Genetic Disorders
- Muscle and Compartmental Disorders
- Trauma Management and Diagnosis
- Sleep and related disorders
- Cerebral Palsy and Movement Disorders
- Central Venous Catheters and Hemodialysis
- Economic and Financial Impacts of Cancer
- Electrolyte and hormonal disorders
- Cardiac Arrhythmias and Treatments
Kyoto University
2014-2024
Kyoto University of Education
2021
Aizawa Hospital
2011
Inadequate sleep is correlated with morbidity and mortality among older adults. However, the longitudinal relationship between subjective quality risk of falls in elderly population remains to be clarified.Study participants were from Locomotive Syndrome Health Outcome Aizu Cohort Study (LOHAS) sites (1,071 community-dwelling people ≧65 years age, mean: 71 years). Subjective was measured by Pittsburgh Sleep Quality Index (PSQI). Occurrence (defined as experiencing at least one fall) during...
Background and objectives Almost half of patients on dialysis demonstrate a postdialysis serum potassium ≤3.5 mEq/L. We aimed to examine the relationship between levels all-cause mortality. Design, setting, patients, & measurements conducted cohort study 3967 participants maintenance hemodialysis from Dialysis Outcomes Practice Patterns Study in Japan (2009–2012 2012–2015). Postdialysis was measured repeatedly at 4-month intervals used as time-varying variable. estimated hazard ratio...
Advance care planning (ACP) is becoming increasingly important in the primary setting because of its positive impact on end-of-life care.We aimed to investigate relationship between patient experience and ACP.This cross-sectional study was conducted 28 clinics Japan. We assessed using a Japanese version Primary Care Assessment Tool (JPCAT), which comprises six domains: first contact, longitudinality, coordination, comprehensiveness (services available), provided) community orientation. The...
<b><i>Background:</i></b> Hemodialysis (HD) patients occasionally experience minor asymptomatic elevation in C-reactive protein (CRP) levels, which may be associated with difficulty managing renal anemia using erythropoiesis-stimulating agents (ESAs). Here, we assessed whether of CRP predicts future incidences ESA hyporesponsiveness. <b><i>Methods:</i></b> A total 2,956 HD lacking hyporesponsiveness and infectious diseases were enrolled, the...
Background Cardiovascular (CV) events are the primary cause of death and becoming bedridden among hemodialysis (HD) patients. The Framingham risk score (FRS) is useful for predicting incidence CV in general population, but considerd to be unsuitable prediction HD patients, given their characteristics due atypical relationships between conventional factors outcomes. We therefore aimed develop a new prognostic model prevention early detection Methods enrolled 3,601 maintenance patients based...
Although many hemodynamically unstable trauma patients undergo computed tomography (CT) to identify a source of bleeding, this practice is currently only recommended by few guidelines. To clarify whether CT has harmful effects among these patients, we examined the association between during initial management and mortality blunt patients.This was retrospective cohort study based on Japan Trauma Data Bank 2004-2014 registry data. Study population adult with hypotension arrival. The primary...
Abstract Background and Aim Previous cross‐sectional studies showed that pancreatic fat was associated with metabolic syndrome. However, no longitudinal study has evaluated whether people high are likely to develop future This investigated the association between baseline syndrome incidence. Methods In 2008–2009, 320 participants without underwent health checks, which included unenhanced computed tomography, were followed up annually for 4–5 years. Baseline amounts using a histologically...
To examine the longitudinal association between baseline disability due to low back pain (LBP) and future risk of falls, particularly significant falls requiring treatment, in a community-dwelling older population.This was prospective population-based cohort study using data from Locomotive Syndrome Health Outcomes Aizu Cohort Study (LOHAS; 2008-2010). A total 2,738 residents aged ≥60 years were enrolled. LBP assessed Roland-Morris Disability Questionnaire (RMDQ), level LBP-related divided...
Older adults' discussions with family, or physicians, both, about advance care planning (ACP) are increasingly regarded as important for the management of end-of-life care, and yet factors that induce older adults to engage in ACP poorly understood. For example, adults, is stronger connectedness family friends (stronger "networks") associated discussions? By facilitating, by impeding We sought evaluate associations between social networks Japanese adults.In July 2016 we conducted a...
ObjectiveThe appropriate protein intake for patients on hemodialysis complicated with frailty remains highly controversial.MethodsWe conducted a prospective cohort study using data from Japanese Dialysis Outcomes and Practice Pattern Study. The were separated by their baseline of normalized catabolic rate (nPCR) into 3 categories: low (nPCR < 1.0), medium (1.0 ≤ nPCR <1.2), high ≥1.2). score was calculated based the 12-item Short Form, defined in cases total ≥2 points. all-cause mortality...
Background Health-related quality of life (HRQOL) is often prioritized over long-term survival in elderly patients. Although a longer dialysis session length (DSL) has been shown to reduce mortality, its effects on improving the HRQOL are unknown. Methods Using data from Japan Dialysis Outcomes and Practice Patterns Study (J-DOPPS), patients aged ≥ 65 years maintenance hemodialysis were enrolled. DSL was categorized as short (<210 minutes), medium (210–240 or long (>240 minutes). The primary...
Abstract Background Patients on haemodialysis (HD) are often constipated. This study aimed to assess the relationship between constipation and mortality in such patients. In this study, was defined as receiving prescription laxatives, based investigation results of “a need take laxatives is most common conception constipation” reported by World Gastroenterology Organization Global Guidelines. Methods cohort included 12,217 adult patients HD enrolled Japan-Dialysis Outcomes Practice Patterns...
Although community-acquired acute kidney injury (CA-AKI) represents a significant subset of all AKI incidence, evidence is limited due to the lack comprehensive data prior diagnosis. Here, we examined risk drug use for CA-AKI by using exhaustive pre-diagnostic prescription data. We included 78,754 working-age healthy individuals who underwent an annual health checkup program. conducted cohort study assess association between prevalent and subsequent incidence Cox proportional hazard model....
Abstract Recent studies have reported that high mean corpuscular volume (MCV) might be associated with mortality in patients advanced chronic kidney disease (CKD). However, the question of whether a MCV confers risk for Japanese remains unclear. We conducted longitudinal analysis cohort 8571 using data derived from Japan Dialysis Outcomes and Practice Patterns Study (J-DOPPS) phases 1 to 5. Associations all-cause mortality, vascular events, hospitalization due infection baseline were...
<b><i>Introduction:</i></b> Patients undergoing hemodialysis (HD) have higher predialysis plasma osmolality. Several studies suggested lower osmolality to be associated with worse outcomes in patients not HD. However, no examined the association between and mortality among <b><i>Objective:</i></b> We aimed examine calculated all-cause mortality. <b><i>Methods:</i></b> This was a prospective cohort study of 1,240 HD...
IntroductionAlthough predialysis hemoglobin concentration is affected by interdialytic weight gain (IDWG), the interaction between these parameters not well understood.MethodsUsing data from Japanese Dialysis Outcomes and Practice Pattern Study phases 1–5, we analyzed patients who underwent maintenance hemodialysis. The exposure variable was concentration, effect modifier IDWG at baseline. These 2 categorical variables were then combined analyzed. primary outcome major adverse cardiovascular...
Objective To investigate the association between work schedules and motivation for behavioural change of lifestyle, based on transtheoretical model (TTM) in workers with overweight or obesity. Design A cross-sectional observational study. Setting healthcare examination centre Japan. Participants Between April 2014 March 2016, we recruited 9243 participants who underwent met inclusion criteria, namely, age 20–65 years, body mass index (BMI) ≥25 kg/m 2 full-time workers. Exposure Night shift...