{"created":"2023-06-19T11:22:54.895630+00:00","id":1026,"links":{},"metadata":{"_buckets":{"deposit":"9bd9098c-2200-4cd1-b034-781607bb7c2e"},"_deposit":{"created_by":12,"id":"1026","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"1026"},"status":"published"},"_oai":{"id":"oai:jichi-ir.repo.nii.ac.jp:00001026","sets":["14:40"]},"author_link":[],"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"48","bibliographicPageStart":"43","bibliographicVolumeNumber":"43","bibliographic_titles":[{"bibliographic_title":"自治医科大学紀要"},{"bibliographic_title":"Jichi Medical University Journal","bibliographic_titleLang":"en"}]}]},"item_2_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"地域中核病院である当院において，高度腎機能低下（eGFRが30ml/min/1.73m2未満）の保存期慢性腎臓病（CKD）患者は171名，79.0±10.8（平均±標準偏差）歳，男性51％で，３年前との比較で患者数は54％（80歳以上は65％）増加していた。原疾患は，腎硬化症42.7%，糖尿病性腎臓病（DKD）36.3%，心不全7.0%，糸球体腎炎5.3%で，3＋以上の蛋白尿を有する症例はDKDで高率であり腎機能不良の要因であると考えられた。最近６年間の透析導入患者は184名で，70.1±11.9歳，男性67％，原疾患は，DKD 48.4％，腎硬化症31.0％，糸球体腎炎9.2％で，DKDは腎硬化症より有意に低年齢だった。透析導入目的で紹介をうけた患者は73名で，紹介時のeGFRは10.6±5.8ml/min/1.73m2，導入までの期間は平均１年１ヶ月だったが，eGFRが 20ml/min/1.73m2以上の患者では平均３年５ヶ月だった。当院でeGFR>30 ml/min/1.73m2の時点から継続診療した患者は24名で，eGFR<30 ml/min/1.73m2の時点から透析導入までの期間は平均５年２ヶ月だったが，3＋以上の高度蛋白尿を呈したDKD患者８名のそれは平均２年２ヶ月であった。糖尿病診療の強化，高齢者への対策，病診連携の促進，CKDに関する啓蒙が必要であると考えられた。","subitem_description_type":"Abstract"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"names":[{"name":"Harada, Kazuhiro ","nameLang":"en"}]},{"names":[{"name":"Asonuma, Hirohiko ","nameLang":"en"}]},{"names":[{"name":"Miyashima, Kohsuke","nameLang":"en"}]}]},"item_2_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"自治医科大学"}]},"item_2_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1881-252X","subitem_source_identifier_type":"PISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"原田, 和博","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"阿曽沼, 裕彦","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"宮島, 厚介","creatorNameLang":"ja"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-05-13"}],"displaytype":"detail","filename":"自治医科大学紀要 1881-252X(43)p43-48 2021.pdf","filesize":[{"value":"310.9 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"自治医科大学紀要 1881-252X(43)p43-48 2021","url":"https://jichi-ir.repo.nii.ac.jp/record/1026/files/自治医科大学紀要 1881-252X(43)p43-48 2021.pdf"},"version_id":"957f52fa-bc1b-4510-b680-9b8653f66ce5"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"CKD","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"透析導入","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"DKD","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"腎硬化症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"病診連携","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"地域医療における慢性腎不全患者および透析導入患者の現状と対策","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"地域医療における慢性腎不全患者および透析導入患者の現状と対策","subitem_title_language":"ja"},{"subitem_title":"Patients with advanced chronic kidney disease in the regional care setting: Current problems and future directions","subitem_title_language":"en"}]},"item_type_id":"2","owner":"12","path":["40"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2021-05-13"},"publish_date":"2021-05-13","publish_status":"0","recid":"1026","relation_version_is_last":true,"title":["地域医療における慢性腎不全患者および透析導入患者の現状と対策"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2023-08-25T05:58:55.538691+00:00"}