{"created":"2023-06-19T11:23:01.586433+00:00","id":1272,"links":{},"metadata":{"_buckets":{"deposit":"63763aa9-6f55-4531-803c-6bc4b2d540d7"},"_deposit":{"created_by":12,"id":"1272","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"1272"},"status":"published"},"_oai":{"id":"oai:jichi-ir.repo.nii.ac.jp:00001272","sets":["14:1747372335465:46"]},"author_link":[],"control_number":"1272","item_2_alternative_title_1":{"attribute_name":"その他（別言語等）のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"血液透析患者の透析後浮腫値規定因子に関する検討","subitem_alternative_title_language":"ja"}]},"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"10","bibliographicPageStart":"1","bibliographicVolumeNumber":"45","bibliographic_titles":[{"bibliographic_title":"自治医科大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Jichi Medical University Journal","bibliographic_titleLang":"en"}]}]},"item_2_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background: Hemodialysis patients have a higher incidence of extracellular edema than patients with a normal renal function, even if their dry weight (DW) setting is appropriate. However, the factors determining post-dialysis edema in hemodialysis patients have not been fully elucidated. We investigated the determinants of post-dialysis ECW/TBW index (ratio of extracellular body water to total body water) in hemodialysis patients and compared them with non-chronic kidney disease (non-CKD) patients.\nMethods: The ECW/TBW index was measured using a bioimpedance body composition analyzer. We measured clinical parameters and the ECW/TBW index in 159 hemodialysis patients and 385 non-CKD patients. We evaluated the relationships with various clinical parameters by a multivariable linear analysis and stepwise regression analysis. Differences in age and BMI between the hemodialysis and non-CKD patients were adjusted by propensity score matching. The modified groups were analyzed by multivariable linear analysis and stepwise regression analyses.\nResults: The ECW/TBW index was significantly higher in the hemodialysis patients. A multivariable linear analysis with the ECW/TBW index as the objective variable showed significant associations in age, pre-dialysis Hb, Ht, TP, Alb, Cr, human atrial natriuretic peptide (HANP) and percent creatinine generation rate (%CGR) in hemodialysis patients. After propensity score matching for age and BMI, a strong effect of age was observed in the non-CKD patients, while Alb affected the ECW/TBW index in the hemodialysis patients.\nConclusion: While age strongly influenced the ECW/TBW index in non-CKD patients, that in hemodialysis patients was more strongly influenced by serum Alb than age. High ECW/TBW index is associated with a poor prognosis in hemodialysis patients, suggesting the importance of paying attention to the pre-dialysis albumin concentration in the setting of the body fluid removal for DW.","subitem_description_type":"Abstract"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"names":[{"name":"村上, 琢哉","nameLang":"ja"}]},{"names":[{"name":"齋藤, 修","nameLang":"ja"}]},{"names":[{"name":"齋藤, 孝子","nameLang":"ja"}]},{"names":[{"name":"上野, 公司","nameLang":"ja"}]},{"names":[{"name":"秋元, 哲","nameLang":"ja"}]},{"names":[{"name":"長田, 太助","nameLang":"ja"}]}]},"item_2_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"自治医科大学","subitem_publisher_language":"ja"}]},"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":"Murakami, Takuya","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Saito, Osamu","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Saito, Takako","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Ueno, Koshi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Akimoto, Tetsu","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"Nagata, Daisuke","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-06-09"}],"displaytype":"detail","filename":"自治医科大学紀要 1881-252X(45)P1-10 2023.pdf","filesize":[{"value":"160.2 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"自治医科大学紀要 1881-252X(45)P1-10 2023","url":"https://jichi-ir.repo.nii.ac.jp/record/1272/files/自治医科大学紀要 1881-252X(45)P1-10 2023.pdf"},"version_id":"8a7c6cb1-85f1-40fe-854f-c0400896136e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Bioimpedance","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Extracellular body water","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Hemodialysis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Propensity score matching","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"バイオインピーダンス法","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"浮腫値","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"血液透析","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"傾向スコアマッチング","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"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":"Determinants of extracellular fluid after hemodialysis in CKD stage G5D patients measured by the bioelectrical impedance (BIA) method: A propensity score matching study","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Determinants of extracellular fluid after hemodialysis in CKD stage G5D patients measured by the bioelectrical impedance (BIA) method: A propensity score matching study","subitem_title_language":"en"}]},"item_type_id":"2","owner":"12","path":["46"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-06-09"},"publish_date":"2023-06-09","publish_status":"0","recid":"1272","relation_version_is_last":true,"title":["Determinants of extracellular fluid after hemodialysis in CKD stage G5D patients measured by the bioelectrical impedance (BIA) method: A propensity score matching study"],"weko_creator_id":"12","weko_shared_id":-1},"updated":"2025-05-28T03:30:07.273036+00:00"}