The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.
Lower risk for cardiovascular mortality in oral 1 -hydroxy vitamin D3 users in a haemodialysis population
Open accessAbstract
BACKGROUND: Renal failure results in deficiency of active vitamin D3 that has diverse effects on metabolism and organ functions. Treatment with active forms of vitamin D(3) ameliorates abnormalities in bone and mineral metabolism, cardiac function, immune response and others. We hypothesized that treatment with vitamin D(3) may be beneficial for survival in patients with end-stage renal disease (ESRD). METHODS: We compared the risk of death between regular users (n = 162) and non-users (n = 80) of oral 1alpha-hydroxyvitamin D3 (alfacalcidol) in a cohort of ESRD patients undergoing haemodialysis for a follow-up of 61 +/- 23 months. The daily dose of alfacalcidol ranged from 0.25 to 1.5 microg, with a median of 0.5 microg. RESULTS: The alfacalcidol users showed a lower risk of death from cardiovascular disease than the non-users in a univariate Cox model [hazards ratio (HR) 0.287, 95% confidence interval (CI) 0.127-0.649, P = 0.003], whereas the risk for death from non-cardiovascular disease was not different between the two groups. Stepwise multivariate Cox analysis showed that cardiovascular mortality was significantly associated with age, presence of diabetes mellitus and treatment with alfacalcidol (HR 0.377, 95% CI 0.246-0.578, P = 0.022). CONCLUSIONS: These results indicate that use of oral alfacalcidol was associated with reduced risk for cardiovascular death in this cohort of ESRD patients. The result of this observational study warrants further randomized controlled trials with 1alpha-hydroxy vitamin D3 to confirm the possibility that such medication improves survival of ESRD patients.
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Cites
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Parathyroid hormone, vitamin D, and cardiovascular disease in chronic renal failure
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Cardiac valve calcification in haemodialysis patients: role of calcium-phosphate metabolism
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High-resolution B-mode ultrasonography in evaluation of atherosclerosis in uremia
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Self-citationPark, C. W., Oh, Y. S., Shin, Y. S., Kim, C.-M., Kim, Y.-S., Kim, S. Y., Choi, E. J., Chang, Y. S., & Bang, B. K. (1999) · American Journal of Kidney Diseases · doi:10.1016/s0272-6386(99)70260-x · Cited by 305
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Self-citationWu, J., Garami, M., Cheng, T., & Gardner, D. G. (1996) · Journal of Clinical Investigation · doi:10.1172/jci118582 · Cited by 257
Antibodies Against Oxidized LDL and Carotid Artery Intima-Media Thickness in a Healthy Population
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Cited by
Vitamin D and Human Health: Lessons from Vitamin D Receptor Null Mice
Bouillon, R., Carmeliet, G., Verlinden, L., van Etten, E., Verstuyf, A., Luderer, H. F., Lieben, L., Mathieu, C., & Demay, M. (2008) · Endocrine Reviews · doi:10.1210/er.2008-0004 · Cited by 1,783
Activated Injectable Vitamin D and Hemodialysis Survival: A Historical Cohort Study
Teng, M., Wolf, M., Ofsthun, M. N., Lazarus, J. M., Hernán, M. A., Camargo, C. A., & Thadhani, R. (2005) · Journal of the American Society of Nephrology · doi:10.1681/asn.2004070573 · Cited by 782
Vascular Calcification: The Killer of Patients with Chronic Kidney Disease
Mizobuchi, M., Towler, D., & Slatopolsky, E. (2009) · Journal of the American Society of Nephrology · doi:10.1681/asn.2008070692 · Cited by 542
Vitamin D and disease prevention with special reference to cardiovascular disease
Zittermann, A. (2006) · Progress in Biophysics and Molecular Biology · doi:10.1016/j.pbiomolbio.2006.02.001 · Cited by 447
Vitamin D levels and patient outcome in chronic kidney disease
Ravani, P., Malberti, F., Tripepi, G., Pecchini, P., Cutrupi, S., Pizzini, P., Mallamaci, F., & Zoccali, C. (2009) · Kidney International · doi:10.1038/ki.2008.501 · Cited by 437
Metadata
- Authors
- Shoji, T., Shinohara, K., Kimoto, E., Emoto, M., Tahara, H., Koyama, H., Inaba, M., Fukumoto, S., Ishimura, E., Miki, T., Tabata, T., & Nishizawa, Y.
- Venue
- Nephrology Dialysis Transplantation
- Publisher
- Oxford University Press (OUP)
- Published
- 2004-01-01
- Volume
- 19
- Issue
- 1
- Pages
- 179-184
- ISSN
- 0931-0509 (ISSN-L)
- 1460-2385
- OpenAlex
- W2102185935
- Cited by
- 351
- References
- 13
- FWCI
- 8.66
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Shoji, T., Shinohara, K., Kimoto, E., Emoto, M., Tahara, H., Koyama, H., Inaba, M., Fukumoto, S., Ishimura, E., Miki, T., Tabata, T., & Nishizawa, Y. (2004). Lower risk for cardiovascular mortality in oral 1 -hydroxy vitamin D3 users in a haemodialysis population. Nephrology Dialysis Transplantation. https://doi.org/10.1093/ndt/gfg513
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