| アイテムタイプ |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2025-05-25 |
| タイトル |
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|
タイトル |
Relationship between kidney function and healthy life expectancy: A historical cohort study |
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言語 |
en |
| 言語 |
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|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
キーワード |
Cohort study |
| キーワード |
|
|
言語 |
en |
|
キーワード |
Healthy life expectancy |
| キーワード |
|
|
言語 |
en |
|
キーワード |
Kidney function |
| キーワード |
|
|
言語 |
en |
|
キーワード |
Long-term care costs |
| キーワード |
|
|
言語 |
en |
|
キーワード |
Medical care costs |
| 資源タイプ |
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資源タイプ |
journal article |
| アクセス権 |
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アクセス権 |
open access |
| 著者 |
Ogura, Hisayuki
| en |
Ogura, Hisayuki
Kanazawa University Graduate School of Medical Sciences
|
Search repository
Toyama, Tadashi
| en |
Toyama, Tadashi
Kanazawa University Graduate School of Medical Sciences
|
Search repository
Samuta, Hikaru
Hirako, Kohei
板谷, 智也
WEKO
34993
e-Rad_Researcher
10765192
| ja |
板谷, 智也
宮崎大学
|
| ja-Kana |
イタタニ, トモヤ
|
| en |
Itatani, Tomoya
University of Miyazaki
|
Search repository
Nakagawa, Shiori
| en |
Nakagawa, Shiori
Kanazawa University Graduate School of Medical Sciences
|
Search repository
Oshima, Megumi
| en |
Oshima, Megumi
Kanazawa University Graduate School of Medical Sciences
|
Search repository
Kitajima, Shinji
| en |
Kitajima, Shinji
Kanazawa University Graduate School of Medical Sciences
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Search repository
Hara, Akinori
| en |
Hara, Akinori
Kanazawa University Graduate School of Medical Sciences
|
Search repository
Sakai, Norihiko
| en |
Sakai, Norihiko
Kanazawa University Graduate School of Medical Sciences
|
Search repository
Shimizu, Miho
| en |
Shimizu, Miho
Kanazawa University Graduate School of Medical Sciences
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Search repository
Takura, Tomoyuki
| en |
Takura, Tomoyuki
Graduate School of Medicine, The University of Tokyo
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Search repository
Wada, Takashi
| en |
Wada, Takashi
Kanazawa University Graduate School of Medical Sciences
|
Search repository
Iwata, Yasunori
| en |
Iwata, Yasunori
Kanazawa University Graduate School of Medical Sciences
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Search repository
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| 抄録 |
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内容記述タイプ |
Abstract |
|
内容記述 |
Background
The impact of chronic kidney disease (CKD) on healthy life expectancy and healthcare costs requires research. This study examined associations between CKD and healthy life expectancy, and its economic burden.
Methods
This study of community-dwelling adults residing in Hakui City, Ishikawa Prefecture, Japan used data from the National Health Insurance database between 2012 and 2022. Participants were grouped by baseline estimated glomerular filtration rate (eGFR) (< 45, ≥ 45 to < 60, ≥60 to < 75, ≥75 to < 90, and ≥ 90 mL/min/1.73 m²). The primary endpoint was a composite of becoming a care level ≥ 2 or death. Multivariable Cox proportional hazards models were used to calculate the risk regarding time to the primary endpoint. Secondary endpoints were the annual medical and long-term care costs.
Results
The 5,592 participants had a mean follow-up of 6.4 years. The hazard ratio was 1.86 (95% confidence interval [CI]: 1.35 to 2.55) for the eGFR < 45 group and 1.60 (95% CI: 1.13 to 2.25) for the eGFR ≥ 90 group, both compared with the eGFR ≥ 60 to < 75 group. Both annual costs were significantly higher in the lower eGFR groups than in the higher eGFR groups. For the eGFR < 45 group, the median medical care cost was 0.38 million yen/year in all participants and the median long-term care cost was 0.40 million yen/year in primary endpoint achievers. A lower eGFR was correlated with longer unhealthy years of life.
Conclusions
Higher and lower eGFRs were associated with increased risks of reduced healthy life expectancy. A lower eGFR was associated with higher medical and long-term care costs. |
|
言語 |
en |
| bibliographic_information |
en : BMC Nephrology
巻 26,
号 1,
発行日 2025-12-01
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| 出版者 |
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出版者 |
Springer Science and Business Media LLC |
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言語 |
en |
| ISSN |
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収録物識別子タイプ |
EISSN |
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収録物識別子 |
14712369 |
| item_10001_relation_14 |
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関連タイプ |
isVersionOf |
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|
識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.1186/s12882-024-03843-0 |
| 権利 |
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|
権利情報 |
© The Author(s) 2024. |
|
言語 |
en |
| 出版タイプ |
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|
出版タイプ |
VoR |
fulltext (1.1 MB)
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