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Osteoprotegerin and mortality in hemodialysis patients with cardiovascular disease

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Osteoprotegerin and mortality in hemodialysis patients with cardiovascular disease. / Winther, Simon; Christensen, Jeppe Hagstrup; Flyvbjerg, Allan et al.
I: Clinical Nephrology, Bind 80, Nr. 3, 22.01.2013, s. 161-167.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Winther, S, Christensen, JH, Flyvbjerg, A, Schmidt, EB, Jørgensen, KA, Jørgensen, HS & Svensson, M 2013, 'Osteoprotegerin and mortality in hemodialysis patients with cardiovascular disease', Clinical Nephrology, bind 80, nr. 3, s. 161-167. https://doi.org/10.5414/CN107803

APA

Winther, S., Christensen, J. H., Flyvbjerg, A., Schmidt, E. B., Jørgensen, K. A., Jørgensen, H. S., & Svensson, M. (2013). Osteoprotegerin and mortality in hemodialysis patients with cardiovascular disease. Clinical Nephrology, 80(3), 161-167. https://doi.org/10.5414/CN107803

CBE

MLA

Vancouver

Winther S, Christensen JH, Flyvbjerg A, Schmidt EB, Jørgensen KA, Jørgensen HS et al. Osteoprotegerin and mortality in hemodialysis patients with cardiovascular disease. Clinical Nephrology. 2013 jan. 22;80(3):161-167. doi: 10.5414/CN107803

Author

Winther, Simon ; Christensen, Jeppe Hagstrup ; Flyvbjerg, Allan et al. / Osteoprotegerin and mortality in hemodialysis patients with cardiovascular disease. I: Clinical Nephrology. 2013 ; Bind 80, Nr. 3. s. 161-167.

Bibtex

@article{63a62b13d2d94f4bbbe574284b6e3126,
title = "Osteoprotegerin and mortality in hemodialysis patients with cardiovascular disease",
abstract = "AbstractBACKGROUND: Patients treated with hemodialysis (HD) have an increased mortality, mainly caused by cardiovascular disease (CVD). Osteoprotegerin (OPG) is a glycoprotein involved in the regulation of the vascular calcification process. Previous studies have demonstrated that OPG is a prognostic marker of mortality. The aim of this study was to investigate if OPG was a prognostic marker of all-cause mortality in high-risk patients with end-stage renal disease and CVD.METHODS: We prospectively followed 206 HD patients with CVD. OPG was measured at baseline and the patients were followed for 2 years or until reaching the primary endpoint, i.e., all-cause mortality.RESULTS: All-cause mortality during follow-up was 44% (90/206). High OPG was associated with increased mortality, using the first tertile as reference, with an unadjusted HR of 1.70 (CI 1.00 - 2.88) for the second tertile and HR of 1.63 (CI 0.96 - 2.78) for the third tertile. In a multivariate Cox-regression analysis age, CRP and OPG in both the second and third tertile were significantly associated with increased mortality In the unadjusted survival analysis, a test for trend of OPG yielded a p-value of 0.08; in the adjusted analyses, the p-value for trend was 0.03.CONCLUSIONS: In a high-risk population of hemodialysis patients with previously documented cardiovascular disease, a high level of OPG was an independent risk marker of all-cause mortality.",
author = "Simon Winther and Christensen, {Jeppe Hagstrup} and Allan Flyvbjerg and Schmidt, {Erik Berg} and J{\o}rgensen, {Kaj Anker} and J{\o}rgensen, {Hanne Skou} and My Svensson",
year = "2013",
month = jan,
day = "22",
doi = "10.5414/CN107803",
language = "English",
volume = "80",
pages = "161--167",
journal = "Clinical Nephrology",
issn = "0301-0430",
publisher = "Dustri-Verlag Dr. Karl Feistle",
number = "3",

}

RIS

TY - JOUR

T1 - Osteoprotegerin and mortality in hemodialysis patients with cardiovascular disease

AU - Winther, Simon

AU - Christensen, Jeppe Hagstrup

AU - Flyvbjerg, Allan

AU - Schmidt, Erik Berg

AU - Jørgensen, Kaj Anker

AU - Jørgensen, Hanne Skou

AU - Svensson, My

PY - 2013/1/22

Y1 - 2013/1/22

N2 - AbstractBACKGROUND: Patients treated with hemodialysis (HD) have an increased mortality, mainly caused by cardiovascular disease (CVD). Osteoprotegerin (OPG) is a glycoprotein involved in the regulation of the vascular calcification process. Previous studies have demonstrated that OPG is a prognostic marker of mortality. The aim of this study was to investigate if OPG was a prognostic marker of all-cause mortality in high-risk patients with end-stage renal disease and CVD.METHODS: We prospectively followed 206 HD patients with CVD. OPG was measured at baseline and the patients were followed for 2 years or until reaching the primary endpoint, i.e., all-cause mortality.RESULTS: All-cause mortality during follow-up was 44% (90/206). High OPG was associated with increased mortality, using the first tertile as reference, with an unadjusted HR of 1.70 (CI 1.00 - 2.88) for the second tertile and HR of 1.63 (CI 0.96 - 2.78) for the third tertile. In a multivariate Cox-regression analysis age, CRP and OPG in both the second and third tertile were significantly associated with increased mortality In the unadjusted survival analysis, a test for trend of OPG yielded a p-value of 0.08; in the adjusted analyses, the p-value for trend was 0.03.CONCLUSIONS: In a high-risk population of hemodialysis patients with previously documented cardiovascular disease, a high level of OPG was an independent risk marker of all-cause mortality.

AB - AbstractBACKGROUND: Patients treated with hemodialysis (HD) have an increased mortality, mainly caused by cardiovascular disease (CVD). Osteoprotegerin (OPG) is a glycoprotein involved in the regulation of the vascular calcification process. Previous studies have demonstrated that OPG is a prognostic marker of mortality. The aim of this study was to investigate if OPG was a prognostic marker of all-cause mortality in high-risk patients with end-stage renal disease and CVD.METHODS: We prospectively followed 206 HD patients with CVD. OPG was measured at baseline and the patients were followed for 2 years or until reaching the primary endpoint, i.e., all-cause mortality.RESULTS: All-cause mortality during follow-up was 44% (90/206). High OPG was associated with increased mortality, using the first tertile as reference, with an unadjusted HR of 1.70 (CI 1.00 - 2.88) for the second tertile and HR of 1.63 (CI 0.96 - 2.78) for the third tertile. In a multivariate Cox-regression analysis age, CRP and OPG in both the second and third tertile were significantly associated with increased mortality In the unadjusted survival analysis, a test for trend of OPG yielded a p-value of 0.08; in the adjusted analyses, the p-value for trend was 0.03.CONCLUSIONS: In a high-risk population of hemodialysis patients with previously documented cardiovascular disease, a high level of OPG was an independent risk marker of all-cause mortality.

U2 - 10.5414/CN107803

DO - 10.5414/CN107803

M3 - Journal article

C2 - 23547804

VL - 80

SP - 161

EP - 167

JO - Clinical Nephrology

JF - Clinical Nephrology

SN - 0301-0430

IS - 3

ER -