Association between plasma phosphorus and renal outcome: A prospective cohort of patients majorly with glomerulonephritis

Nephrology ◽  
2016 ◽  
Vol 22 (1) ◽  
pp. 43-48
Author(s):  
Damin Xu ◽  
Jicheng Lv ◽  
Jinwei Wang ◽  
Luxia Zhang ◽  
Hong Zhang
Keyword(s):  
Prospective Cohort ◽  
Renal Outcome ◽  
Plasma Phosphorus

scholarly journals Relevance of Screening for Urinary Tract Infection in Well Infants with Prolonged Jaundice: A Prospective Cohort Study

2019 ◽  
Vol 25 (1) ◽  
pp. 13-18
Author(s):  
Caroline Siew Yin Eng ◽  
Thalitha Vijayakulasingam ◽  
Boon Hong Ng ◽  
Maryam Jamilah Surdi Roslan ◽  
Muhammad Zamakhshari Zainal Abidin ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Cohort Study ◽  
Urinary Tract ◽  
Tract Infection ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Unit Cost ◽  
Renal Outcome ◽  
Term Infants ◽  
Prolonged Jaundice

Background:  Recent retrospective studies suggest irrelevance of urine screening for neonate with prolonged jaundice. We re-evaluated the incidence of urinary tract infection (UTI) among these infants, their renal outcome and evaluated the cost incurred. Methods: This is a prospective cohort study. Asymptomatic, prolonged jaundiced infants with unconjugated hyperbilirubinemia were screened for evidence of UTI as per local guidelines. Infants with pyuria would have urine sent for culture and sensitivity. Unit cost was referenced from hospital purchase. Statistical analysis was performed using SPSS 24.0.  Results: A total of 291 cases were analyzed. Majority were term infants (93.8%). The commonest cause of prolonged jaundice was breast milk jaundice, hence an incidence rate of 0.34%. Only one infant persistently showed single uropathogen on urinary culture with concurrent pyuria. Urinary structures were normal on ultrasonography and there was no evidence of renal cortical scarring. No recurrence of UTI documented in the first year of life. Each “clean-catch” urinalysis costed RM7. This unit cost escalated to RM37 for catheterized sample.  A negative urine culture costed RM28 while a positive culture twice this price. The average cost effectiveness ratio (ACER) in this study was RM5856.56 per detection of case.    Conclusion: Incidence of UTI is low. In our study, an undesirable outcome is negligible. Unnecessary parental anxiety from the potentially laborious procedure could be avoided. This study refutes previous literature to include such screening in prolonged jaundice as this may well be irrelevant.

scholarly journals A scoring system to predict renal outcome in IgA nephropathy: a nationwide 10-year prospective cohort study

2009 ◽  
Vol 24 (10) ◽  
pp. 3068-3074 ◽  
Author(s):  
M. Goto ◽  
K. Wakai ◽  
T. Kawamura ◽  
M. Ando ◽  
M. Endoh ◽  
...  
Keyword(s):  
Cohort Study ◽  
Iga Nephropathy ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Scoring System ◽  
Renal Outcome

scholarly journals Low erythropoietin levels predict faster renal function decline in diabetic patients with anemia: a prospective cohort study

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Yohei Fujita ◽  
Yohei Doi ◽  
Takayuki Hamano ◽  
Masahiro Hatazaki ◽  
Yutaka Umayahara ◽  
...  
Keyword(s):  
Renal Function ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Iron Status ◽  
Renal Outcome ◽  
Diabetic Patients ◽  
Epo Deficiency ◽  
Egfr Decline ◽  
Egfr Slope

Abstract Elevated erythropoietin (EPO) levels have been reported to predict poor survival in various populations including diabetic patients. However, data regarding its impact on renal outcomes are scarce. We conducted a single-center, prospective cohort study of 339 type 2 diabetic patients with anemia. The primary outcome was the estimated glomerular filtration rate (eGFR) slope for two years. We performed multiple linear regression and restricted cubic spline analyses to assess the association of serum EPO levels with the renal outcome. Chronic kidney disease (CKD) was defined as eGFR <60 mL/min/1.73 m2 or urine albumin-to-creatinine ratio >30 mg/g creatinine. Median baseline EPO and eGFR level were 14.4 IU/L and 53 mL/min/1.73 m2, respectively. Inappropriately low EPO levels were observed in 73% of anemic patients and 59% of anemic patients even without CKD, suggesting that EPO deficiency precedes the onset of CKD in diabetes mellitus. Multivariable analysis revealed that iron status and hemoglobin levels were major determinants of EPO levels. Median eGFR slope was −1.3 mL/min/1.73 m2/year. We found that low EPO levels, but not low hemoglobin levels, were associated with a faster decline in eGFR, independent of clinically relevant factors. The eGFR decline was steeper, particularly when the EPO level was below the upper limit of normal. Lower EPO concentrations were associated with rapid eGFR decline, especially in patients with iron deficiency (P for interaction = 0.01). Relative EPO deficiency should be considered as a culprit in anemia of unknown etiology in diabetic patients, even those without CKD. Low EPO levels, especially when accompanied by poor iron status, are predictive of rapid loss of renal function.

scholarly journals PROSPECTIVE COHORT STUDY OF THE RENAL OUTCOME IN OLT PATIENTS- A PRELIMINARY OBSERVATIONAL STUDY

2017 ◽  
Vol 4 (48) ◽  
pp. 2931-2935
Author(s):  
Arun Kumar Narayanan ◽  
Satish Balan ◽  
Sandeep Patil ◽  
Praveen Murlidharan ◽  
Venugopal Bhaskaran Pillai ◽  
...  
Keyword(s):  
Cohort Study ◽  
Observational Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Renal Outcome

Organizational Justice and Health of Employees: Prospective Cohort Study.

2013 ◽  
Author(s):  
Mika Kivimaki ◽  
Marko Elovainio ◽  
Jussi Vahtera ◽  
Marianna Virtanen ◽  
Jane E. Ferrie
Keyword(s):  
Cohort Study ◽  
Organizational Justice ◽  
Prospective Cohort Study ◽  
Prospective Cohort

Cynical distrust increases breast cancer risk: Evidence from a prospective cohort study

2002 ◽  
Author(s):  
A. R. Aro ◽  
H. J. de Koning ◽  
K. Vehkalahti ◽  
P. Absetz ◽  
M. Schreck ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cohort Study ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Prospective Cohort Study ◽  
Prospective Cohort
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