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Coronary artery calcification score and common iliac artery calcification score in non‐dialysis CKD patients
Summary at a Glance Vascular calcification is a major contributor to morbidity and mortality in patients with CKD, although the optimal method and site for measurement of vascular calcification have not been determined. This study assesses and compares coronary artery calcification and common iliac...
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| Published in: | Nephrology (Carlton, Vic.) Vic.), 2018-09, Vol.23 (9), p.837-845 |
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| container_title | Nephrology (Carlton, Vic.) |
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| creator | Mizuiri, Sonoo Nishizawa, Yoshiko Yamashita, Kazuomi Mizuno, Kenji Ishine, Masahiro Doi, Shigehiro Masaki, Takao Shigemoto, Kenichiro |
| description | Summary at a Glance
Vascular calcification is a major contributor to morbidity and mortality in patients with CKD, although the optimal method and site for measurement of vascular calcification have not been determined. This study assesses and compares coronary artery calcification and common iliac artery calcification determined by CT in a cohort of non‐dialysis CKD patients and reports on associated variables and outcomes.
Aim
Many studies have validated Agatston’s coronary artery calcification score (CACS) for assessing vascular calcification (VC) in chronic kidney disease (CKD) patients. This study aimed to evaluate the CACS and common iliac artery calcification score (IACS) and to examine the variables related to each score.
Methods
The subjects were 145 non‐dialysis CKD patients. The CACS and IACS were determined using the same thoracicoabdominal multi‐detector computed tomography. Multiple regression analyses were performed to assess the factors associated with the CACS or IACS. The associations between progression to renal replacement therapy (RRT) and the CACS or IACS were studied using Cox hazards models.
Results
The subjects’ median age, estimated glomerular filtration rate (eGFR), and follow‐up period were 72 (62–78) years, 32 (18–50) mL/min/1.73m2, and 864 (550–1425) days, respectively. Age, diabetes, the serum phosphate level, and the eGFR were found to be significant factors of the CACS [β (95% CI): 0.38 (0.02–0.04), P |
| doi_str_mv | 10.1111/nep.13113 |
| format | article |
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Vascular calcification is a major contributor to morbidity and mortality in patients with CKD, although the optimal method and site for measurement of vascular calcification have not been determined. This study assesses and compares coronary artery calcification and common iliac artery calcification determined by CT in a cohort of non‐dialysis CKD patients and reports on associated variables and outcomes.
Aim
Many studies have validated Agatston’s coronary artery calcification score (CACS) for assessing vascular calcification (VC) in chronic kidney disease (CKD) patients. This study aimed to evaluate the CACS and common iliac artery calcification score (IACS) and to examine the variables related to each score.
Methods
The subjects were 145 non‐dialysis CKD patients. The CACS and IACS were determined using the same thoracicoabdominal multi‐detector computed tomography. Multiple regression analyses were performed to assess the factors associated with the CACS or IACS. The associations between progression to renal replacement therapy (RRT) and the CACS or IACS were studied using Cox hazards models.
Results
The subjects’ median age, estimated glomerular filtration rate (eGFR), and follow‐up period were 72 (62–78) years, 32 (18–50) mL/min/1.73m2, and 864 (550–1425) days, respectively. Age, diabetes, the serum phosphate level, and the eGFR were found to be significant factors of the CACS [β (95% CI): 0.38 (0.02–0.04), P < 0.0001, 0.28 (0.19–0.50), P < 0.0001, 0.16 (0.03–0.45), P < 0.05 and −0.15 (−0.02–0.00), P < 0.05, respectively]. Age and diabetes were shown to be significant factors of the IACS [β (95% CI): 0.53 (0.04–0.06), P < 0.0001, and 0.18 (0.07–0.40), P < 0.01, respectively]. Progression to RRT occurred in 31 patients and was significantly associated with the CACS (hazard ratio: 1.01, P < 0.01), urinary protein level and eGFR, but not the IACS.
Conclusion
Chronic kidney disease related risk factors for VC, such as the eGFR and hyperphosphataemia, are significantly associated with a high CACS, but not a high IACS, and the CACS is a significant predictor of progression to RRT.]]></description><identifier>ISSN: 1320-5358</identifier><identifier>EISSN: 1440-1797</identifier><identifier>DOI: 10.1111/nep.13113</identifier><identifier>PMID: 28703899</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Adult ; Age ; Aged ; Aged, 80 and over ; Calcification ; Calcification (ectopic) ; chronic kidney disease ; common iliac artery ; Computed tomography ; Computed Tomography Angiography ; Coronary Angiography - methods ; Coronary artery ; coronary artery calcification score ; Coronary Artery Disease - complications ; Coronary Artery Disease - diagnostic imaging ; Coronary vessels ; Diabetes ; Diabetes mellitus ; Dialysis ; Disease Progression ; Epidermal growth factor receptors ; Female ; Femoral Artery - diagnostic imaging ; Glomerular filtration rate ; Humans ; Kidney diseases ; Kidneys ; Male ; medial calcification ; Middle Aged ; Multidetector Computed Tomography ; Original ; Peripheral Arterial Disease - complications ; Peripheral Arterial Disease - diagnostic imaging ; Predictive Value of Tests ; Prognosis ; Renal Insufficiency, Chronic - complications ; Renal Insufficiency, Chronic - diagnosis ; Renal Insufficiency, Chronic - physiopathology ; Renal Insufficiency, Chronic - therapy ; Renal Replacement Therapy ; Risk factors ; Severity of Illness Index ; vascular calcification ; Vascular Calcification - complications ; Vascular Calcification - diagnostic imaging</subject><ispartof>Nephrology (Carlton, Vic.), 2018-09, Vol.23 (9), p.837-845</ispartof><rights>2017 The Authors Nephrology published by John Wiley & Sons Australia, Ltd on behalf of Asian Pacific Society of Nephrology</rights><rights>2017 The Authors Nephrology published by John Wiley & Sons Australia, Ltd on behalf of Asian Pacific Society of Nephrology.</rights><rights>2018 Asian Pacific Society of Nephrology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4433-f3b132a0194363ee1f50f3400d5d6635eda9dc814e0d1d442367c016d9041e293</citedby><cites>FETCH-LOGICAL-c4433-f3b132a0194363ee1f50f3400d5d6635eda9dc814e0d1d442367c016d9041e293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28703899$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mizuiri, Sonoo</creatorcontrib><creatorcontrib>Nishizawa, Yoshiko</creatorcontrib><creatorcontrib>Yamashita, Kazuomi</creatorcontrib><creatorcontrib>Mizuno, Kenji</creatorcontrib><creatorcontrib>Ishine, Masahiro</creatorcontrib><creatorcontrib>Doi, Shigehiro</creatorcontrib><creatorcontrib>Masaki, Takao</creatorcontrib><creatorcontrib>Shigemoto, Kenichiro</creatorcontrib><title>Coronary artery calcification score and common iliac artery calcification score in non‐dialysis CKD patients</title><title>Nephrology (Carlton, Vic.)</title><addtitle>Nephrology (Carlton)</addtitle><description><![CDATA[Summary at a Glance
Vascular calcification is a major contributor to morbidity and mortality in patients with CKD, although the optimal method and site for measurement of vascular calcification have not been determined. This study assesses and compares coronary artery calcification and common iliac artery calcification determined by CT in a cohort of non‐dialysis CKD patients and reports on associated variables and outcomes.
Aim
Many studies have validated Agatston’s coronary artery calcification score (CACS) for assessing vascular calcification (VC) in chronic kidney disease (CKD) patients. This study aimed to evaluate the CACS and common iliac artery calcification score (IACS) and to examine the variables related to each score.
Methods
The subjects were 145 non‐dialysis CKD patients. The CACS and IACS were determined using the same thoracicoabdominal multi‐detector computed tomography. Multiple regression analyses were performed to assess the factors associated with the CACS or IACS. The associations between progression to renal replacement therapy (RRT) and the CACS or IACS were studied using Cox hazards models.
Results
The subjects’ median age, estimated glomerular filtration rate (eGFR), and follow‐up period were 72 (62–78) years, 32 (18–50) mL/min/1.73m2, and 864 (550–1425) days, respectively. Age, diabetes, the serum phosphate level, and the eGFR were found to be significant factors of the CACS [β (95% CI): 0.38 (0.02–0.04), P < 0.0001, 0.28 (0.19–0.50), P < 0.0001, 0.16 (0.03–0.45), P < 0.05 and −0.15 (−0.02–0.00), P < 0.05, respectively]. Age and diabetes were shown to be significant factors of the IACS [β (95% CI): 0.53 (0.04–0.06), P < 0.0001, and 0.18 (0.07–0.40), P < 0.01, respectively]. Progression to RRT occurred in 31 patients and was significantly associated with the CACS (hazard ratio: 1.01, P < 0.01), urinary protein level and eGFR, but not the IACS.
Conclusion
Chronic kidney disease related risk factors for VC, such as the eGFR and hyperphosphataemia, are significantly associated with a high CACS, but not a high IACS, and the CACS is a significant predictor of progression to RRT.]]></description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Calcification</subject><subject>Calcification (ectopic)</subject><subject>chronic kidney disease</subject><subject>common iliac artery</subject><subject>Computed tomography</subject><subject>Computed Tomography Angiography</subject><subject>Coronary Angiography - methods</subject><subject>Coronary artery</subject><subject>coronary artery calcification score</subject><subject>Coronary Artery Disease - complications</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary vessels</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Dialysis</subject><subject>Disease Progression</subject><subject>Epidermal growth factor receptors</subject><subject>Female</subject><subject>Femoral Artery - diagnostic imaging</subject><subject>Glomerular filtration rate</subject><subject>Humans</subject><subject>Kidney diseases</subject><subject>Kidneys</subject><subject>Male</subject><subject>medial calcification</subject><subject>Middle Aged</subject><subject>Multidetector Computed Tomography</subject><subject>Original</subject><subject>Peripheral Arterial Disease - complications</subject><subject>Peripheral Arterial Disease - diagnostic imaging</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Renal Insufficiency, Chronic - complications</subject><subject>Renal Insufficiency, Chronic - diagnosis</subject><subject>Renal Insufficiency, Chronic - physiopathology</subject><subject>Renal Insufficiency, Chronic - therapy</subject><subject>Renal Replacement Therapy</subject><subject>Risk factors</subject><subject>Severity of Illness Index</subject><subject>vascular calcification</subject><subject>Vascular Calcification - complications</subject><subject>Vascular Calcification - diagnostic imaging</subject><issn>1320-5358</issn><issn>1440-1797</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp9kUFuFDEQRS0EIiGw4AKoJTZk0UlVl9ttb5CiSSCICFjA2nJsNzjqtgd7hmh2OQJn5CQ4mRABEtSmSvbTr1_6jD1FOMBah9EvD5AQ6R7bRc6hxUEN9-tMHbQ99XKHPSrlAgCHTuBDttPJAUgqtcviIuUUTd40Jq98bdZMNozBmlVIsSk2Zd-Y6Bqb5rk-hCkY-z82xCam-OPquwtm2pRQmsXb42ZZER9X5TF7MJqp-Ce3fY99enXycXHanr1__WZxdNZazonakc6rdwOoOAnyHsceRuIArndCUO-dUc5K5B4cOs47EoMFFE4BR98p2mMvt7rL9fnsna27s5n0Moe53qqTCfrPnxi-6M_pmxbYAZeyCry4Fcjp69qXlZ5DsX6aTPRpXTQqlJILoOtdz_9CL9I6x3qe7kAhCclpqNT-lrI5lZL9eGcGQV-nqGuK-ibFyj773f0d-Su2Chxugcsw-c2_lfS7kw9byZ91Mah7</recordid><startdate>201809</startdate><enddate>201809</enddate><creator>Mizuiri, Sonoo</creator><creator>Nishizawa, Yoshiko</creator><creator>Yamashita, Kazuomi</creator><creator>Mizuno, Kenji</creator><creator>Ishine, Masahiro</creator><creator>Doi, Shigehiro</creator><creator>Masaki, Takao</creator><creator>Shigemoto, Kenichiro</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201809</creationdate><title>Coronary artery calcification score and common iliac artery calcification score in non‐dialysis CKD patients</title><author>Mizuiri, Sonoo ; Nishizawa, Yoshiko ; Yamashita, Kazuomi ; Mizuno, Kenji ; Ishine, Masahiro ; Doi, Shigehiro ; Masaki, Takao ; Shigemoto, Kenichiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4433-f3b132a0194363ee1f50f3400d5d6635eda9dc814e0d1d442367c016d9041e293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Calcification</topic><topic>Calcification (ectopic)</topic><topic>chronic kidney disease</topic><topic>common iliac artery</topic><topic>Computed tomography</topic><topic>Computed Tomography Angiography</topic><topic>Coronary Angiography - methods</topic><topic>Coronary artery</topic><topic>coronary artery calcification score</topic><topic>Coronary Artery Disease - complications</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary vessels</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Dialysis</topic><topic>Disease Progression</topic><topic>Epidermal growth factor receptors</topic><topic>Female</topic><topic>Femoral Artery - diagnostic imaging</topic><topic>Glomerular filtration rate</topic><topic>Humans</topic><topic>Kidney diseases</topic><topic>Kidneys</topic><topic>Male</topic><topic>medial calcification</topic><topic>Middle Aged</topic><topic>Multidetector Computed Tomography</topic><topic>Original</topic><topic>Peripheral Arterial Disease - complications</topic><topic>Peripheral Arterial Disease - diagnostic imaging</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Renal Insufficiency, Chronic - complications</topic><topic>Renal Insufficiency, Chronic - diagnosis</topic><topic>Renal Insufficiency, Chronic - physiopathology</topic><topic>Renal Insufficiency, Chronic - therapy</topic><topic>Renal Replacement Therapy</topic><topic>Risk factors</topic><topic>Severity of Illness Index</topic><topic>vascular calcification</topic><topic>Vascular Calcification - complications</topic><topic>Vascular Calcification - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mizuiri, Sonoo</creatorcontrib><creatorcontrib>Nishizawa, Yoshiko</creatorcontrib><creatorcontrib>Yamashita, Kazuomi</creatorcontrib><creatorcontrib>Mizuno, Kenji</creatorcontrib><creatorcontrib>Ishine, Masahiro</creatorcontrib><creatorcontrib>Doi, Shigehiro</creatorcontrib><creatorcontrib>Masaki, Takao</creatorcontrib><creatorcontrib>Shigemoto, Kenichiro</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley-Blackwell Free Backfiles(OpenAccess)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nephrology (Carlton, Vic.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mizuiri, Sonoo</au><au>Nishizawa, Yoshiko</au><au>Yamashita, Kazuomi</au><au>Mizuno, Kenji</au><au>Ishine, Masahiro</au><au>Doi, Shigehiro</au><au>Masaki, Takao</au><au>Shigemoto, Kenichiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coronary artery calcification score and common iliac artery calcification score in non‐dialysis CKD patients</atitle><jtitle>Nephrology (Carlton, Vic.)</jtitle><addtitle>Nephrology (Carlton)</addtitle><date>2018-09</date><risdate>2018</risdate><volume>23</volume><issue>9</issue><spage>837</spage><epage>845</epage><pages>837-845</pages><issn>1320-5358</issn><eissn>1440-1797</eissn><abstract><![CDATA[Summary at a Glance
Vascular calcification is a major contributor to morbidity and mortality in patients with CKD, although the optimal method and site for measurement of vascular calcification have not been determined. This study assesses and compares coronary artery calcification and common iliac artery calcification determined by CT in a cohort of non‐dialysis CKD patients and reports on associated variables and outcomes.
Aim
Many studies have validated Agatston’s coronary artery calcification score (CACS) for assessing vascular calcification (VC) in chronic kidney disease (CKD) patients. This study aimed to evaluate the CACS and common iliac artery calcification score (IACS) and to examine the variables related to each score.
Methods
The subjects were 145 non‐dialysis CKD patients. The CACS and IACS were determined using the same thoracicoabdominal multi‐detector computed tomography. Multiple regression analyses were performed to assess the factors associated with the CACS or IACS. The associations between progression to renal replacement therapy (RRT) and the CACS or IACS were studied using Cox hazards models.
Results
The subjects’ median age, estimated glomerular filtration rate (eGFR), and follow‐up period were 72 (62–78) years, 32 (18–50) mL/min/1.73m2, and 864 (550–1425) days, respectively. Age, diabetes, the serum phosphate level, and the eGFR were found to be significant factors of the CACS [β (95% CI): 0.38 (0.02–0.04), P < 0.0001, 0.28 (0.19–0.50), P < 0.0001, 0.16 (0.03–0.45), P < 0.05 and −0.15 (−0.02–0.00), P < 0.05, respectively]. Age and diabetes were shown to be significant factors of the IACS [β (95% CI): 0.53 (0.04–0.06), P < 0.0001, and 0.18 (0.07–0.40), P < 0.01, respectively]. Progression to RRT occurred in 31 patients and was significantly associated with the CACS (hazard ratio: 1.01, P < 0.01), urinary protein level and eGFR, but not the IACS.
Conclusion
Chronic kidney disease related risk factors for VC, such as the eGFR and hyperphosphataemia, are significantly associated with a high CACS, but not a high IACS, and the CACS is a significant predictor of progression to RRT.]]></abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28703899</pmid><doi>10.1111/nep.13113</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1320-5358 |
| ispartof | Nephrology (Carlton, Vic.), 2018-09, Vol.23 (9), p.837-845 |
| issn | 1320-5358 1440-1797 |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adult Age Aged Aged, 80 and over Calcification Calcification (ectopic) chronic kidney disease common iliac artery Computed tomography Computed Tomography Angiography Coronary Angiography - methods Coronary artery coronary artery calcification score Coronary Artery Disease - complications Coronary Artery Disease - diagnostic imaging Coronary vessels Diabetes Diabetes mellitus Dialysis Disease Progression Epidermal growth factor receptors Female Femoral Artery - diagnostic imaging Glomerular filtration rate Humans Kidney diseases Kidneys Male medial calcification Middle Aged Multidetector Computed Tomography Original Peripheral Arterial Disease - complications Peripheral Arterial Disease - diagnostic imaging Predictive Value of Tests Prognosis Renal Insufficiency, Chronic - complications Renal Insufficiency, Chronic - diagnosis Renal Insufficiency, Chronic - physiopathology Renal Insufficiency, Chronic - therapy Renal Replacement Therapy Risk factors Severity of Illness Index vascular calcification Vascular Calcification - complications Vascular Calcification - diagnostic imaging |
| title | Coronary artery calcification score and common iliac artery calcification score in non‐dialysis CKD patients |
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