{"created":"2023-06-19T10:43:56.295178+00:00","id":4289,"links":{},"metadata":{"_buckets":{"deposit":"67f3cfd9-4398-4838-a311-3e177953a65c"},"_deposit":{"created_by":11,"id":"4289","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"4289"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00004289","sets":["30:59:221"]},"author_link":["3188","1869","9077","9075","2408","538","7481","9076","7806"],"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-07","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"12","bibliographicPageEnd":"1833","bibliographicPageStart":"1823","bibliographicVolumeNumber":"61","bibliographic_titles":[{},{"bibliographic_title":"Internal medicine (Tokyo, Japan)","bibliographic_titleLang":"en"}]}]},"item_4_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中澤, 純"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉林, 護"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉岡, 美穂"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"荒木, 信一"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"久米, 真司"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"前川, 聡"}],"nameIdentifiers":[{},{},{}]}]},"item_4_description_14":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"pdf","subitem_description_type":"Other"}]},"item_4_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Objective:\nEvaluating the rate of decline in the estimated glomerular filtration rate (eGFR) may help identify patients with occult chronic kidney disease (CKD). We herein report that eGFR fluctuation complicates the assessment of the rate of decline and propose a long-term eGFR plot analysis as a solution. ","subitem_description_type":"Abstract"},{"subitem_description":"Methods:\nIn 142 patients with persistent eGFR decline in a single hospital, we evaluated the factors influencing the rate of eGFR decline, calculated over the long term (≥3 years) and short term (<3 years) using eGFR plots, taking into account eGFR fluctuation between visits. ","subitem_description_type":"Abstract"},{"subitem_description":"Results:\nThe difference between the rate of eGFR decline calculated using short- and long-term plots increased as the time period considered in the short-term plots became shorter. A regression analysis revealed that eGFR fluctuation was the only factor that explained the difference and that the fluctuation exceeded the annual eGFR decline in all participants. Furthermore, the larger the eGFR fluctuation, the more difficult it became to detect eGFR decline using a short-term eGFR analysis. Obesity, a high eGFR at baseline, and faster eGFR decline were associated with larger eGFR fluctuations. To circumvent the issue of eGFR fluctuation in the assessment of the rate of eGFR decline, we developed a system that generates a long-term eGFR plot using all eGFR values for a participant, which enabled the detection of occult CKD, facilitating early therapeutic intervention. ","subitem_description_type":"Abstract"},{"subitem_description":"Conclusion:\nThe construction of long-term eGFR plots is useful for identifying patients with progressive eGFR decline, as it minimizes the effect of eGFR fluctuation. ","subitem_description_type":"Abstract"}]},"item_4_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_4_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Japanese Society of Internal Medicine"}]},"item_4_publisher_34":{"attribute_name":"別言語の出版者","attribute_value_mlt":[{"subitem_publisher":"日本内科学会"}]},"item_4_relation_10":{"attribute_name":"PubMed番号","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"35705311","subitem_relation_type_select":"PMID"}}]},"item_4_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"10.2169/internalmedicine.8298-21"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.2169/internalmedicine.8298-21","subitem_relation_type_select":"DOI"}}]},"item_4_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© 2022 by The Japanese Society of Internal Medicine"}]},"item_4_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1349-7235","subitem_source_identifier_type":"ISSN"}]},"item_4_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"NAKAZAWA, Jun"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMANAKA, Satoru"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YOSHIDA, Shohei"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YOSHIBAYASHI, Mamoru"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YOSHIOKA, Miho"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ITO, Takamasa"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ARAKI, Shin-ichi"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"KUME, Shinji"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"MAEGAWA, Hiroshi"}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-07-14"}],"displaytype":"detail","filename":"internalmedicine.8298-2.pdf","filesize":[{"value":"931.8 kB"}],"format":"application/pdf","license_note":"The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"internalmedicine.8298-2","url":"https://shiga-med.repo.nii.ac.jp/record/4289/files/internalmedicine.8298-2.pdf"},"version_id":"6129f3aa-95c4-4734-97eb-0e7d43f23d51"},{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-07-14"}],"displaytype":"detail","filename":"internalmedicine.8298-2_Suppl material.pdf","filesize":[{"value":"57.6 kB"}],"format":"application/pdf","license_note":"The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"internalmedicine.8298-2_Suppl material","url":"https://shiga-med.repo.nii.ac.jp/record/4289/files/internalmedicine.8298-2_Suppl material.pdf"},"version_id":"d4b175d5-48df-41db-bf48-3a852d203c65"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"chronic kidney disease","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"eGFR","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"long-term eGFR plot","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"eGFR fluctuation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"occult CKD","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"A Long-term Estimated Glomerular Filtration Rate Plot Analysis Permits the Accurate Assessment of a Decline in the Renal Function by Minimizing the Influence of Estimated Glomerular Filtration Rate Fluctuations.","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"A Long-term Estimated Glomerular Filtration Rate Plot Analysis Permits the Accurate Assessment of a Decline in the Renal Function by Minimizing the Influence of Estimated Glomerular Filtration Rate Fluctuations."}]},"item_type_id":"4","owner":"11","path":["221"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-07-14"},"publish_date":"2022-07-14","publish_status":"0","recid":"4289","relation_version_is_last":true,"title":["A Long-term Estimated Glomerular Filtration Rate Plot Analysis Permits the Accurate Assessment of a Decline in the Renal Function by Minimizing the Influence of Estimated Glomerular Filtration Rate Fluctuations."],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T11:12:26.845721+00:00"}