Clinical Value of Natriuretic Peptides in Predicting Time to Dialysis in Stage 4 and 5 Chronic Kidney Disease Patients
Publication Date
August 22, 2016
Journal
PLOS ONE
Authors
Sofia Sundqvist, Thomas Larson, Bruno Cauliez, Fabrice Bauer, et al
Volume
11
Issue
8
Pages
e0159914
DOI
https://dx.plos.org/10.1371/journal.pone.0159914
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0159914
Scopus
84984602164
Mendeley
http://www.mendeley.com/research/clinical-value-natriuretic-peptides-predicting-time-dialysis-stage-4-5-chronic-kidney-disease-patien-2
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Mendeley | Further Information

{"title"=>"Clinical value of natriuretic peptides in predicting time to dialysis in stage 4 and 5 chronic kidney disease patients", "type"=>"journal", "authors"=>[{"first_name"=>"Sofia", "last_name"=>"Sundqvist", "scopus_author_id"=>"57190950083"}, {"first_name"=>"Thomas", "last_name"=>"Larson", "scopus_author_id"=>"55378224900"}, {"first_name"=>"Bruno", "last_name"=>"Cauliez", "scopus_author_id"=>"6602246654"}, {"first_name"=>"Fabrice", "last_name"=>"Bauer", "scopus_author_id"=>"55977581400"}, {"first_name"=>"Audrey", "last_name"=>"Dumont", "scopus_author_id"=>"57190950376"}, {"first_name"=>"Frank", "last_name"=>"Le Roy", "scopus_author_id"=>"6701610363"}, {"first_name"=>"Mélanie", "last_name"=>"Hanoy", "scopus_author_id"=>"23993745900"}, {"first_name"=>"Caroline", "last_name"=>"Fréguin-Bouilland", "scopus_author_id"=>"13408451700"}, {"first_name"=>"Michel", "last_name"=>"Godin", "scopus_author_id"=>"7102119955"}, {"first_name"=>"Dominique", "last_name"=>"Guerrot", "scopus_author_id"=>"23993713300"}], "year"=>2016, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "pui"=>"611884802", "doi"=>"10.1371/journal.pone.0159914", "sgr"=>"84984602164", "scopus"=>"2-s2.0-84984602164"}, "id"=>"6f7e9fe9-e143-31af-8913-ea82b809606a", "abstract"=>"Background: Anticipating the time to renal replacement therapy (RRT) in chronic kidney disease (CKD) patients is an important but challenging issue. Natriuretic peptides are biomarkers of ventricular dysfunction related to poor outcome in CKD. We comparatively investigated the value of B-type natriuretic peptide (BNP) and N-terminal pro-B-type natriuretic peptide (NT-proBNP) as prognostic markers for the risk of RRT in stage 4 and 5 CKD patients, and in foretelling all-cause mortality and major cardiovascular events within a 5-year follow-up period. Methods: Baseline plasma BNP (Triage, Biosite) and NT-proBNP (Elecsys, Roche) were measured at inclusion. Forty-three patients were followed-up during 5 years. Kaplan-Meier analysis, with log-rank testing and hazard ratios (HR), were calculated to evaluate survival without RRT, cardiovascular events or mortality. The independent prognostic value of the biomarkers was estimated in separate Cox multivariate analysis, including estimated glomerular filtration rate (eGFR), creatininemia and comorbidities. Results: During the first 12-month follow-up period, 16 patients started RRT. NT-proBNP concentration was higher in patients who reached endpoint (3221 ng/L vs 777 ng/L, p = 0.02). NT-proBNP concentration > 1345 ng/L proved significant predictive value on survival analysis for cardiovascular events (p = 0.04) and dialysis within 60 months follow-up (p = 0.008). BNP concentration > 140 ng/L was an independent predictor of RRT after 12 months followup (p<0.005), and of significant predictive value for initiation of dialysis within 60 months follow-up. Conclusions: Our results indicate a prognostic value for BNP and NT-proBNP in predicting RRT in stage 4 and 5 CKD patients, regarding both short- and long-term periods. NT-proBNP also proved a value in predicting cardiovascular events. Natriuretic peptides could be useful predictive biomarkers for therapeutic guidance in CKD. Copyright &#xa9; 2016 Sundqvist et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.", "link"=>"http://www.mendeley.com/research/clinical-value-natriuretic-peptides-predicting-time-dialysis-stage-4-5-chronic-kidney-disease-patien-2", "reader_count"=>5, "reader_count_by_academic_status"=>{"Researcher"=>1, "Student > Bachelor"=>4}, "reader_count_by_user_role"=>{"Researcher"=>1, "Student > Bachelor"=>4}, "reader_count_by_subject_area"=>{"Mathematics"=>1, "Medicine and Dentistry"=>2, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>2}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Mathematics"=>{"Mathematics"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}}, "group_count"=>1}

Scopus | Further Information

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