Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/12168
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dc.contributor.authorRoberts, Matthew A-
dc.contributor.authorHare, David L-
dc.contributor.authorSikaris, Ken-
dc.contributor.authorIerino, Francesco L-
dc.date.accessioned2015-05-16T01:49:11Z
dc.date.available2015-05-16T01:49:11Z
dc.date.issued2014-04-10en
dc.identifier.citationClinical Journal of the American Society of Nephrology : Cjasn 2014; 9(6): 1024-32en
dc.identifier.govdoc24721887en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/12168en
dc.description.abstractB-type natriuretic peptide (BNP) concentration predicts outcome in patients undergoing dialysis. Because survival and cardiovascular risk change across the CKD continuum, serial changes in BNP were compared in patients at different CKD stages and after kidney transplantation.Patients with CKD stages 3 and 4 (CKD 3-4), dialysis patients, and kidney transplant recipients (KTRs) from one center had two measurements of BNP taken a median of 161 days apart in 2003-2004 and were followed until July 2012. Both BNP-32 (Triage BNP; Biosite Diagnostics) and NT-BNP-76 (proBNP; Roche Diagnostics) were assayed. The interaction between change in log-transformed BNP concentration over time and patient group was tested by fitting regression models on panel data with random effects. Survival after the second measurement was compared by tertile of change in BNP.Patients with CKD 3-4 (n=48), dialysis patients (n=102), and KTRs (n=73) were followed for a median of 5.7, 4.8, and 5.9 years, respectively. The interaction between patient group and BNP measurements over time was significant for NT-BNP-76 (P<0.001) and BNP-32 (P<0.01). Median NT-BNP-76 increased in dialysis patients and those with CKD 3-4 from 3850 pg/ml (interquartile range [IQR], 1776-12,323 pg/ml) to 18,830 pg/ml (IQR, 6114-61,009 pg/ml; P<0.001) and from 698 pg/ml (IQR, 283-2922 pg/ml) to 2529 pg/ml (IQR, 347-9277 pg/ml; P=0.002), respectively. Change was not significant for KTRs or comparisons made with BNP-32. Survival rate was significantly lower for patients with the highest tertile of change in NT-BNP-76 among patients with CKD 3-4 (P=0.02), but not in the dialysis or KTR groups. In 11 patients who received a kidney transplant during the study, median NT-BNP-76 decreased from 9607 pg/ml (IQR, 2292-31,282 pg/ml) to 457 pg/ml (IQR, 203-863 pg/ml) after transplant (P<0.01).The temporal trajectory of BNP differs between dialysis patients and those with CKD 3-4 and KTRs. This has important implications for the development of BNP-guided management strategies in CKD.en
dc.language.isoenen
dc.subject.otherB-type natriuretic peptideen
dc.subject.othercardiovascular diseaseen
dc.subject.otherchronic kidney diseaseen
dc.subject.otherdialysisen
dc.subject.otherkidney transplanten
dc.titleTemporal trajectory of B-type natriuretic peptide in patients with CKD stages 3 and 4, dialysis, and kidney transplant.en
dc.typeJournal Articleen
dc.identifier.journaltitleClinical journal of the American Society of Nephrology : CJASNen
dc.identifier.affiliationDepartment of Renal Medicine, Eastern Health Clinical School, Monash University, Victoria, Australiaen
dc.identifier.affiliationDepartment of Cardiology, Department of Medicine, University of Melbourne, Victoria, Australiaen
dc.identifier.affiliationMelbourne Pathology Service, Collingwood, Victoria, Australiaen
dc.identifier.affiliationDepartment of Nephrology, Austin Health, Victoria, Australiaen
dc.identifier.doi10.2215/CJN.08640813en
dc.description.pages1024-32en
dc.identifier.orcid0000-0001-9554-6556-
dc.identifier.pubmedid24721887-
dc.type.austinJournal Articleen
local.name.researcherHare, David L
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairetypeJournal Article-
crisitem.author.deptCardiology-
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