{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T06:15:49Z","timestamp":1773382549914,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["23K07687"],"award-info":[{"award-number":["23K07687"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ther Apher Dial"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Despite recommendations for early nephrology referral in CKD stage G4+, emergency dialysis remains common.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective study evaluated whether pre\u2010dialysis nephrology care duration influences outcomes after initiation. We analyzed 388 hemodialysis patients (2014\u20132022), divided into Short (&lt;\u20093\u2009months) and Long (&gt;\u20096\u2009months) care groups. Clinical and socioeconomic factors were compared using Fisher's exact test, Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      test, and Kaplan\u2013Meier analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The proportion of Short Group patients did not decline over time. Ninety\u2010day survival was significantly lower in the Short Group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). The Long Group had more comorbidities, such as hypertension and diabetes, likely reflecting earlier referral. The Short Group had longer hospital stays, more tunneled catheter use, and fewer AVF placements.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings suggest that nephrology care exceeding 6\u2009months before dialysis may improve short\u2010term survival. Promoting earlier referral of patients with CKD could reduce emergency dialysis and enhance patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1744-9987.70108","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T09:35:06Z","timestamp":1766136906000},"page":"203-209","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Pre\u2010Dialysis Nephrology Care Duration and Short\u2010Term Outcomes in Hemodialysis Patients"],"prefix":"10.1002","volume":"30","author":[{"given":"Haruka","family":"Yamada","sequence":"first","affiliation":[{"name":"Department of Nephrology, National Center for Global Health and Medicine Japan Institute for Health Security  Tokyo Japan"},{"name":"Division of Nephrology and Endocrinology The University of Tokyo Graduate School of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1395-2644","authenticated-orcid":false,"given":"Daisuke","family":"Katagiri","sequence":"additional","affiliation":[{"name":"Department of Nephrology, National Center for Global Health and Medicine Japan Institute for Health Security  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoto","family":"Nunose","sequence":"additional","affiliation":[{"name":"Medical Equipment Management Office, National Center for Global Health and Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuya","family":"Kikuchi","sequence":"additional","affiliation":[{"name":"Department of Nephrology, National Center for Global Health and Medicine Japan Institute for Health Security  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikako","family":"Koizumi","sequence":"additional","affiliation":[{"name":"Department of Nephrology, National Center for Global Health and Medicine Japan Institute for Health Security  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miria","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Nephrology, National Center for Global Health and Medicine Japan Institute for Health Security  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariko","family":"Kawamura","sequence":"additional","affiliation":[{"name":"Department of Nephrology, National Center for Global Health and Medicine Japan Institute for Health Security  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiki","family":"Shimada","sequence":"additional","affiliation":[{"name":"Department of Nephrology, National Center for Global Health and Medicine Japan Institute for Health Security  Tokyo 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