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Decreased SPP in lower extremities is associated with poor survival in maintenance haemodialysis (HD) patients. Nevertheless, the prognostic significance of SPP at HD initiation has not been determined. We investigated the relation between SPP and death or cardiovascular disease (CVD) in incident HD patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Data were collected retrospectively from patients with SPP measurements taken by dialysis nurses at HD initiation during 2020\u20132023. Then we assessed the association between the minimum value of SPP in the bilateral dorsal\/plantar portions of each patient (SPPmin) and outcomes, consisting of mortality and CVDs within 1\u00a0year after HD initiation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>This study examined 104 incident HD patients with a median age of 74 (79% male). Based on the suggested cut-off value from receiver operating characteristic analysis, patients were divided into two groups: patients with SPPmin\u2009\u2265\u200960\u00a0mmHg (higher SPPmin) and those with SPPmin\u2009&lt;\u200960\u00a0mmHg (lower SPPmin). Kaplan\u2013Meier analysis indicated the 1-year survival and CVD-free rate as significantly lower in the lower SPPmin group than in the higher SPPmin group (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Cox proportional hazards analyses showed lower SPPmin as associated with the composite outcome. The relation between lower SPPmin and outcome held true in each subgroup with cardiovascular risk such as older age and history of CVD.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>SPP measured by dialysis nurses at HD initiation is associated with 1-year adverse outcomes in incident HD patients.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s10157-025-02680-1","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T04:19:16Z","timestamp":1745381956000},"page":"1262-1270","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Skin perfusion pressure in lower extremities at haemodialysis initiation is associated with 1-year mortality and cardiovascular disease"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1874-1846","authenticated-orcid":false,"given":"Yoshifumi","family":"Hamasaki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikie","family":"Imafuku","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kana","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shutaro","family":"Ishii","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryo","family":"Matsuura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaomi","family":"Nangaku","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,23]]},"reference":[{"key":"2680_CR1","doi-asserted-by":"publisher","first-page":"2497","DOI":"10.1016\/j.jacc.2024.02.013","volume":"83","author":"M Writing Committee","year":"2024","unstructured":"Writing Committee M, Gornik HL, Aronow HD, Goodney PP, Arya S, Brewster LP, Byrd L, Chandra V, Drachman DE, Eaves JM, Ehrman JK, Evans JN, Getchius TSD, Gutierrez JA, Hawkins BM, Hess CN, Ho KJ, Jones WS, Kim ESH, Kinlay S, Kirksey L, Kohlman-Trigoboff D, Long CA, Pollak AW, Sabri SS, Sadwin LB, Secemsky EA, Serhal M, Shishehbor MH, Treat-Jacobson D, Wilkins LR. 2024 ACC\/AHA\/AACVPR\/APMA\/ABC\/SCAI\/SVM\/SVN\/SVS\/SIR\/VESS guideline for the management of lower extremity peripheral artery disease: a report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines. 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We provided the participants with information about the study (purpose, method, required data, and duration) on the website of our department and described the opportunity for opting out.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}