{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T15:37:46Z","timestamp":1774712266229,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,4,7]],"date-time":"2015-04-07T00:00:00Z","timestamp":1428364800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012832","name":"Okinaka Memorial Institute","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012832","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ther Apher Dial"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Destructive spondyloarthropathy (<jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content>) is the most serious spinal complication of dialysis\u2010related amyloidosis in patients on long\u2010term hemodialysis (<jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content>), but we could not find any information about <jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content> in patients on peritoneal dialysis (<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>) for over 10 years. We retrospectively evaluated factors contributing to <jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> patients. Sixty\u2010seven patients on dialysis for 10 to 19 years were compared between a <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> group (<jats:italic>n<\/jats:italic>\u2009=\u200923) or a <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content> group (<jats:italic>n<\/jats:italic>\u2009=\u200944). In the <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> group, nine patients (39%) developed <jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content>. The mean age of <jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content> patients was significantly higher than that of non\u2010<jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content> patients (66.2\u2009\u00b1\u200910.0 vs. 51.0\u2009\u00b1\u200912.8 years, <jats:italic>P<\/jats:italic>\u2009=\u20090.03). The frequency of cervical spine <jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content> did not show any difference between the <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content> groups, but the frequency of lumbar spine <jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content> showed a significant difference (22% vs. 5%, <jats:italic>P<\/jats:italic>\u2009=\u20090.04). The serum beta\u20102 microglobulin (<jats:styled-content style=\"fixed-case\">B2MG<\/jats:styled-content>) level was significantly higher in <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> patients than in <jats:styled-content style=\"fixed-case\">HD<\/jats:styled-content> patients (38.4\u2009mg\/L vs. 27.4\u2009mg\/L, <jats:italic>P<\/jats:italic>\u2009=\u20090.0025). Mechanical stress such as elevation of the intra\u2010abdominal pressure due to infusion of <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> fluid (1500\u2009mL to 2000\u2009mL) for over 10 years might contribute to lumbar <jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content> in patients on long\u2010term <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>.<\/jats:p>","DOI":"10.1111\/1744-9987.12282","type":"journal-article","created":{"date-parts":[[2015,4,8]],"date-time":"2015-04-08T04:48:30Z","timestamp":1428468510000},"page":"393-398","source":"Crossref","is-referenced-by-count":16,"title":["Destructive Spondyloarthropathy in Patients on Long\u2010Term Peritoneal Dialysis or Hemodialysis"],"prefix":"10.1111","volume":"19","author":[{"given":"Noriko","family":"Hayami","sequence":"first","affiliation":[{"name":"Department of Nephrology Toranomon Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junichi","family":"Hoshino","sequence":"additional","affiliation":[{"name":"Department of Nephrology Toranomon Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tastuya","family":"Suwabe","sequence":"additional","affiliation":[{"name":"Department of Nephrology Toranomon Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiichi","family":"Sumida","sequence":"additional","affiliation":[{"name":"Department of Nephrology Toranomon Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koki","family":"Mise","sequence":"additional","affiliation":[{"name":"Department of Nephrology Toranomon Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Hamanoue","sequence":"additional","affiliation":[{"name":"Department of Nephrology Toranomon Hospital  Tokyo 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