{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:58:27Z","timestamp":1745470707574,"version":"3.40.4"},"reference-count":14,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2007,3,7]],"date-time":"2007-03-07T00:00:00Z","timestamp":1173225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2007,3,7]],"date-time":"2007-03-07T00:00:00Z","timestamp":1173225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nephron Clin Pract"],"abstract":"<i>Background:<\/i> Secondary hyperparathyroidism, malnutrition and inflammation have been reported to associate with adverse outcomes in dialysis patients. However, little is known about the implications of these conditions for treatment costs. <i>Methods:<\/i> The cost data of all adult patients who had entered dialysis therapy at Tampere University Hospital between 1991 and 1996 and had remained on dialysis for at least 1 year were collected. Results of measurements of parathyroid hormone (PTH), calcium, phosphorus, albumin and C-reactive protein (CRP) were obtained from the database of the hospital. <i>Results:<\/i> Patients (n = 109), aged 57.0 \u00b1 14.9 years, included 57% men and 37% diabetics; 62% started on hemodialysis and 38% on peritoneal dialysis. Average daily costs were USD 161 (range 95\u2013360). After controlling for patients\u2019 age, body mass index, gender, dialysis modality and primary renal disease, there was a positive correlation between average CRP and average costs and a negative correlation between albumin and costs. Correlations between mineral metabolism markers and costs were not found, but there was a trend towards lower cost among patients who achieved the Kidney Disease Outcomes Quality Initiative targets of calcium, phosphorus and PTH (USD 145 \u00b1 31) compared with those with nonoptimal levels (USD 165 \u00b1 48; p = 0.095). Costs of patients with at least one in-target PTH measurement were lower than costs of patients with constantly low PTH (USD 148 \u00b1 31 vs. 170 \u00b1 48; p = 0.01). <i>Conclusion:<\/i> Serum levels of albumin and CRP correlated with dialysis patients\u2019 treatment costs. Achieving the Kidney Disease Outcomes Quality Initiative targets may be associated with lower costs.<\/jats:p>","DOI":"10.1159\/000100497","type":"journal-article","created":{"date-parts":[[2007,3,9]],"date-time":"2007-03-09T09:43:59Z","timestamp":1173433439000},"page":"c17-c23","source":"Crossref","is-referenced-by-count":1,"title":["Implications of Levels of Serum Mineral Metabolism Markers, Albumin and C-Reactive Protein for Treatment Costs of Patients on Maintenance Dialysis"],"prefix":"10.1159","volume":"106","author":[{"given":"Tapani","family":"Salonen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juho","family":"Piirto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tuomo","family":"Reina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heikki","family":"Saha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amos","family":"Pasternack","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2007,3,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1523-1755.1999.07304.x"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1093%2Fndt%2Fgfh143"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1093%2Fndt%2Fgfh1051"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1523-1755.63.s85.26.x"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1053%2Fajkd.1998.v31.pm9531176"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1056%2FNEJM199507203330307"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1053%2Fj.ajkd.2005.09.024"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1093%2Fndt%2F17.5.723"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1093%2Fndt%2F15.7.953"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016%2FS0272-6386%2803%2900915-6"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1053%2Fj.ajkd.2003.08.024"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097%2F01.ASN.0000133041.27682.A2"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1093%2Fndt%2Fgfg414"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1523-1755.2005.00596.x"}],"container-title":["Nephron Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/100497","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/100497","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T02:51:27Z","timestamp":1745463087000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000100497"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,3,7]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2007,5,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000100497","archive":["Portico"],"relation":{},"ISSN":["1660-2110"],"issn-type":[{"type":"electronic","value":"1660-2110"}],"subject":[],"published":{"date-parts":[[2007,3,7]]}}}