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El papel del acceso vascular permanente" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Tab. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "11957_19904_42499_en_11957_16025_42499_en_t1.11957.jpg" "Alto" => 631 "Ancho" => 620 "Tamanyo" => 274602 ] ] "descripcion" => array:1 [ "en" => "Baseline characteristics of the total population according to CKD-EPI eGFR at starting HD." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sergio Marinovich, Jaime Pérez-Loredo, Carlos Lavorato, Guillermo Rosa-Díez, Liliana Bisigniano, Víctor Fernández, Daniela Hansen-Krogh" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Sergio" "apellidos" => "Marinovich" ] 1 => array:2 [ "nombre" => "Jaime" "apellidos" => "Pérez-Loredo" ] 2 => array:2 [ "nombre" => "Carlos" "apellidos" => "Lavorato" ] 3 => array:2 [ "nombre" => "Guillermo" "apellidos" => "Rosa-Díez" ] 4 => array:2 [ "nombre" => "Liliana" "apellidos" => "Bisigniano" ] 5 => array:2 [ "nombre" => "Víctor" "apellidos" => "Fernández" ] 6 => array:2 [ "nombre" => "Daniela" "apellidos" => "Hansen-Krogh" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X0211699514053622" "doi" => "10.3265/Nefrologia.pre2013.Oct.11957" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514053622?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X201325141405362X?idApp=UINPBA000064" "url" => "/20132514/0000003400000001/v0_201502091619/X201325141405362X/v0_201502091620/en/main.assets" ] ] "itemSiguiente" => array:17 [ "pii" => "X0211699514053614" "issn" => "02116995" "doi" => "10.3265/Nefrologia.pre2013.Nov.12002" "estado" => "S300" "fechaPublicacion" => "2014-01-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia. 2014;34:88-95" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 6925 "formatos" => array:3 [ "EPUB" => 356 "HTML" => 5434 "PDF" => 1135 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Peritonitis asociada a la diálisis peritoneal, 27 años de experiencia en un único centro, Medellín, Colombia" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "88" "paginaFinal" => "95" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Peritoneal dialysis-related peritonitis: twenty-seven years of experience in a Colombian medical center" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "John F. 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El papel del acceso vascular permanente" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "76" "paginaFinal" => "87" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Sergio Marinovich, Jaime Pérez-Loredo, Carlos Lavorato, Guillermo Rosa-Díez, Liliana Bisigniano, Víctor Fernández, Daniela Hansen-Krogh" "autores" => array:7 [ 0 => array:4 [ "nombre" => "Sergio" "apellidos" => "Marinovich" "email" => array:1 [ 0 => "sergio.marinovich@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 1 => array:3 [ "nombre" => "Jaime" "apellidos" => "Pérez-Loredo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] 2 => array:3 [ "nombre" => "Carlos" "apellidos" => "Lavorato" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 3 => array:3 [ "nombre" => "Guillermo" "apellidos" => "Rosa-Díez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 4 => array:3 [ "nombre" => "Liliana" "apellidos" => "Bisigniano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "affc" ] ] ] 5 => array:3 [ "nombre" => "Víctor" "apellidos" => "Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "affc" ] ] ] 6 => array:3 [ "nombre" => "Daniela" "apellidos" => "Hansen-Krogh" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "affd" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Comité de Estadísticas y Registros, Sociedad Argentina de Nefrología, Ciudad Autónoma de Buenos Aires, Argentina, " "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] 1 => array:3 [ "entidad" => "Cátedra de Nefrología, Universidad Católica Argentina, Ciudad Autónoma de Buenos Aires, Argentina, " "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] 2 => array:3 [ "entidad" => "Comisión Científico Técnica, Instituto Central Único Coordinador de Ablación e Implante, Ciudad Autónoma de Buenos Aires, Argentina, " "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "affc" ] 3 => array:3 [ "entidad" => "Departamento de Informática, Instituto Central Único Coordinador de Ablación e Implante, Ciudad Autónoma de Buenos Aires, Argentina, " "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "affd" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Initial Glomerular Filtration Rate and Survival in Hemodialysis. The role of permanent vascular access" ] ] "pdfFichero" => "P1-E565-S4482-A11957.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:6 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec433241" "palabras" => array:1 [ 0 => "Acceso vascular" ] ] 1 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec433243" "palabras" => array:1 [ 0 => "Sobrevida" ] ] 2 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec433245" "palabras" => array:1 [ 0 => "Hemodiálisis" ] ] 3 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec433247" "palabras" => array:1 [ 0 => "Tasa de filtración glomerular" ] ] 4 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec433249" "palabras" => array:1 [ 0 => "Enfermedad renal crónica terminal" ] ] 5 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec433251" "palabras" => array:1 [ 0 => "Epidemiología" ] ] ] "en" => array:6 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec433242" "palabras" => array:1 [ 0 => "Vascular access" ] ] 1 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec433244" "palabras" => array:1 [ 0 => "Survival" ] ] 2 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec433246" "palabras" => array:1 [ 0 => "Hemodialysis" ] ] 3 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec433248" "palabras" => array:1 [ 0 => "Glomerular filtration rate" ] ] 4 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec433250" "palabras" => array:1 [ 0 => "End-stage renal diseases" ] ] 5 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec433252" "palabras" => array:1 [ 0 => "Clinical epidemiology" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Antecedentes:</span> Entre 2004 y 2009, se observó en Argentina un aumento significativo del número de pacientes que iniciaban un tratamiento crónico de hemodiálisis (HD) con una tasa de filtrado glomerular estimada (TFGe) ≥ 10 ml/min/1,73 m2. <span class="elsevierStyleBold">Métodos:</span> Para su estudio, calculamos las razones de riesgo (RR) de mortalidad en una cohorte de individuos incidentes en HD del Registro Argentino de Diálisis Crónica (2004-2009), que se agrupó, en función de la TFG inicial estimada por CKD-EPI (0-4,9; 5-9,9; 10-14,9; y ≥ 15 ml/min/1,73 m2, siendo 0-4,9 el grupo de referencia), en tres cohortes: «población total», «cohorte sana» (< 65 años sin diabetes ni ningún tipo de comorbilidad) y «cohorte con entrada prevista» (con acceso vascular permanente). <span class="elsevierStyleBold">Resultados:</span> Tras ajustar los datos de la población (n = 16 931) en función de la edad, el sexo, las enfermedades coexistentes, la albúmina sérica, los ingresos y la existencia de un acceso vascular temporal, se observó una RR de 1,19 (95 % IC: 1,07-1,33) en el grupo con una TFGe ≥ 15 ml/min/1,73 m2. En la cohorte formada por 3897 individuos «sanos», se obtuvieron, tras ajustar las mismas covariables, unas RR de 1,44 (95 % IC: 1,08-1,65) y 1,65 (95 % IC: 1,06-2,55) para los grupos con TFGe iniciales de 10-14,9 y ≥ 15 ml/min/1,73 m2, respectivamente. En los pacientes con «entrada prevista» (n = 6280), tras ajustar los resultados en función de la edad, el sexo, la comorbilidad, el nivel de albúmina sérica y los ingresos, las RR de todos los grupos no difirieron significativamente de las del grupo de control.<span class="elsevierStyleBold"> Conclusiones:</span> Iniciar el tratamiento de HD con una TFGe > 10 ml/min/1,73 m<span class="elsevierStyleSup">2</span> no revela ninguna ventaja de supervivencia. La mayor mortalidad del grupo con mayor TFGe que inicia la diálisis es un «artefacto» que está relacionado con una mayor edad, la existencia de más comorbilidades, la hipoalbuminemia y el uso de accesos vasculares temporales.</p>" ] "en" => array:1 [ "resumen" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Background</span><span class="elsevierStyleBold">:</span> A significant increase in the number of patients starting chronic hemodialysis (HD) with an estimated glomerular filtration rate (eGFR)≥10mL/min/1.73m<span class="elsevierStyleSup">2</span> was observed in Argentina between 2004 and 2009. <span class="elsevierStyleBold">Methods</span><span class="elsevierStyleBold">:</span> In order to study this topic, we calculated the mortality hazard ratios (HR) in a cohort of incident HD individuals from the Argentine Registry of Chronic Dialysis [<span class="elsevierStyleItalic">Registro Argentino de Diálisis Crónica</span>] (2004-2009), grouped according to the initial eGFR (0-4.9, 5-9.9, 10-14.9 and ≥15mL/min/1.73m<span class="elsevierStyleSup">2</span> ; reference group 0-4.9) estimated by CKD-EPI; in three cohorts: “total population”, “healthy (<65 years, without diabetes or comorbidities) and “planned entry” (with permanent vascular access). <span class="elsevierStyleBold">Results</span><span class="elsevierStyleBold">:</span> After adjusting the population (n=16,931) for age, gender, coexisting conditions, serum albumin, income, and temporary vascular access a HR of 1.19 (95%CI:1.07-1.33) was observed in the group with eGFR≥15mL/min/1.73m<span class="elsevierStyleSup">2</span>. In the cohort of 3,897 “healthy” after adjusting for the same co-variates, HRs of 1.44 (95%CI: 1.08-1.65) and 1.65 (95%CI: 1.06-2.55) were obtained for the groups with baseline eGFR values of 10-14.9 and ≥15mL/min/1.73m<span class="elsevierStyleSup">2</span>, respectively. In “planned entry” patients (n=6,280), after adjusting for age, gender, co-morbidities, serum albumin and income, HRs in all groups were not significantly different as compared to the control group. <span class="elsevierStyleBold">Conclusions</span><span class="elsevierStyleBold">:</span> HD initiation with eGFR>10mL/min/1.73m<span class="elsevierStyleSup">2</span> shows no survival advantage. The higher mortality in the group with >eGFR starting dialysis looks like an “artifact” related to higher age, more co-morbidities, low albuminemia and the use of temporary vascular access.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:46 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "NKF-DOQI clinical practice guidelines for hemodialysis adequacy. National Kidney Foundation. Am J Kidney Dis 1997;30(3 Suppl 2):S15-66." "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Hemodialysis Adequacy 2006 Work Group. Clinical practice guidelines for hemodialysis adequacy, update 2006. 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año/Mes | Html | Total | |
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2024 Noviembre | 14 | 6 | 20 |
2024 Octubre | 61 | 59 | 120 |
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2023 Diciembre | 56 | 34 | 90 |
2023 Noviembre | 40 | 40 | 80 |
2023 Octubre | 47 | 44 | 91 |
2023 Septiembre | 48 | 35 | 83 |
2023 Agosto | 56 | 26 | 82 |
2023 Julio | 53 | 38 | 91 |
2023 Junio | 62 | 23 | 85 |
2023 Mayo | 49 | 37 | 86 |
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2023 Marzo | 45 | 49 | 94 |
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2022 Diciembre | 46 | 97 | 143 |
2022 Noviembre | 63 | 63 | 126 |
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2021 Diciembre | 47 | 51 | 98 |
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2021 Enero | 33 | 41 | 74 |
2020 Diciembre | 26 | 21 | 47 |
2020 Noviembre | 22 | 31 | 53 |
2020 Octubre | 36 | 28 | 64 |
2020 Septiembre | 41 | 21 | 62 |
2020 Agosto | 38 | 16 | 54 |
2020 Julio | 42 | 26 | 68 |
2020 Junio | 53 | 18 | 71 |
2020 Mayo | 49 | 30 | 79 |
2020 Abril | 37 | 28 | 65 |
2020 Marzo | 23 | 12 | 35 |
2020 Febrero | 53 | 36 | 89 |
2020 Enero | 48 | 42 | 90 |
2019 Diciembre | 37 | 39 | 76 |
2019 Noviembre | 49 | 42 | 91 |
2019 Octubre | 49 | 25 | 74 |
2019 Septiembre | 39 | 38 | 77 |
2019 Agosto | 38 | 34 | 72 |
2019 Julio | 34 | 27 | 61 |
2019 Junio | 38 | 34 | 72 |
2019 Mayo | 31 | 42 | 73 |
2019 Abril | 64 | 51 | 115 |
2019 Marzo | 34 | 37 | 71 |
2019 Febrero | 26 | 40 | 66 |
2019 Enero | 14 | 30 | 44 |
2018 Diciembre | 83 | 57 | 140 |
2018 Noviembre | 103 | 21 | 124 |
2018 Octubre | 80 | 23 | 103 |
2018 Septiembre | 87 | 26 | 113 |
2018 Agosto | 51 | 20 | 71 |
2018 Julio | 40 | 20 | 60 |
2018 Junio | 45 | 21 | 66 |
2018 Mayo | 50 | 21 | 71 |
2018 Abril | 59 | 21 | 80 |
2018 Marzo | 42 | 9 | 51 |
2018 Febrero | 67 | 17 | 84 |
2018 Enero | 54 | 10 | 64 |
2017 Diciembre | 63 | 8 | 71 |
2017 Noviembre | 70 | 18 | 88 |
2017 Octubre | 23 | 14 | 37 |
2017 Septiembre | 36 | 20 | 56 |
2017 Agosto | 40 | 14 | 54 |
2017 Julio | 36 | 16 | 52 |
2017 Junio | 47 | 17 | 64 |
2017 Mayo | 61 | 14 | 75 |
2017 Abril | 39 | 16 | 55 |
2017 Marzo | 41 | 14 | 55 |
2017 Febrero | 30 | 6 | 36 |
2017 Enero | 29 | 8 | 37 |
2016 Diciembre | 75 | 10 | 85 |
2016 Noviembre | 102 | 12 | 114 |
2016 Octubre | 140 | 29 | 169 |
2016 Septiembre | 227 | 6 | 233 |
2016 Agosto | 274 | 6 | 280 |
2016 Julio | 286 | 15 | 301 |
2016 Junio | 203 | 0 | 203 |
2016 Mayo | 189 | 0 | 189 |
2016 Abril | 155 | 0 | 155 |
2016 Marzo | 141 | 0 | 141 |
2016 Febrero | 175 | 0 | 175 |
2016 Enero | 155 | 0 | 155 |
2015 Diciembre | 171 | 0 | 171 |
2015 Noviembre | 149 | 0 | 149 |
2015 Octubre | 173 | 0 | 173 |
2015 Septiembre | 137 | 0 | 137 |
2015 Agosto | 162 | 0 | 162 |
2015 Julio | 152 | 0 | 152 |
2015 Junio | 81 | 0 | 81 |
2015 Mayo | 138 | 0 | 138 |
2015 Abril | 46 | 0 | 46 |
2015 Febrero | 1651 | 0 | 1651 |