Fibroblast Growth Factor 23 and Mortality among Patients Undergoing Hemodialysis
Author(s) -
Orlando M. Gutiérrez,
Michael Mannstadt,
Tamara Isakova,
Jose Alejandro RauhHain,
Hector Tamez,
Anand Shah,
Kelsey Smith,
Hang Lee,
Ravi Thadhani,
Harald Jüppner,
Myles Wolf
Publication year - 2008
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa0706130
Subject(s) - medicine , fibroblast growth factor 23 , hyperphosphatemia , hazard ratio , hemodialysis , odds ratio , liter , gastroenterology , kidney disease , confidence interval , risk factor , quartile , proportional hazards model , prospective cohort study , endocrinology , urology , parathyroid hormone , calcium
Fibroblast growth factor 23 (FGF-23) is a hormone that increases the rate of urinary excretion of phosphate and inhibits renal production of 1,25-dihydroxyvitamin D, thus helping to mitigate hyperphosphatemia in patients with kidney disease. Hyperphosphatemia and low 1,25-dihydroxyvitamin D levels are associated with mortality among patients with chronic kidney disease, but the effect of the level of FGF-23 on mortality is unknown.
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