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Cerebrovascular disease incidence, characteristics, and outcomes in patients initiating dialysis: the choices for healthy outcomes in caring for ESRD (CHOICE) study.

Abstract Stroke is the third most common cause of cardiovascular disease death in patients on dialysis therapy; however, characteristics of cerebrovascular disease, including clinical subtypes and subsequent consequences, have not been well described.
PMID
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Health Behavior

Keywords
Journal Title american journal of kidney diseases : the official journal of the national kidney foundation
Publication Year Start
%A Sozio, Stephen M.; Armstrong, Paige A.; Coresh, Josef; Jaar, Bernard G.; Fink, Nancy E.; Plantinga, Laura C.; Powe, Neil R.; Parekh, Rulan S.
%T Cerebrovascular disease incidence, characteristics, and outcomes in patients initiating dialysis: the choices for healthy outcomes in caring for ESRD (CHOICE) study.
%J American journal of kidney diseases : the official journal of the National Kidney Foundation, vol. 54, no. 3, pp. 468-477
%D 09/2009
%V 54
%N 3
%M eng
%B Stroke is the third most common cause of cardiovascular disease death in patients on dialysis therapy; however, characteristics of cerebrovascular disease, including clinical subtypes and subsequent consequences, have not been well described.
%K Adult, Aged, Cerebrovascular Disorders, Choice Behavior, Cohort Studies, Female, Follow-Up Studies, Health Behavior, Humans, Incidence, Kidney Failure, Chronic, Male, Middle Aged, Prospective Studies, Renal Dialysis, Treatment Outcome
%P 468
%L 477
%Y 10.1053/j.ajkd.2009.01.261
%W PHY
%G AUTHOR
%R 2009.......54..468S

@Article{Sozio2009,
author="Sozio, Stephen M.
and Armstrong, Paige A.
and Coresh, Josef
and Jaar, Bernard G.
and Fink, Nancy E.
and Plantinga, Laura C.
and Powe, Neil R.
and Parekh, Rulan S.",
title="Cerebrovascular disease incidence, characteristics, and outcomes in patients initiating dialysis: the choices for healthy outcomes in caring for ESRD (CHOICE) study.",
journal="American journal of kidney diseases : the official journal of the National Kidney Foundation",
year="2009",
month="Sep",
day="19",
volume="54",
number="3",
pages="468--477",
keywords="Adult",
keywords="Aged",
keywords="Cerebrovascular Disorders",
keywords="Choice Behavior",
keywords="Cohort Studies",
keywords="Female",
keywords="Follow-Up Studies",
keywords="Health Behavior",
keywords="Humans",
keywords="Incidence",
keywords="Kidney Failure, Chronic",
keywords="Male",
keywords="Middle Aged",
keywords="Prospective Studies",
keywords="Renal Dialysis",
keywords="Treatment Outcome",
abstract="Stroke is the third most common cause of cardiovascular disease death in patients on dialysis therapy; however, characteristics of cerebrovascular disease, including clinical subtypes and subsequent consequences, have not been well described.",
issn="1523-6838",
doi="10.1053/j.ajkd.2009.01.261",
url="http://www.ncbi.nlm.nih.gov/pubmed/19376618",
language="eng"
}

%0 Journal Article
%T Cerebrovascular disease incidence, characteristics, and outcomes in patients initiating dialysis: the choices for healthy outcomes in caring for ESRD (CHOICE) study.
%A Sozio, Stephen M.
%A Armstrong, Paige A.
%A Coresh, Josef
%A Jaar, Bernard G.
%A Fink, Nancy E.
%A Plantinga, Laura C.
%A Powe, Neil R.
%A Parekh, Rulan S.
%J American journal of kidney diseases : the official journal of the National Kidney Foundation
%D 2009
%8 Sep 19
%V 54
%N 3
%@ 1523-6838
%G eng
%F Sozio2009
%X Stroke is the third most common cause of cardiovascular disease death in patients on dialysis therapy; however, characteristics of cerebrovascular disease, including clinical subtypes and subsequent consequences, have not been well described.
%K Adult
%K Aged
%K Cerebrovascular Disorders
%K Choice Behavior
%K Cohort Studies
%K Female
%K Follow-Up Studies
%K Health Behavior
%K Humans
%K Incidence
%K Kidney Failure, Chronic
%K Male
%K Middle Aged
%K Prospective Studies
%K Renal Dialysis
%K Treatment Outcome
%U http://dx.doi.org/10.1053/j.ajkd.2009.01.261
%U http://www.ncbi.nlm.nih.gov/pubmed/19376618
%P 468-477

PT Journal
AU Sozio, SM
   Armstrong, PA
   Coresh, J
   Jaar, BG
   Fink, NE
   Plantinga, LC
   Powe, NR
   Parekh, RS
TI Cerebrovascular disease incidence, characteristics, and outcomes in patients initiating dialysis: the choices for healthy outcomes in caring for ESRD (CHOICE) study.
SO American journal of kidney diseases : the official journal of the National Kidney Foundation
JI Am. J. Kidney Dis.
PD Sep
PY 2009
BP 468
EP 477
VL 54
IS 3
DI 10.1053/j.ajkd.2009.01.261
LA eng
DE Adult; Aged; Cerebrovascular Disorders; Choice Behavior; Cohort Studies; Female; Follow-Up Studies; Health Behavior; Humans; Incidence; Kidney Failure, Chronic; Male; Middle Aged; Prospective Studies; Renal Dialysis; Treatment Outcome
AB Stroke is the third most common cause of cardiovascular disease death in patients on dialysis therapy; however, characteristics of cerebrovascular disease, including clinical subtypes and subsequent consequences, have not been well described.
ER

PMID- 19376618
OWN - NLM
STAT- MEDLINE
DA  - 20090824
DCOM- 20090914
LR  - 20141210
IS  - 1523-6838 (Electronic)
IS  - 0272-6386 (Linking)
VI  - 54
IP  - 3
DP  - 2009 Sep
TI  - Cerebrovascular disease incidence, characteristics, and outcomes in patients
      initiating dialysis: the choices for healthy outcomes in caring for ESRD (CHOICE)
      study.
PG  - 468-77
LID - 10.1053/j.ajkd.2009.01.261 [doi]
AB  - BACKGROUND: Stroke is the third most common cause of cardiovascular disease death
      in patients on dialysis therapy; however, characteristics of cerebrovascular
      disease, including clinical subtypes and subsequent consequences, have not been
      well described. STUDY DESIGN: Prospective national cohort study, the Choices for 
      Healthy Outcomes in Caring for End-Stage Renal Disease (CHOICE) Study. SETTINGS &
      PARTICIPANTS: 1,041 incident dialysis patients treated in 81 clinics enrolled
      from October 1995 to July 1998, followed up until December 31, 2004. PREDICTOR:
      Time from dialysis therapy initiation. OUTCOMES & MEASUREMENTS: Cerebrovascular
      disease events were defined as nonfatal (hospitalized stroke and carotid
      endarterectomy) and fatal (stroke death) events after dialysis therapy
      initiation. Stroke subtypes were classified by using standardized criteria from
      the Trial of ORG 10172 in Acute Stroke Treatment (TOAST) system. The incidence of
      cerebrovascular event subtypes was analyzed by using time-to-event analyses
      accounting for competing risk of death. Clinical outcomes after stroke were
      abstracted from medical records. RESULTS: 165 participants experienced a
      cerebrovascular event with an overall incidence of 4.9 events/100 person-years.
      Ischemic stroke was the most common (76% of all 200 events), with cardioembolism 
      subtype accounting for 28% of the 95 abstracted ischemic events. Median time from
      onset of symptoms to first stroke evaluation was 8.5 hours (25th and 75th
      percentiles, 1 and 42), with only 56% of patients successfully escaping death,
      nursing home, or skilled nursing facility. LIMITATIONS: Relatively small sample
      size limits power to determine risk factors. CONCLUSIONS: Cerebrovascular disease
      is common in dialysis patients, is identified late, and carries a significant
      risk of morbidity and mortality. Stroke etiologic subtypes on dialysis therapy
      are multifactorial, suggesting risk factors may change the longer one has
      end-stage renal disease. Additional studies are needed to address the poor
      prognosis through prevention, early identification, and treatment.
FAU - Sozio, Stephen M
AU  - Sozio SM
AD  - Department of Medicine, Johns Hopkins University School of Medicine, Baltimore,
      MD 21205, USA. [email protected]
FAU - Armstrong, Paige A
AU  - Armstrong PA
FAU - Coresh, Josef
AU  - Coresh J
FAU - Jaar, Bernard G
AU  - Jaar BG
FAU - Fink, Nancy E
AU  - Fink NE
FAU - Plantinga, Laura C
AU  - Plantinga LC
FAU - Powe, Neil R
AU  - Powe NR
FAU - Parekh, Rulan S
AU  - Parekh RS
LA  - eng
GR  - K24 DK002643/DK/NIDDK NIH HHS/United States
GR  - K24 DK002643/DK/NIDDK NIH HHS/United States
GR  - K24 DK002643-10/DK/NIDDK NIH HHS/United States
GR  - KL2 RR025006/RR/NCRR NIH HHS/United States
GR  - L30 DK079767-01/DK/NIDDK NIH HHS/United States
GR  - R01 DK059616/DK/NIDDK NIH HHS/United States
GR  - R01 DK059616/DK/NIDDK NIH HHS/United States
GR  - R01 DK059616-05S1/DK/NIDDK NIH HHS/United States
GR  - R01 DK072367/DK/NIDDK NIH HHS/United States
GR  - R01 DK072367/DK/NIDDK NIH HHS/United States
GR  - R01 DK072367-02/DK/NIDDK NIH HHS/United States
GR  - R01 HL062985/HL/NHLBI NIH HHS/United States
GR  - R01 HL062985-04/HL/NHLBI NIH HHS/United States
GR  - R01 HL62985/HL/NHLBI NIH HHS/United States
GR  - R01 HS008365/HS/AHRQ HHS/United States
GR  - R21 DK067651/DK/NIDDK NIH HHS/United States
GR  - R21 DK067651/DK/NIDDK NIH HHS/United States
GR  - R21 DK067651-01/DK/NIDDK NIH HHS/United States
GR  - U01 DK057304/DK/NIDDK NIH HHS/United States
GR  - U01 DK057304/DK/NIDDK NIH HHS/United States
GR  - U01 DK057304-07S1/DK/NIDDK NIH HHS/United States
GR  - U01 DK067651/DK/NIDDK NIH HHS/United States
GR  - U01 DK067651/DK/NIDDK NIH HHS/United States
GR  - U01 DK067651-04/DK/NIDDK NIH HHS/United States
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, U.S. Gov't, P.H.S.
DEP - 20090419
PL  - United States
TA  - Am J Kidney Dis
JT  - American journal of kidney diseases : the official journal of the National Kidney
      Foundation
JID - 8110075
SB  - IM
CIN - Am J Kidney Dis. 2009 Sep;54(3):403-5. PMID: 19700060
MH  - Adult
MH  - Aged
MH  - Cerebrovascular Disorders/*epidemiology/etiology/*therapy
MH  - Choice Behavior
MH  - Cohort Studies
MH  - Female
MH  - Follow-Up Studies
MH  - *Health Behavior
MH  - Humans
MH  - Incidence
MH  - Kidney Failure, Chronic/complications/*epidemiology/*therapy
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Renal Dialysis/*adverse effects
MH  - Treatment Outcome
PMC - PMC2744381
MID - NIHMS142090
OID - NLM: NIHMS142090
OID - NLM: PMC2744381
EDAT- 2009/04/21 09:00
MHDA- 2009/09/15 06:00
CRDT- 2009/04/21 09:00
PHST- 2008/09/10 [received]
PHST- 2009/01/14 [accepted]
PHST- 2009/04/19 [aheadofprint]
AID - S0272-6386(09)00432-6 [pii]
AID - 10.1053/j.ajkd.2009.01.261 [doi]
PST - ppublish
SO  - Am J Kidney Dis. 2009 Sep;54(3):468-77. doi: 10.1053/j.ajkd.2009.01.261. Epub
      2009 Apr 19.
TY  - JOUR
AU  - Sozio, Stephen M.
AU  - Armstrong, Paige A.
AU  - Coresh, Josef
AU  - Jaar, Bernard G.
AU  - Fink, Nancy E.
AU  - Plantinga, Laura C.
AU  - Powe, Neil R.
AU  - Parekh, Rulan S.
PY  - 2009/Sep/19
TI  - Cerebrovascular disease incidence, characteristics, and outcomes in patients initiating dialysis: the choices for healthy outcomes in caring for ESRD (CHOICE) study.
T2  - Am. J. Kidney Dis.
JO  - American journal of kidney diseases : the official journal of the National Kidney Foundation
SP  - 468
EP  - 477
VL  - 54
IS  - 3
KW  - Adult
KW  - Aged
KW  - Cerebrovascular Disorders
KW  - Choice Behavior
KW  - Cohort Studies
KW  - Female
KW  - Follow-Up Studies
KW  - Health Behavior
KW  - Humans
KW  - Incidence
KW  - Kidney Failure, Chronic
KW  - Male
KW  - Middle Aged
KW  - Prospective Studies
KW  - Renal Dialysis
KW  - Treatment Outcome
N2  - Stroke is the third most common cause of cardiovascular disease death in patients on dialysis therapy; however, characteristics of cerebrovascular disease, including clinical subtypes and subsequent consequences, have not been well described.
SN  - 1523-6838
UR  - http://dx.doi.org/10.1053/j.ajkd.2009.01.261
UR  - http://www.ncbi.nlm.nih.gov/pubmed/19376618
ID  - Sozio2009
ER  - 
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