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Table 2 Comparison of the TRACP-5b/iPTH ratio among the three categories (low, medium, and high)

From: Bone responsiveness to parathyroid hormone is negatively associated with parathyroid hormone-lowering drug use in patients undergoing hemodialysis: a cross-sectional study

 

TRACP-5b/iPTH ratio

P value

 

Low

(Quartile 1)

Medium

(Quartile 2)

High

(Quartile 3)

 

< 2.06

≧2.06, < 4.46

4.46≦

N

36

35

35

–

Age, years

65 [54, 72]

68 [63, 75]

69 [64, 76]

0.010

Female sex, n

13

15

17

0.568

BMI, kg/m2

21.9 [20.6, 24.6]

23.0 [20.1, 27.1]

20.1 [18.4, 21.8]

0.003

Chronic HD vintage, years

6.8 [3.6, 13.5]

8.7 [3.0, 12.3]

8.0 [2.5, 12.0]

0.730

Anticoagulant during HD, n (%)

 Heparin

30 (83.3)

31 (88.6)

29 (82.9)

0.299

 LMWH

4 (11.1)

4 (11.4)

2 (5.7)

 Nafamostat

2 (5.6)

0 (0)

4 (11.4)

Cause of ESRD, n

 Diabetic nephropathy

12

9

13

0.840

 Nephrosclerosis

9

9

7

 Glomerulonephritis

10

11

7

 Others

5

6

8

Diabetes, n

15

10

13

0.506

Ischemic heart disease, n

10

9

8

0.892

Cerebrovascular disease, n

9

4

5

0.274

CaSR agonist use, n (%)

26 (72.2)

22 (62.9)

13 (37.1)

0.008

 None

10 (27.8)

13 (37.1)

22 (62.9)

0.001

 Cinacalcet/ Evocalcet

20 (55.6)

22 (62.9)

13 (37.1)

 Etelcalcetide (i.v.)

6 (16.7)

0 (0)

0 (0)

VDRA use, n (%)

35 (97.2)

34 (97.1)

28 (80.0)

0.012

 None

1 (2.8)

1 (2.9)

7 (20.0)

0.001

 Alfacalcidol/ Falecalcitriol

10 (27.8)

18 (51.4)

20 (57.1)

 Calcitriol (i.v.)

14 (38.9)

13 (37.1)

5 (14.3)

 Maxacalcitol (i.v.)

11 (30.6)

3 (8.6)

3 (8.6)

P binder use, n (%)

30 (83.3)

31 (88.6)

29 (82.9)

0.759

 None

6 (16.7)

4 (11.4)

6 (17.1)

0.471

 Ca containing

3 (8.3)

3 (8.6)

6 (17.1)

 Non-Ca containing

20 (55.6)

22 (62.9)

13 (37.1)

 Both

7 (19.4)

6 (17.1)

10 (28.6)

Steroid use history, n (%)

5 (13.9)

4 (11.4)

4 (11.4)

0.935

β blocker use, n (%)

18 (50.0)

18 (51.4)

12 (34.3)

0.277

Statin use, n (%)

12 (33.3)

7 (20.0)

9 (25.7)

0.441

Warfarin use, n (%)

0 (0)

4 (11.4)

3 (8.6)

0.130

Bisphosphonate use, n (%)

5 (13.9)

4 (11.4)

5 (14.3)

0.929

Fracture history, n

3

6

6

0.468

Ankle-brachial index

1.10 [1.03, 1.18]

1.09 [1.03, 1.18]

1.10 [1.01, 1.17]

0.819

Alb, g/dL

3.6 [3.3, 3.8]

3.6 [3.4, 3.8]

3.6 [3.4, 3.7]

0.628

cCa, mg/dL

8.9 [8.4, 9.3]

9.2 [8.6, 9.6]

9.1 [8.7, 9.5]

0.109

P, mg/dL

5.6 [4.7, 6.4]

5.3 [4.5, 6.0]

5.0 [4.3, 5.6]

0.054

iPTH, pg/mL

300.1 [227.9, 441.2]

196.7 [129.3, 269.2]

118.8 [66.8, 187.8]

0.0001

25(OH)D, ng/mL

14.0 [11.6, 18.0]

16.6 [12.3, 20.3]

13.3 [9.7, 17.3]

0.075

1, 25(OH)2D, pg/mL

10.0 [5.0, 14.5]

15.0 [11.0, 22.0]

16.0 [8.0, 21.0]

0.003

BAP, μg/L

12.7 [9.3, 18.2]

14.3 [10.8, 18.3]

15.0 [11.3, 19.4]

0.343

TRACP-5b, mU/dL

347.5 [239.5, 500.5]

591.0 [339.0, 777.0]

848.0 [567.0, 1060.0]

0.0001

  1. Abbreviations: Alb Serum albumin, BAP Bone-specific alkaline phosphatase, BMI Body mass index, CaSR Calcium-sensing receptor, cCa Corrected Ca, ESRD End-stage renal disease, HD Hemodialysis, iPTH Intact parathyroid hormone, i.v. Intravenous, LMWH Low-molecular-weight heparin, P Phosphorus, TRACP-5b Tartrate-resistant acid phosphatase-5b, VDRA Vitamin D receptor activator
  2. Values are expressed as the median [interquartile range (IQR)] or as frequencies and percentages [n (%)]