The Osteoporotic Effect of Arteriovenous Fistula on the lpsilateral Upper Extremity in Hemodialysis Patients

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dc.authoridözer, ali/0000-0002-7144-4915
dc.authorwosidözer, ali/ABI-2209-2020
dc.contributor.authorBakan, Betul
dc.contributor.authorKalender, Ali Murat
dc.contributor.authorOzer, Ali
dc.contributor.authorSucakli, Mustafa Haki
dc.contributor.authorOzkan, Fuat
dc.contributor.authorDogan, Ekrem
dc.date.accessioned2024-08-04T21:02:06Z
dc.date.available2024-08-04T21:02:06Z
dc.date.issued2013
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: Hemodialysis requires an arteriovenous fistula (AVF), the presence of which may influence the structure of nearby bone. This study analyzed the effect of AVF on ipsilateral upper extremity bone mineral density (BMD), as measured by phalangeal radiographic absorptiometry (RA). Materials and Methods: In this cross-sectional study, phalangeal BMD was measured in both arms by RA in a convenience sample of end-stage renal disease (ESRD) patients with a forearm AVF Patients were excluded if the patient had pathology which might affect distal arm circulation. BMD values (g/cm(2)) from forearms with AVF were compared with values from forearms without AVF Predialysis values of complete blood count, calcium, phosphorus, alkaline phosphatase, parathyroid hormone, urea, creatinine, potassium, albumin, total cholesterol, HDL cholesterol, and LDL cholesterol were determined in all patients; dialysis adequacy values were also calculated. Results: One hundred and sixteen patients agreed to participate in the study. Thirty-three patients were excluded, thus, data were analyzed from 83 patients (59% male, 41% female, mean hemodialysis time: 156 +/- 6 months, mean age: 53 +/- 16 years). AVFs were located in the nondominant hand in all patients. Phalangeal BMD in forearms with AVF (0.28 +/- 0.05 g/cm(2), range: 0.14-0.40) was significantly lower than that in the contralateral forearm (0.30 +/- 0.04 g/cm2, range: 0.79-0.40, p<0.05). Conclusion: In ESRD patients on hemodialysis, BMD is lower in the ipsilateral-to-AVF hand compared to the contralateral-to-AVF hand. In these patients, further investigations should be made to ascertain the ability of BMD assessment in determining fracture risk and to prompt physicians to initiate treatments which will preserve BMD and reduce fractures.en_US
dc.identifier.doi10.4274/tftr.34711
dc.identifier.endpage241en_US
dc.identifier.issn1302-0234
dc.identifier.issue3en_US
dc.identifier.startpage236en_US
dc.identifier.urihttps://doi.org/10.4274/tftr.34711
dc.identifier.urihttps://hdl.handle.net/11616/104489
dc.identifier.volume59en_US
dc.identifier.wosWOS:000324665000011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofTurkiye Fiziksel Tip Ve Rehabilitasyon Dergisi-Turkish Journal of Physical Medicine and Rehabilitationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectOsteoporosisen_US
dc.subjectbone mineral densityen_US
dc.subjectphalangeal radiographic absorptiometryen_US
dc.subjectarteriovenous fistulaen_US
dc.titleThe Osteoporotic Effect of Arteriovenous Fistula on the lpsilateral Upper Extremity in Hemodialysis Patientsen_US
dc.typeArticleen_US

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