Hospital-based screening to detect patients with cadmium nephropathy in cadmium-polluted areas in Japan View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-12

AUTHORS

Toru Sasaki, Hyogo Horiguchi, Akira Arakawa, Etsuko Oguma, Atsushi Komatsuda, Kenichi Sawada, Katsuyuki Murata, Kazuhito Yokoyama, Takehisa Matsukawa, Momoko Chiba, Yuki Omori, Norihiro Kamikomaki

ABSTRACT

BACKGROUND: In health examinations for local inhabitants in cadmium-polluted areas, only healthy people are investigated, suggesting that patients with severe cadmium nephropathy or itai-itai disease may be overlooked. Therefore, we performed hospital-based screening to detect patients with cadmium nephropathy in two core medical institutes in cadmium-polluted areas in Akita prefecture, Japan. METHODS: Subjects for this screening were selected from patients aged 60 years or older with elevated serum creatinine levels and no definite renal diseases. We enrolled 35 subjects from a hospital in Odate city and 22 from a clinic in Kosaka town. Urinary ß2-microglobulin and blood and urinary cadmium levels were measured. RESULTS: The criteria for renal tubular dysfunction and the over-accumulation of cadmium were set as a urinary ß2-microglobulin level higher than 10,000 μg/g cr. and a blood cadmium level higher than 6 μg/L or urinary cadmium level higher than 10 μg/g cr., respectively. Subjects who fulfilled both criteria were diagnosed with cadmium nephropathy. Six out of 57 patients (10.5% of all subjects) had cadmium nephropathy. CONCLUSIONS: This hospital-based screening is a very effective strategy for detecting patients with cadmium nephropathy in cadmium-polluted areas, playing a complementary role in health examinations for local inhabitants. REGISTRATION NUMBER: No. 6, date of registration: 6 June, 2010 (Akita Rosai Hospital), and No. 1117, date of registration: 26 December, 2013 (Akita University). More... »

PAGES

8

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12199-019-0762-3

DOI

http://dx.doi.org/10.1186/s12199-019-0762-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1111666160

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30684957


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