{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1362825895261987712.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.1111/sdi.12281"}},{"identifier":{"@type":"URI","@value":"https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fsdi.12281"}},{"identifier":{"@type":"URI","@value":"https://onlinelibrary.wiley.com/doi/pdf/10.1111/sdi.12281"}},{"identifier":{"@type":"URI","@value":"https://onlinelibrary.wiley.com/doi/full-xml/10.1111/sdi.12281"}}],"dc:title":[{"@value":"Evidence for the Prevention and Treatment of Stroke in Dialysis Patients"}],"description":[{"type":"abstract","notation":[{"@value":"<jats:title>Abstract</jats:title><jats:p>The risks of both ischemic and hemorrhagic stroke are particularly high in dialysis patients of any age and outcomes are poor. It is therefore important to identify strategies that safely minimize stroke risk in this population. Observational studies have been unable to clarify the relative importance of traditional stroke risk factors such as blood pressure and cholesterol in those on dialysis, and are affected by biases that usually make them an inappropriate source of data on which to base therapeutic decisions. Well‐conducted randomized trials are not susceptible to such biases and can reliably investigate the causal nature of the association between a potential risk factor and the outcome of interest. However, dialysis patients have been under‐represented in the cardiovascular trials which have proven net benefit of commonly used preventative treatments (e.g., antihypertensive treatments, low‐dose aspirin, carotid revascularization, and thromboprophylaxis for atrial fibrillation), and there remains uncertainty about safety and efficacy of many of these treatments in this high‐risk population. Moreover, the efficacy of renal‐specific therapies that might reduce cardiovascular risk, such as modulators of mineral and bone disorder, online hemodiafiltration, and daily (nocturnal) hemodialysis, have not been tested in adequately powered trials. Recent trials have also demonstrated how widespread current practices could be causing stroke. Therefore, it is important that reliable information on the prevention and treatment of stroke (and other cardiovascular disease) in dialysis patients is generated by performing large‐scale randomized trials of many current and future treatments.</jats:p>"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1382825895261987717","@type":"Researcher","foaf:name":[{"@value":"William Herrington"}],"jpcoar:affiliationName":[{"@value":"Clinical Trial Service Unit and Epidemiological Studies Unit (CTSU) Nuffield Department of Population Health University of Oxford Oxford United Kingdom"},{"@value":"Oxford Kidney Unit Churchill Hospital Oxford University Hospitals NHS Trust Oxford United Kingdom"}]},{"@id":"https://cir.nii.ac.jp/crid/1382825895261987715","@type":"Researcher","foaf:name":[{"@value":"Richard Haynes"}],"jpcoar:affiliationName":[{"@value":"Clinical Trial Service Unit and Epidemiological Studies Unit (CTSU) Nuffield Department of Population Health University of Oxford Oxford United Kingdom"},{"@value":"Oxford Kidney Unit Churchill Hospital Oxford University Hospitals NHS Trust Oxford United Kingdom"}]},{"@id":"https://cir.nii.ac.jp/crid/1382825895261987714","@type":"Researcher","foaf:name":[{"@value":"Natalie Staplin"}],"jpcoar:affiliationName":[{"@value":"Clinical Trial Service Unit and Epidemiological Studies Unit (CTSU) Nuffield Department of Population Health University of Oxford Oxford United Kingdom"}]},{"@id":"https://cir.nii.ac.jp/crid/1382825895261987716","@type":"Researcher","foaf:name":[{"@value":"Jonathan Emberson"}],"jpcoar:affiliationName":[{"@value":"Clinical Trial Service Unit and Epidemiological Studies Unit (CTSU) Nuffield Department of Population Health University of Oxford Oxford United Kingdom"}]},{"@id":"https://cir.nii.ac.jp/crid/1382825895261987713","@type":"Researcher","foaf:name":[{"@value":"Colin Baigent"}],"jpcoar:affiliationName":[{"@value":"Clinical Trial Service Unit and Epidemiological Studies Unit (CTSU) Nuffield Department of Population Health University of Oxford Oxford United Kingdom"}]},{"@id":"https://cir.nii.ac.jp/crid/1382825895261987712","@type":"Researcher","foaf:name":[{"@value":"Martin Landray"}],"jpcoar:affiliationName":[{"@value":"Clinical Trial Service Unit and Epidemiological Studies Unit (CTSU) Nuffield Department of Population Health University of Oxford Oxford United Kingdom"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"08940959"},{"@type":"EISSN","@value":"1525139X"}],"prism:publicationName":[{"@value":"Seminars in Dialysis"}],"dc:publisher":[{"@value":"Wiley"}],"prism:publicationDate":"2014-07-07","prism:volume":"28","prism:number":"1","prism:startingPage":"35","prism:endingPage":"47"},"reviewed":"false","dc:rights":["http://creativecommons.org/licenses/by/4.0/"],"url":[{"@id":"https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fsdi.12281"},{"@id":"https://onlinelibrary.wiley.com/doi/pdf/10.1111/sdi.12281"},{"@id":"https://onlinelibrary.wiley.com/doi/full-xml/10.1111/sdi.12281"}],"createdAt":"2014-07-07","modifiedAt":"2023-10-01","relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1050005822263774720","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Association between serum calcium levels and prognosis, hematoma volume, and onset of cerebral hemorrhage in patients undergoing hemodialysis"}]},{"@id":"https://cir.nii.ac.jp/crid/1360848661339116672","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Impact of the Number of Anti-Thrombosis Agents in Hemodialysis Patients: BOREAS-HD2 Study"}]},{"@id":"https://cir.nii.ac.jp/crid/1390574743625394048","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Characteristics and Prognosis of Stroke in Living Donor Renal Transplant Recipients"}]},{"@id":"https://cir.nii.ac.jp/crid/2050307417127896832","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Impact of atrial fibrillation on the risk of ischemic stroke in patients on hemodialysis : BOREAS-HD3 Study"}]}],"dataSourceIdentifier":[{"@type":"CROSSREF","@value":"10.1111/sdi.12281"},{"@type":"CROSSREF","@value":"10.1007/s10157-020-01991-9_references_DOI_VGvjJtvahtuCBpWPNON8ifb4EKi"},{"@type":"CROSSREF","@value":"10.1186/s12882-019-1400-4_references_DOI_VGvjJtvahtuCBpWPNON8ifb4EKi"},{"@type":"CROSSREF","@value":"10.5551/jat.63189_references_DOI_VGvjJtvahtuCBpWPNON8ifb4EKi"},{"@type":"CROSSREF","@value":"10.1159/000480487_references_DOI_VGvjJtvahtuCBpWPNON8ifb4EKi"}]}