Christian S. Shinaberger, MPH, Ryan D. Kilpatrick, MS, Deborah L

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Longitudinal Associations Between Dietary Protein Intake and Survival in Hemodialysis Patients Christian S. Shinaberger, MPH, Ryan D. Kilpatrick, MS, Deborah L. Regidor, MPH, Charles J. McAllister, MD, Sander Greenland, DrPH, Joel D. Kopple, MD, Kamyar Kalantar-Zadeh, MD, MPH, PhD American Journal of Kidney Diseases Volume 48, Issue 1, Pages 37-49 (July 2006) DOI: 10.1053/j.ajkd.2006.03.049 Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Fig 1 Association between nPNA and 2-year mortality in all 53,933 MHD patients of DaVita dialysis clinics based on time-dependent models using quarterly varying repeated measures. American Journal of Kidney Diseases 2006 48, 37-49DOI: (10.1053/j.ajkd.2006.03.049) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Fig 2 Association between nPNA and 2-year mortality in only the 47,119 MHD patients without significant residual renal function (urinary urea clearance = 0) using time-dependent models and quarterly varying repeated measures. American Journal of Kidney Diseases 2006 48, 37-49DOI: (10.1053/j.ajkd.2006.03.049) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Fig 3 Association between nPNA and 2-year mortality in 22,023 incident MHD patients (dialysis vintage < 6 months) based on time-dependent models using quarterly varying repeated measures. American Journal of Kidney Diseases 2006 48, 37-49DOI: (10.1053/j.ajkd.2006.03.049) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Fig 4 Association between nPNA and 2-year mortality in 31,910 prevalent MHD patients (dialysis vintage > 6 months) based on time-dependent models using quarterly varying repeated measures. American Journal of Kidney Diseases 2006 48, 37-49DOI: (10.1053/j.ajkd.2006.03.049) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Fig 5 Association between change in nPNA (nPCR) during the first 6 months and death in the subsequent 18 months in patients with a baseline nPNA of 0.8 to 1.2 g/kg/d. American Journal of Kidney Diseases 2006 48, 37-49DOI: (10.1053/j.ajkd.2006.03.049) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions

Fig 6 Hypothetical association between dietary protein intake and survival in MHD patients and the possible role of other factors. Whereas case-mix, comorbidity, and dialysis dose may be confounders, MICS may be in the causal pathway of the association between protein intake and survival. American Journal of Kidney Diseases 2006 48, 37-49DOI: (10.1053/j.ajkd.2006.03.049) Copyright © 2006 National Kidney Foundation, Inc. Terms and Conditions