S (AoACS) were calculated after multiplication by 100 to express results as a percentage. To confirm the intrareader variability, randomly selected 100 chest X-rays were reexamined by the same reader. The median intra-class correlation coefficient for AoACS was 0.91 [95 confidence interval (CI): 0.71 to 0.99] and 0.90 (95 CI: 0.69 to 0.98) in two readers. In addition, any discrepancies between the two observers were resolved by an independent third reader. Progression of AoAC was defined as an increase in AoACS on the follow-up chest X-ray taken 1 year after PD initiation.Methods Ethics StatementThe study was carried out in accordance with the Declaration of Helsinki and approved by the Institutional Review Board of Yonsei University Health System Clinical Trial Center. We obtained informed written consent from all participants involved in our study.PatientsAll consecutive ESRD 842-07-9 patients over 18 years of age who started PD at Yonsei University Health System between January 2005 and June 2010 were initially included in this prospective observational study. Among a total of 530 incident PD patients, patients with PD duration of less than 3 months, active infection, malignancy, and decompensated liver cirrhosis were excluded. Thus, the remaining 415 patients were included in the final analysis.Follow-up and EndpointsAll patients included in this study were regularly followed-up at the PD clinic, and all deaths and hospitalization were recorded in the serious adverse events database. Mortality events were retrieved from the database and carefully reviewed to determine all-cause and cardiovascular mortality. Cardiovascular mortality was considered death from myocardial infarction or ischemia, congestive heart failure, pulmonary edema, and 
cerebral hemorrhage or vascular disorder. Among 415 patients, follow-up chest X-rays at 12 months were not available in 52 patients; 30 died within 12 months of PD start, 11 changed dialysis modality to HD, 9 underwent kidney transplantation, and 2 were transferred to other PD units. Therefore, the association between the progression of AoAC and survival was analyzed in 363 patients.Demographic and Clinical Data CollectionA well-trained examiner used a questionnaire at the time of PD start to collect demographic data. Traditional cardiovascular risk factors such as age, hypertension, diabetes mellitus, smoking history, and previous history of cardiovascular disease were recorded. In smokers, the amount of smoking was expressed as pack-years; the product of the number of cigarette packs consumed per day by the duration of smoking (years). Cardiovascular disease was defined as a history of coronary, cerebrovascular, or peripheral vascular disease: coronary disease was defined as a history of order BI 78D3 angioplasty, coronary artery bypass grafts, myocardial infarction, or angina and cerebrovascular disease as a history of transient 1326631 ischemic attack, stroke, or carotid endarterectomy, while peripheral vascular disease was defined as a history of claudication, ischemic limb loss and/or ulceration, or peripheral revascularizaStatistical AnalysisStatistical analysis was performed using SPSS for Windows version 18.0 (SPSS Inc., Chicago, IL, USA). Continuous variables were expressed as mean 6 SD, and categorical variables were expressed as a number (percentage). Since hsCRP did not yield a Gaussian distribution, log values were used. In the first analysis, 415 patients were divided into twoProgression of Aortic Arch Calcificat.S (AoACS) were calculated after multiplication by 100 to express results as a percentage. To confirm the intrareader variability, randomly selected 100 chest X-rays were reexamined by the same reader. The median intra-class correlation coefficient for AoACS was 0.91 [95 confidence interval (CI): 0.71 to 0.99] and 0.90 (95 CI: 0.69 to 0.98) in two readers. In addition, any discrepancies between the two observers were resolved by an independent third reader. Progression of AoAC was defined as an increase in AoACS on the follow-up chest X-ray taken 1 year after PD initiation.Methods Ethics StatementThe study was carried out in accordance with the Declaration of Helsinki and approved by the Institutional Review Board of Yonsei University Health System Clinical Trial Center. We obtained informed written consent from all participants involved in our study.PatientsAll consecutive ESRD patients over 18 years of age who started PD at Yonsei University Health System between January 2005 and June 2010 were initially included in this prospective observational study. Among a total of 530 incident PD patients, patients with PD duration of less than 3 months, active infection, malignancy, and decompensated liver cirrhosis were excluded. Thus, the remaining 415 patients were included in the final analysis.Follow-up and EndpointsAll patients included in this study were regularly followed-up at the PD clinic, and all deaths and hospitalization were recorded in the serious adverse events database. Mortality events were retrieved from the database and carefully reviewed to determine all-cause and cardiovascular mortality. Cardiovascular mortality was considered death from myocardial infarction or ischemia, congestive heart failure, pulmonary edema, and cerebral hemorrhage or vascular disorder. Among 415 patients, follow-up chest X-rays at 12 months were not available in 52 patients; 30 died within 12 months of PD start, 11 changed dialysis modality to HD, 9 underwent kidney transplantation, and 2 were transferred to other PD units. Therefore, the association between the progression of AoAC and survival was analyzed in 363 patients.Demographic and Clinical Data CollectionA well-trained examiner used a questionnaire at the time of PD start to collect demographic data. Traditional cardiovascular risk factors such as age, hypertension, diabetes mellitus, smoking history, and previous history of cardiovascular disease were recorded. In smokers, the amount of smoking was expressed as pack-years; the product of the number of cigarette packs consumed per day by the duration of smoking (years). Cardiovascular disease was defined as a history of coronary, cerebrovascular, or peripheral vascular disease: coronary disease was defined as a history of angioplasty, coronary artery bypass grafts, myocardial infarction, or angina and cerebrovascular disease as a history of transient 1326631 ischemic attack, stroke, or carotid endarterectomy, while peripheral vascular disease was defined as a history of claudication, ischemic limb loss and/or ulceration, or peripheral revascularizaStatistical AnalysisStatistical analysis was performed using SPSS for Windows 
version 18.0 (SPSS Inc., Chicago, IL, USA). Continuous variables were expressed as mean 6 SD, and categorical variables were expressed as a number (percentage). Since hsCRP did not yield a Gaussian distribution, log values were used. In the first analysis, 415 patients were divided into twoProgression of Aortic Arch Calcificat.