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Serum calcium, phosphate, parathyroid hormone, albumin, aluminium and cholesterol achievement on replacement therapy (Chapter 9).

Serum calcium, phosphate, parathyroid hormone, albumin, aluminium and cholesterol achievement on replacement therapy (Chapter 9). Research Abstract Details 

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  • Serum calcium, phosphate, parathyroid hormone, albumin, aluminium and cholesterol achievement on replacement therapy (Chapter 9). Abstract Text:

    edmund j lambEdmund J Lamb,alex hodsmanAlex Hodsman,dirk van schalkwykDirk van Schalkwyk,david ansellDavid Ansell,graham warwickGraham Warwick,edmund j lambEdmund J Lamb,alex hodsmanAlex Hodsman,dirk van schalkwykDirk van Schalkwyk,david ansellDavid Ansell,graham warwickGraham Warwick,

    In the UK, there is a continuing year-on-year trend towards improvement in serum phosphate control in dialysis patients although overall it still remains poor. The Renal Association (RA) target (<1.8 mmol/l) was achieved in 65% of patients overall, (71% of peritoneal dialysis (PD) patients, 63% of haemo dialysis (HD) patients). Seventy-six percent of UK dialysis patients achieve a corrected calcium concentration within the RA target range. As with serum phosphate, there is a trend of continuing year-on-year improvement. Nearly two-thirds (69%) of patients achieve a calcium x phosphate product within the KDOQI guidelines (<4.4 mmol(2)/l(2)): again, achievement seems to have improved year-on-year. Control was better in PD patients compared with HD patients (73% vs 67% achieving the standard). There remains large between-centre variation in the ability of renal centres to achieve the UK RA target for plasma parathyroid hormone (PTH). As seen in previous years, overall achievement was poor (median 63%, range 47-92% compliance with the standard). Most transplant patients achieve good phosphate and calcium control (99%, range 95-100%) and the percentage of patients achieving serum calcium concentrations within the target range was 84% (range 43-97%). Nearly all (99%) of transplant patients achieved calcium x phosphate product concentrations within the KDOQI target range. There would appear to be wide variation in clinical practice with respect to aluminium monitoring with a suggestion that few centres are following current UK, RA guidelines. Overall in the UK, 83% of HD, 70% of PD and 62% of transplant patients achieve a total cholesterol concentration <5 mmol/l. The percentage of patients with cholesterol <5 mmol/l has increased significantly year-on-year in all three modalities.

    Serum calcium, phosphate, parathyroid hormone, albumin, aluminium and cholesterol achievement on replacement therapy (Chapter 9). Publishing Authors By Initials

    ej lambEJ Lamb,a hodsmanA Hodsman,d van schalkwykD van Schalkwyk,d ansellD Ansell,g warwickG Warwick,ej lambEJ Lamb,a hodsmanA Hodsman,d van schalkwykD van Schalkwyk,d ansellD Ansell,g warwickG Warwick,

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    Serum calcium, phosphate, parathyroid hormone, albumin, aluminium and cholesterol achievement on replacement therapy (Chapter 9). Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Nephrology, dialysis, transplantation : official p

    VOLUME: 22 Suppl 7

    Page Numbers: vii105-vii118

    Journal Abbreviation: Nephrol. Dial. Transplant.

    ISSN: 0931-0509

    DAY: 28

    MONTH: Aug

    YEAR: 2007

    Serum calcium, phosphate, parathyroid hormone, albumin, aluminium and cholesterol achievement on replacement therapy (Chapter 9). Information

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    LANGUAGE: eng

    NlmUniqueID: 8706402

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    Grant and Affiliation Information for Serum calcium, phosphate, parathyroid hormone, albumin, aluminium and cholesterol achievement on replacement therapy (Chapter 9).

    AFFILIATION: UK Renal Registry, Southmead Hospital, Southmead Rd, Bristol, BS10 5NB, UK. Edmund.lamb@ekht.nhs.uk.

    Country: England

    England Research PublicationEngland Research Publication

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    MEDLINETA: Nephrol Dial Transplant

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