Document Detail


Residual renal function plays an important role in regulating parathyroid hormone in patients on continuous ambulatory peritoneal dialysis.
MedLine Citation:
PMID:  17886623     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the past, hyperparathyroidism was not generally a major problem in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). However, in conjunction with disturbances in serum phosphate, Ca, and CaxP product, hyperparathyroidism has become a serious problem in the cardiovascular diseases of patients with end-stage renal disease-even patients undergoing CAPD. We retrospectively evaluated the first 5 years on CAPD for 17 patients who started and continued dialysis between April 1995 and September 2003. Of these 17 patients, 3 underwent parathyroidectomy. During their clinical course, all of the patients experienced a decline in residual renal function (RRF) that was significantly negatively correlated with their levels of serum Ca and intact parathyroid hormone. Based on these findings, we suggest that RRF is an important factor for the regulation of Ca-P metabolism in patients on CAPD.
Authors:
Saiko Okada; Tsutomu Inoue; Hidetomo Nakamoto; Naofumi Ikeda; Soichi Sugahara; Junko Shoda; Hirokazu Okada; Yoshihiko Kanno; Hiromichi Suzuki
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Advances in peritoneal dialysis. Conference on Peritoneal Dialysis     Volume:  23     ISSN:  1197-8554     ISO Abbreviation:  Adv Perit Dial     Publication Date:  2007  
Date Detail:
Created Date:  2007-09-24     Completed Date:  2007-11-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9104803     Medline TA:  Adv Perit Dial     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  150-4     Citation Subset:  IM    
Affiliation:
Kidney Disease Center, Saitama Medical University, Saitama, Japan.
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MeSH Terms
Descriptor/Qualifier:
Calcium / blood
Female
Humans
Kidney / physiopathology*
Kidney Failure, Chronic / complications,  physiopathology*,  therapy
Male
Middle Aged
Parathyroid Hormone / blood*
Peritoneal Dialysis, Continuous Ambulatory*
Phosphates / blood
Urine
Chemical
Reg. No./Substance:
0/Parathyroid Hormone; 0/Phosphates; 7440-70-2/Calcium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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