News & Views

Updates in the battle against non-adherence to phosphate binders

The association between hyperphosphatemia and increased mortality and hospitalization in patients with end-stage renal disease (ESRD) on hemodialysis (HD) is well known, yet non-adherence to phosphate-binding treatment and dietary restrictions remains a significant problem.[1] Three recent papers have examined the range of factors influencing adherence, while a fourth discusses the…

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Date of publication:
February 17, 2016

News & Views

The Economic Impact of Improving Phosphate Binder Therapy Adherence

Low adherence to phosphate binders is recognized as a key contributor to poor control of hyperphosphatemia in dialysis patients.[1] Whilst various methods to improve adherence to phosphate binders have been studied, the impact on healthcare cost of poor binder adherence has only recently been analysed. Ramakrishnan et al created a…

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Date of publication:
November 18, 2015

News & Views

Controlling Phosphorous Homeostasis in Chronic Kidney Disease

The importance of controlling phosphorus levels in CKD has recently been reviewed by Jorge Cannata-Andía and Kevin Martin in Nephrology Dialysis Transplantation (Advance Access).[1] In this article we summarize their assessment of the clinical impact of controlling serum phosphorus in CKD, as well as the options available to physicians to…

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Date of publication:
April 27, 2015

News & Views

Challenges in measuring PTH levels consistently

Parathyroid hormone (PTH) levels in US dialysis patients have increased since late 2010, according to recent analysis of DOPPS data. This rise appears to coincide with the implementation of the 2009 KDIGO guidelines, which increased the recommended upper PTH limit. However, as discussions at the 2013 KDIGO Controversies in CKD-MBD…

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Date of publication:
February 12, 2014

News & Views

Calcium balance in the CKD population

To make an accurate assessment of the need for calcium supplementation in a CKD patient, a nephrologist needs a good understanding of the patient’s pre-supplementation calcium balance. In this article we review recent evidence by Spiegel and Brady [1] on this topic along with associated commentary. The Spiegel and Brady…

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Date of publication:
November 8, 2012

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