Tag Archives: hyperparathyroidism
Hemodialysis.com Interview with Rapeepat Lekkham, MD
Albert Einstein Medical Center,
Hemodialysis.com: What are the main findings of the study?
Dr. Lekkham: We conducted the retrospective study on hemodialysis patients who mainly (92.9%) were black and stratified by the absence or presence of wasting syndrome (which defined by serum albumin less than 3.8 g/dl, normalized protein nitrogen appearance (nPNA) less than 0.8 g/kg/day and BMI less than 23 kg/m2) and the association with secondary hyperparathyroidism. Compared to non-diabetic patients, our study found that diabetic patients had a higher mean serum iPTH. Also, serum iPTH was higher in all diabetic non-wasting subgroups patients as well. Other related parameters including mean serum phosphate, serum alkaline phosphatase, the requirement of cinacalcet, vitamin D analogues and phosphate binders were comparable in both groups.