Tag Archives: hyperparathyroidism

Influence of Wasting on Hyperparathyroidism in Black Diabetic Hemodialysis Patients

Hemodialysis.com Interview with Rapeepat Lekkham, MD
Nephrology Fellow,
Albert Einstein Medical Center,
Philadelphia, PA

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.

Serum Parathyroid Hormone in Relation to All-Cause and Cardiovascular Mortality

Hemodialysis.com Author Interview: Hanne van Ballegooijen
Hanne van Ballegooijen
VU University Amsterdam
The Netherlands

 

The main findings of this study were that among older individuals higher PTH concentrations were associated with higher all-cause mortality risk, mostly explained by fatal CVD events.

Latest update: 20-5-2013 . Thank you for visitng Hemodialysis.com

Not for specific medical advice. Please consult your physician for recommendations and questions. Editor: Marie Benz info@hemodialysis.com