Impact of oral calcium on mortality of dialysis patients - an underestimated risk?

© The Author 2012. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissionsoup.comcalcification, calcium, haemodialysis, phosphate, phosphate binder...Phosphate is an accepted trigger and promoter of soft tissue calcificati...

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Bibliographic Details
Main Authors: Bommer, Jürgen (Author) , Ritz, Eberhard (Author)
Format: Article (Journal)
Language:English
Published: 25 April 2012
In: Nephrology, dialysis, transplantation
Year: 2012, Volume: 27, Issue: 7, Pages: 2628-2633
ISSN:1460-2385
DOI:10.1093/ndt/gfs077
Online Access:Verlag, kostenfrei, Volltext: http://dx.doi.org/10.1093/ndt/gfs077
Verlag, kostenfrei, Volltext: https://academic.oup.com/ndt/article/27/7/2628/1849242
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Author Notes:Juergen Bommer, Markus Ketteler, Eberhard Ritz
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Summary:© The Author 2012. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissionsoup.comcalcification, calcium, haemodialysis, phosphate, phosphate binder...Phosphate is an accepted trigger and promoter of soft tissue calcification. Today, oral calcium-containing phosphate binders are still frequently administered to reduce hyperphosphataemia in patients with reduced renal function. There is, however, increasing evidence that a positive calcium balance and elevated serum calcium concentrations may aggravate soft tissue calcification. Some recent controlled [1, 2] trials as well as recent unpublished observational evidence from Dialysis Outcome and Practice Pattern Study (DOPPS) point to increased mortality in renal patients treated with calcium-containing P binders. Unfortunately, each of these studies has some methodological limitations. Nevertheless, a recent meta-analysis documented an increased risk of myocardial infarction and stroke even in patients without kidney disease when treated with calcium supplements [...
Item Description:Gesehen am 05.04.2018
Physical Description:Online Resource
ISSN:1460-2385
DOI:10.1093/ndt/gfs077