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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Hauptverfasser: Bommer, Jürgen (VerfasserIn) , Ritz, Eberhard (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 25 April 2012
In: Nephrology, dialysis, transplantation
Year: 2012, Jahrgang: 27, Heft: 7, Pages: 2628-2633
ISSN:1460-2385
DOI:10.1093/ndt/gfs077
Online-Zugang: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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Verfasserangaben:Juergen Bommer, Markus Ketteler, Eberhard Ritz

MARC

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520 |a © 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 Some recent controlled [1, 2] trials as well as recent unpublished observational evidence from Dialysis Outcome and Practice Pattern Study (DOPPS) point to increased mortality in renal patients treated with calcium-containing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 [... 
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