Elderly patients on chronic hemodialysis with hyperparathyroidism: increase of hemoglobin level after intravenous calcitriol

International Urology and Nephrology
Pedro L NevesIdalécio Bernardo

Abstract

In patients on chronic hemodialysis (CHD), hyperparathyroidism (HPTH) is associated with anemia and resistance to erythropoietin (EPO). In the last few years, calcitriol intravenously (IV) has been used with success in the treatment of the HPTH, secondary to chronic renal failure. However, the effects of calcitriol on the hematological parameters of these patients have never been well evaluated. This study included 11 elderly CHD patients (f = 6, m = 5; mean age = 73.6 years, mean time on CHD = 42.8 months) with HPTH under EPO therapy (IV). They were treated for 12 months with calcitriol IV (mean dose = 2.33 mcg/pt/week). Patients with iron deficiency anemia (ferritin < 200 ng/ml) were excluded. The patients were compared before and after 12 months of calcitriol treatment, with respect to several laboratory parameters and with respect to EPO dose. A paired t-test was used. After treatment, we found a decrease of PTH (634 vs. 418 pg/ml, P = 0.029); the serum calcium increased (8.8 vs. 9.9 mg/dl, P = 0.002); no differences were noted in the plasma levels of alkaline phosphatase, phosphorous, BUN, creatinine, Na and K. Mean levels of Hb (10.2 vs. 11.4 g/dl, P = 0.004) and the Hct (30 vs. 34.3, P = 0.004) increased after 12 months ...Continue Reading

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Citations

Apr 8, 2011·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Armin ZittermannJochen Börgermann
Oct 10, 2009·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Cheryl P Sanchez
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Dec 18, 2010·Journal of the American Society of Nephrology : JASN·David A GoodkinFriedrich K Port
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Dec 20, 2013·Journal of the Royal Society, Interface·Alexander KovalevStanislav N Gorb

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