Home >> Therapeutic Apheresis and Dialysis, Volume 11, Supplement 1

Achievement of the Japanese Society for Dialysis Therapy Guideline Targets for Mineral Metabolism Measures: One Japanese University Center Result

Authors: Kimata, Naoki; Miwa, Naoko1; Otsubo, Shigeru2; Iwasaki, Tomihito1; Yabuki, Yasuko2; Miyabe, Kumi2; Asamiya, Yukari2; Sato, Keitaro2; Sugi, Orie2; Ikebe, Norisato1; Kiuchi, Kan1; Mineshima, Michio1; Akiba, Takashi1

Source: Therapeutic Apheresis and Dialysis, Volume 11, Supplement 1, October 2007 , pp. S62-S66(5)

Publisher: Wiley-Blackwell

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Abstract:

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A consensus conference for the Guidelines for the Management of Secondary Hyperparathyroidism in Chronic Dialysis Patients was conducted in the general meeting of the Japanese Society for Dialysis Therapy (JSDT) in June 2006, and the guidelines were proposed in the Journal of JSDT in 4 months later. The aim of this study was performed on the status of observance with the data, based on 6 months later proposal of the guidelines. Only 48.9% stayed within the range specified by the calcium and phosphorus guideline. Moreover, only 12% of patients were able to remain within the ranges specified by all three guidelines (calcium, phosphorus, and PTH), 6 months later proposal of the guidelines. In our institution, compliance with the JSDT guidelines was inadequate. Major reasons were the special characteristics of the medical care system and patients in our institution as a university hospital. Further improvement in the contents and method of the use of the guidelines is necessary alongside observation of the present situation in Japan.

Keywords: Japanese Society for Dialysis Therapy Guidelines; Mineral metabolism; Phosphorus; Parathyroid hormone; Serum calcium

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1744-9987.2007.00518.x

Affiliations: 1: Departments of Blood Purification and 2: Medicine, Kidney Center, Tokyo Women's Medical University, Tokyo, Japan

Publication date: 2007-10-01

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