Hyperphosphatemia Features

CME Articles Parathyroid Hormone, Alkaline Phosphatase and Fibroblast Growth Factor 23

Parathyroid Hormone, Alkaline Phosphatase and Fibroblast Growth Factor 23

The management of chronic kidney disease-mineral bone disorder (CKD-MBD) is central to the care of patients with kidney disease. Key to these efforts is the availability of clinically accessible biomarkers that can help distinguish between a wide variety of bone and mineral disturbances related to kidney failure.

Renal Nutrition Update Chewing Gum Could Aid in Phosphorus Control

Chewing Gum Could Aid in Phosphorus Control

Chitosan gum could offer dialysis patients an inexpensive way to control phosphorus nonsystemically without adding to their daily pill burden.

Expert Reviews A Case for Calcium-Based Binders

A Case for Calcium-Based Binders

This article is the second in a series on hyperphosphatemia management in CKD patients.

Latest Hyperphosphatemia News

Heart Abnormality Tied to High Dietary Phosphorus Intake

Consuming too much phosphorus increases the risk of left ventricular hypertrophy in women, study finds

Intradialytic High Protein Meals May Correct Low Albumin

Combined with use of a binder, this approach raised serum albumin while maintaining target phosphorus levels.

Low BMI, Lipid Abnormalities Linked to High FGF-23

Factors unrelated to mineral metabolism may contribute to the association between high FGF-23 and death in dialysis patients.

High Phosphorus Levels Increase Renal Failure Risk

Researchers made the discovery in a study of individuals with normal kidney function.

Hyperphosphatemia Raises Proteinuria Risk in CKD Patients

Proteinuria also is linked to high cholesterol.

Higher Phosphate Reduces VLPD Anti-Proteinuric Response

Reducing phosphate burden may decrease proteinuria and slow progression of renal disease in patients with chronic kidney disease.

Side Effects Cited for Many Binder Discontinuations

Nearly 11% of hemodialysis (HD) patients who discontinued use of a phosphate binder did so because of side effects.

Sodium Bicarbonate Lowers Phosphorus in PD Patients

Oral sodium bicarbonate may ease hyperphosphatemia in peritoneal dialysis (PD) patients with metabolic acidosis.

Phosphorus and Disease Progression in Autosomal Dominant Polycystic Kidney Disease

Dietary phosphorus may have an effect on the progression of autosomal dominant polycystic kidney disease.

Phosphorus Levels Lower in Elderly HD Patients

Serum phosphorus concentrations are significantly lower in elderly hemodialysis (HD) patients compared with younger patients.

Give Priority to Phosphate Control, Researchers Conclude

Phosphate level is a stronger predictor for increased mortality among hemodialysis (HD) patients than calcium and parathyroid hormone (PTH) levels.

Phosphate Binder, Phosphate Diet Act Synergistically

Lanthanum carbonate acts in synergy with dietary phosphate restriction to decrease levels of fibroblast growth factor 23 (FGF-23) in patients with chronic kidney disease (CKD) and normal phosphate levels.

Higher Phosphate, PTH Predict Worse Outcomes

Hyperparathyroidism develops prior to significant hyperphosphatemia in patients with chronic kidney disease (CKD) but not on dialysis.

Optimal Levels of PTH and Phosphorus Defined

New findings presented at Kidney Week 2012 suggest that target serum phosphorus levels in patients on maintenance hemodialysis (MHD) may need to be defined.

High iPTH Raises Hyperphosphatemia Risk

High serum levels of (iPTH) and dietary protein intake are associated with an increased risk of hyperphosphatemia in patients on MH.