Bone mineral density in the lumbar spine and femoral neck increased over time in hemodialysis patients who underwent total parathyroidectomy without autotransplantation.
In a study of hemodialysis patients, mortality risk increased along with phosphorus level, particularly among patients with higher residual renal urea clearance.
Dialysis facilities with the least control of PTH, Ca, and P had the greatest risks.
Just 6.7% of patients had target levels of calcium, phosphorus, and parathyroid hormone a year after surgery.
Subtotal parathyroidectomy may lower the death risk of patients with secondary hyperparathyroidism and calciphylaxis.
The surgery reduced the risk of death from any cause by 37%, meta-analysis shows.
SHPT risk was 4 times higher among patients taking furosemide vs hydrochlorothiazide.
Researchers highlighted the benefit of iPTH monitoring.
The debate continues on how best to use parathyroidectomy to treat severe SHPT.
Researchers found insignificant differences between the 2 surgeries in SHPT persistence and recurrence.
Intact parathyroid hormone levels fell significantly in all patients who underwent total Ptx with autotransplant and 91.6% of subtotal Ptx patients.
In a study, ioPTH decay at 30 minutes post-excision was highly accurate in predicting persistent SHPT.
Study finds a 20% to 25% lower risk for early death over the long term.
Postoperative parathyroid hormone levels of 16.6 pg/mL or higher are associated with a 3-fold increased risk of cardiovascular death.
Lowest relative risk of death observed in patients with serum phosphorus and calcium levels of 4.4 mg/dL and 8.8 mg/dL, respectively.
One-third of patients who missed clinical targets for phosphorus, calcium and/or parathormone remained untreated.
A new study suggests that non-oxidized, biologically active PTH testing may help determine mortality risk in hemodialysis patients.
Novel assay can distinguish between oxidized and nonoxidized forms of parathyroid hormone.
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NEPHROLOGY & UROLOGY NEWS
- Acute Kidney Injury (AKI)
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