Etelcalcetide vs Cinacalcet Treatment Adherence Examined
Secondary hyperparathyroidism remains uncontrolled in many patients with chronic kidney disease.
Secondary hyperparathyroidism remains uncontrolled in many patients with chronic kidney disease.
Recent studies have shown the importance of starting treatment at lower phosphorus and PTH levels on long-term outcomes of SHPT.
Despite the increasing availability of calcimimetics, parathyroidectomy rates in the US have gradually increased.
Patients at risk for postoperative hypocalcemia need more vigilant postoperative monitoring.
Use of home dialysis and modalities other than conventional in-center hemodialysis is expected to grow.
Switching from oral to intravenous calcimimetic may lower PTH levels in patients on hemodialysis with poor tolerance.
The mechanism by which hyperuricemia increases SHPT risk is not completely understood.
The indications for parathyroidectomy included uncontrolled pruritus, bone pain, resistance to medical treatment, and intact PTH levels exceeding 1000 pg/mL.
Perioperative management of serum potassium levels is crucial in patients with kidney failure undergoing parathyroidectomy.
The study findings may help guide decision-making for clinicians caring for patients who receive hemodialysis or kidney transplant with severe secondary hyperparathyroidism.