Managing Electrolyte Imbalances in Kidney Transplant Recipients
Hyperkalemia, hypomagnesemia, and hyperparathyroidism commonly persist after kidney transplant surgery.
Secondary Hyperparathyroidism
SHPT Outcomes Similar for Oral Calcitriol vs IV Vitamin D
Maintenance hemodialysis patients with SHPT who switched from IV vitamin D analogs to oral calcitriol had similar serum levels of iPTH, calcium, and phosphate at 12 months as those who continued on the IV treatment.
Secondary Hyperparathyroidism Associated With Worsening Symptoms
If validated, new study findings may be used to develop a disease-specific patient-reported outcome measure that will inform SHPT treatment.
Cinacalcet Effective in Young Children on Dialysis
Parathyroid hormone levels decreased significantly in pediatric dialysis patients with secondary hyperparathyroidism within 1 month of starting cinacalcet, investigators reported.
Timely Parathyroidectomy Urged in KTRs With Hyperparathyroidism
Parathyroidectomies for kidney transplant recipients with hyperparathyroidism should be timely and without removal of too much parathyroid hormone to avoid steep drops in intact parathyroid hormone, according to investigators.
Guidance on Cinacalcet Use in Pediatric Dialysis
In a position statement on cinacalcet use in children on dialysis, the authors emphasized avoiding hypocalcemia.
High Predialysis PTH Predicts Increased Risk for Uncontrolled PTH
In a study, PTH exceeding 600 pg/mL prior to initiation of dialysis was associated with persistently high PTH in the first year of hemodialysis.
Parathyroidectomy May Offer Survival Edge in SHPT
In a study, patients with severe secondary hyperparathyroidism appeared to benefit the most from surgery.
Intradialytic Hypotension Linked to High Calcium, PTH
In a study of hemodialysis patients, hypercalcemia accompanied by high parathyroid hormone levels was associated with nearly 2.6-fold increased odds of intradialytic hypotension.
Thermal Ablation, Parathyroidectomy Show Similar Efficacy in SHPT
Thermal ablation and parathyroidectomy (PTx) both effectively treat secondary hyperparathyroidism (SHPT), according to research.
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