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Maduell F, Rodriguez N, Arias-Guillén M, Jiménez S, Alemany B, Durán C, Fontseré N, Vera M, Carrera M, Arcal C, Pérez N, Cases A, Campistol JM

Dialysate calcium individualisation: a pending issue.

Nefrologia. 2012;32(5):579-86, PMID: 23013943

Calcium is one of the key elements to consider in patients on dialysis due to its relationship with cardiovascular risk. The introduction of non-calcium-based phosphate binders and calcimimetics has changed the setting for pre-dialysis serum calcium in recent years from 9.5-10.5mg/dl to 8.5-9.5mg/dl. To assess more accurately the changes in calcium (Ca) during haemodialysis sessions and to individualise prescriptions, the aim of this study was to assess the intradialytic changes of two different dialysate Ca concentrations before and after hemodialysis and their implications in controlling calcium-phosphate metabolism.


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Ministerio de Economía y Competitividad Fondo Europeo de Desarrollo Regional IMIM - Parc de Salut Mar