Hyperphosphatemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients on hemodialysis for at least 6 months and who underwent a dialysis regimen at three times a week with a duration of four hours per session; age range greater than or equal to 18 years; literate or had literate carer; phosphate binder use for at least 12 weeks; parathyroid hormone less than 800pg/mL; signed the written informed consent form
Exclusion criteria
Exclusion criteria: Patients who missed more than one hemodialysis session per month; patients in use of anti-inflammatory hormones; patients with neoplasias or active infectious diseases; patients with indication of use of calcium carbonate as phosphate binder and who had no indication of sevelamer hydrochloride use; hypophosphatemic patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction of serum phosphorus levels from a 15% improvement in the control response rate for group A and a 20% improvement in the control response rate for group B after the intervention;Maintenance of serum phosphorus levels when observing pre and post intervention measurements in groups A and B | — |
Secondary
| Measure | Time frame |
|---|---|
| Reduction in 17% of phosphorus intake by means of analysis of phosphorus intake during before and after intervention through 3-d food record;Maintenance of nutritional status by observing the means of body mass index greater than or equal to 18 Kg/m2 and serum levels of albumin greater than 3,8 g/dL, creatinine greater than 9 mg/dL, total cholesterol between 100 and 200 mg/dL and transferrin between 250 and 450 mg/dL during the interval before and after intervention;Reduction in 25% of pill burden of sevelamer hydrochloride consumed during the interval before and after intervention | — |
Countries
Brazil
Contacts
Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo