Property | Value |
Name | Effect Of Hemodialysis With High-Flux Filters On Control Of Hyperphosphatemia In Patients With End Stage Renal Disease |
Description | Original article:
Sadredin Rasi Hashemi 1, Hamid Noshad1,*, Hesam Rasul Amini²
Affiliation:- 1Chronic kidney Disease Research center, Tabriz University of Medical Sciences, Tabriz, Iran. 2Faculty of Medicine, Tabriz University of Medical sciences, Tabriz, Iran
The name of the department(s) and institution(s) to which the work should be attributed: 1.Chronic kidney Disease Research center, Tabriz University of Medical Sciences, Tabriz, Iran. 2.Faculty of Medicine, Tabriz University of Medical sciences, Tabriz, Iran
Address reprint requests to Hamid Noshad. Chronic kidney disease Research center, Tabriz university of medical sciences, Tabriz, Iran, Tel:+984113298247, Fax: +984113373966, Mobile: +989143115927.
Article citation: Hashemi SR,Noshad H.Amini HR. Effect of hemodialysis with High-Flux filters on control of hyperphosphatemia in patients with end stage renal disease. J Pharm Biomed Sci. 2014; 04(09):737-742. Available at www.jpbms.info
ABSTRACT Background: Hyperphosphatemia (HP) is one of the most important electrolyte disturbances in patients with end stage renal disease (ESRD). Its treatment is essential for controlling of Hyperparathyroidism, vessel calcifications and cardiovascular mortality. Current studies, evaluates the effect of high-flux hemodialysis on resistant hyperphosphatemia (HP) in ESRD patients. Methods: Forty hemodialyzed patients with resistant HP were enrolled in a clinical trial study conducted at Tabriz University of medical sciences, Tabriz, Iran during February to October 2012. The eligible participants were randomly allocated to High and Low-flyx groups based on random block procedure produced by Random Allocation Software (RAS). All patients hemodialyzed for two months with the same filters (high efficienct). High-Flux (R60) filter in case group (n=20) and low-flux (R6) was used in the control group (n=20). Laboratory data and HD efficiency (KT/V) were compared before and at the end of the study. Quantitative values are compared by in depended student t-test and before-after values compared by paired t-test. Qualitative values compared by chi-square test and p-value less than 0.05 considered significant. Results: There were significant differences in cholesterol, triglyceride, albumin and phosphate levels between both High-flux and Low-flux group and serum phosphate level diminished significantly in High-flux group (p=0.01,p=0.01,p=0.03,p=0.004 respectively).There was not any significant difference in HD efficacy between both groups (P=0.16). Conclusion: High-Flux filter can reduce serum phosphate levels and improve lipid profile in ESRD patients with resistant hyperphosphatemia.
KEYWORDS: Hemodialysis; Hyperphosphatemia; High-Flux filter.
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Copyright © 2014 Hashemi SR.,Noshad H.,Amini HR. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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