[Evolution of the serum aluminum values in the Piedmont dialysis population. Dialysis Centers of the Piedmont].
The authors have evaluated the evolution of values of serum aluminium concentration (Als) in the whole pool of patients undergoing RDT in Piedmont in the years 1982-1990. We have compared the data of the Piedmont Regional Registry of Dialysis and Transplantation at the end of 1990 to those obtained in 1982, 1986 and 1989. A progressive reduction has been observed in the percentage of patients with Als > 100 micrograms/l, who were 13.5% of the pool in 1982 and 7.5% in 1986 and finally decreased to 1.5% in 1990. This is yet more evident for patients dialyzing at home as in 1982 43% of them had a Als > 100 micrograms/l, whereas in 1986 only 8.2% did and in 1990 this percentage had decreased to 3.6%. The values of Als (distinguished by type of treatment of chronic renal failure) show end confirm the improvement of the situation of aluminium accumulation, specially as regards bicarbonate HD where the percentage of patients with Als > 100 micrograms/l decreases from 10.5% in 1986 to 1.7% in 1990. These data point out the efficacy of prevention and control programs regarding aluminium pathology performed in the last years in Piedmont. This has led to a reduction of the severe accumulation syndromes observed in the first years of '80 and has allowed the nephrologist to prepare more correct therapeutic prescriptions.
Servizio di Nefrologia e Dialisi, USSL 27, Ciriè, Torino.
T
T
Fidelio
C
C
Licata
A
A
Serra
B
B
Scalzo
M C
MC
Deabate
G P
GP
Sancipriano
G
G
Iacono
V
V
Calitri
D000535:Aluminum / Q000097:blood*; D015312:Hemodialysis Solutions / Q000009:adverse effects; D006437:Hemodialysis, Home; D006801:Humans; D007558:Italy; D007676:Kidney Failure, Chronic / Q000097:blood / Q000628:therapy; D010531:Peritoneal Dialysis, Continuous Ambulatory; D006435:Renal Dialysis
D015312:Hemodialysis Solutions; D000535:Aluminum
Evoluzione dei valori di alluminio serico nella popolazione dialitica piemontese. Centri Dialisi del Piemonte.