Achievement of the Japanese Society for Dialysis Therapy guideline targets for mineral metabolism measures: one Japanese university center result.
A consensus conference for the Guidelines for the Management of Secondary Hyperparathyroidism in Chronic Dialysis Patients was conducted in the general meeting of the Japanese Society for Dialysis Therapy (JSDT) in June 2006, and the guidelines were proposed in the Journal of JSDT in 4 months later. The aim of this study was performed on the status of observance with the data, based on 6 months later proposal of the guidelines. Only 48.9% stayed within the range specified by the calcium and phosphorus guideline. Moreover, only 12% of patients were able to remain within the ranges specified by all three guidelines (calcium, phosphorus, and PTH), 6 months later proposal of the guidelines. In our institution, compliance with the JSDT guidelines was inadequate. Major reasons were the special characteristics of the medical care system and patients in our institution as a university hospital. Further improvement in the contents and method of the use of the guidelines is necessary alongside observation of the present situation in Japan.
Kimata
Naoki
N
Department of Blood Purification, Tokyo Women's Medical University, Tokyo, Japan. kimata@kc.twmu.ac.jp
Miwa
Naoko
N
Otsubo
Shigeru
S
Iwasaki
Tomihito
T
Yabuki
Yasuko
Y
Miyabe
Kumi
K
Asamiya
Yukari
Y
Sato
Keitaro
K
Sugi
Orie
O
Ikebe
Norisato
N
Kiuchi
Kan
K
Mineshima
Michio
M
Akiba
Takashi
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002118:Calcium / Q000097:blood*; D003430:Cross-Sectional Studies; D005260:Female; D019983:Guideline Adherence; D006785:Hospitals, University; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000209:etiology / Q000628:therapy; D007564:Japan; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010281:Parathyroid Hormone / Q000097:blood*; D010758:Phosphorus / Q000097:blood*; D017410:Practice Guidelines as Topic; D006435:Renal Dialysis; D012189:Retrospective Studies; D012955:Societies, Medical; D013997:Time Factors
D010281:Parathyroid Hormone; D010758:Phosphorus; D002118:Calcium