title: Achievement of the Japanese Society for Dialysis Therapy guideline targets for mineral metabolism measures: one Japanese university center result.
abstract: 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.
authors.affiliation: Department of Blood Purification, Tokyo Women's Medical University, Tokyo, Japan. kimata@kc.twmu.ac.jp
authors.forename: Naoki
authors.initials: N
authors.lastname: Kimata
authors.forename: Naoko
authors.initials: N
authors.lastname: Miwa
authors.forename: Shigeru
authors.initials: S
authors.lastname: Otsubo
authors.forename: Tomihito
authors.initials: T
authors.lastname: Iwasaki
authors.forename: Yasuko
authors.initials: Y
authors.lastname: Yabuki
authors.forename: Kumi
authors.initials: K
authors.lastname: Miyabe
authors.forename: Yukari
authors.initials: Y
authors.lastname: Asamiya
authors.forename: Keitaro
authors.initials: K
authors.lastname: Sato
authors.forename: Orie
authors.initials: O
authors.lastname: Sugi
authors.forename: Norisato
authors.initials: N
authors.lastname: Ikebe
authors.forename: Kan
authors.initials: K
authors.lastname: Kiuchi
authors.forename: Michio
authors.initials: M
authors.lastname: Mineshima
authors.forename: Takashi
authors.initials: T
authors.lastname: Akiba
mesh_terms: 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
chemical_list: D010281:Parathyroid Hormone; D010758:Phosphorus; D002118:Calcium