title: Evaluation of a mineral metabolism protocol in peritoneal dialysis patients.
abstract: OBJECTIVE
  To determine if there is an improvement in the number of peritoneal dialysis (PD) patients who meet target goals for serum phosphorus and parathyroid hormone (iPTH) after the implementation of a dietitian led mineral metabolism protocol.
  
  
  METHODS
  Retrospective, comparative, analytic study.
  
  
  METHODS
  Fraser Health Authority PD units in Abbotsford and New Westminster, British Columbia.
  
  
  METHODS
  One hundred fourty patients from 2009 and 139 patients from 2011 stable on PD for a minimum of 3 months.
  
  
  METHODS
  Change in number of patients meeting target goals for serum phosphorus and iPTH after the implementation of a mineral metabolism protocol for 6 months.
  
  
  RESULTS
  After 6 months of the protocol being initiated, there was no significant difference in number of patients meeting serum phosphorus targets (82.0% vs. 74.5%, P = .126); however, a significant increase in the number of patients who met target iPTH range (60.4% vs. 48.5%, P = .048) was shown.
  
  
  CONCLUSIONS
  Use of a mineral metabolism protocol by dietitians in PD units supports an improvement in iPTH targets.
authors.affiliation: Peritoneal Dialysis Unit, Royal Columbian Hospital, Fraser Health Authority, New Westminster, British Columbia, Canada. Electronic address: shelly.messenger@fraserhealth.ca.
authors.forename: Shelly
authors.initials: S
authors.lastname: Messenger
mesh_terms: D000368:Aged; D001955:British Columbia; D002118:Calcium / Q000097:blood; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008903:Minerals / Q000097:blood*; D009752:Nutritional Status; D018529:Nutritional Support / Q000379:methods*; D064686:Nutritionists; D010281:Parathyroid Hormone / Q000097:blood*; D010530:Peritoneal Dialysis; D010758:Phosphorus / Q000097:blood*; D051436:Renal Insufficiency, Chronic / Q000097:blood / Q000628:therapy*; D012189:Retrospective Studies; D012709:Serum Albumin / Q000378:metabolism
chemical_list: D008903:Minerals; D010281:Parathyroid Hormone; D012709:Serum Albumin; D010758:Phosphorus; D002118:Calcium