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Treating stage III and stage IV CKD with calcitriol

 

Activated Vitamin D Associated with Mortality Drop in Chronic Kidney Disease

For patients with moderate-to-severe chronic kidney disease and hyperparathyroidism, activated vitamin D appears to lower the risk of death over two years, an observational study found.

The 429 patients with stage 3 or 4 disease who took oral calcitriol had a 26% reduced risk of death (P=0.016) and a 20% reduced risk of death or long-term dialysis (P=0.038) compared with 989 patients who did not take oral calcitriol, Bryan Kestenbaum, M.D., of the University of Washington here, and colleagues reported online in the Journal of the American Society of Nephrology. The results will be published in the August print issue.

These data have great importance to generalists and nephrologists.  These data support the hypothesis that the secondary hyperparathyroidism Is a major problem for these patients.

This entry was written by rcentor, posted on 5/9/2008 at 10:24 am, filed under Clinical articles. Bookmark the permalink. Follow any comments here with the RSS feed for this post. Post a comment or leave a trackback: Trackback URL.

3 Responses to “Treating stage III and stage IV CKD with calcitriol”

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Paul Prescott
May 9th, 2008 / 6:45 pm

Uh huh. My wife is a FP NP, and i would see her RATHER THAN most FPs.

But she is the exception. She is GOOD. She takes care of her patients.

OTOH, I have seen a LOT of NPs, PAs, I would not take my dog to. But i can say the same for a lot of MDs.

Let’s face it. a DEGREE does NOT make you GOOD.

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Alex D
May 11th, 2008 / 1:20 pm

Most Med students are curiously cocky and out of touch with health care as it exist today. Being a doctor does not make you a God and being a CRNP does not make you a doctor. The point is the nurses have a great union and a vision on their future. They are almost unstoppable. Why hire a doctor when you can get a nurse for less? I have worked in the rural setting for years and CRNP’s over the years have become a wet band aid on a festering sore called rural health care. Doctors are sorely needed in the rural setting and the CRNP’s should be used for follow-up visits. But hey that is just my opinion.

Alex ~D~

http://theapocalypsepapers.blogspot.com

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dj
May 14th, 2008 / 4:34 pm

I see NP’s,PA’s and whatever you want to call them being abused or misused on a regular basis. They are supposed to practice under direct supervision. What I sometimes (and more frequently) see is that they are working w.o. ANY supervision to extend the care for whatever physician they are working for (NOT with). This means more income for the physician, more patients seen, and a bigger practice.

What it will end up meaning by the time I am 80 years old is that I will not be seeing a physician on many office visits, if ever. Physicians are making a deal with the devil to some extent by using physician extenders….and may find themselves marginalized in the long run.

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