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Evaluation of a mineral metabolism protocol in peritoneal dialysis patients
1Peritoneal Dialysis Unit, Royal Columbian Hospital, Fraser Health Authority, New Westminster, British Columbia, Canada.
Objectives:
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.
Design:
Retrospective, comparative, analytic study.
Setting:
Fraser Health Authority PD units in Abbotsford and New Westminster, British Columbia.
Subjects:
One hundred fourty patients from 2009 and 139 patients from 2011 stable on PD for a minimum of 3 months.
Main Outcome Measure:
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.
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