Title |
Practical use of sevelamer in chronic kidney disease patients on dialysis in People’s Republic of China
|
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Published in |
Therapeutics and Clinical Risk Management, April 2015
|
DOI | 10.2147/tcrm.s64657 |
Pubmed ID | |
Authors |
Lin Meng, Bin Fu |
Abstract |
Hyperphosphatemia is a common complication of dialysis patients. Only 38.5% of Chinese dialysis patients met the Kidney Disease Outcomes Quality Initiative defined targets for serum phosphate. Sevelamer is a high molecular weight cationic hydrogel polymer that prevents absorption of dietary phosphate by binding it in the gastrointestinal tract. In Chinese trials, it was confirmed that sevelamer had better efficacy than calcium carbonate in terms of reducing the serum level of phosphorus and calcium-phosphate product. Sevelamer can also reduce the levels of lipid parameters and improve the micro-inflammatory state. When sevelamer was combined with other treatments, it elicited superior effects on calcium phosphorus metabolism, secondary hyperparathyroidism, and renal osteodystrophy. Combination treatment of sevelamer and traditional Chinese medicine has the unique advantage. However, sevelamer is associated with a high incidence of gastrointestinal adverse effects in Chinese patients. Although more effective, the practical use of sevelamer is not very common because it is expensive and not paid by medical insurance. This article provides a comprehensive review of the practical use of sevelamer in chronic kidney disease patients on dialysis in People's Republic of China. |
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Geographical breakdown
Country | Count | As % |
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Unknown | 25 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 5 | 20% |
Student > Bachelor | 5 | 20% |
Student > Doctoral Student | 4 | 16% |
Student > Master | 2 | 8% |
Lecturer | 1 | 4% |
Other | 2 | 8% |
Unknown | 6 | 24% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 3 | 12% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 8% |
Agricultural and Biological Sciences | 2 | 8% |
Psychology | 2 | 8% |
Other | 3 | 12% |
Unknown | 8 | 32% |