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Fırat University Medical Journal of Health Sciences
2016, Cilt 30, Sayı 2, Sayfa(lar) 077-081
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Evalutaion of Bone Mineral Disorder Markers in Elderly Hemodialysis Patients
İrem PEMBEGÜL YİĞİT1, Ramazan ULU2, Nevzat GÖZEL2, Hüseyin ÇELİKER2, Ayhan DOĞUKAN2, Hülya TAŞKAPAN3
1Malatya Devlet Hastanesi, Nefroloji Kliniği, Malatya, TÜRKİYE
2Fırat Üniversitesi, Tıp Fakültesi, Nefroloji Anabilim Dalı, Elazığ, TÜRKİYE
3İnönü Üniversitesi, Tıp Fakültesi, Nefroloji Anabilim Dalı, Malatya, TÜRKİYE
Keywords: Hemodialysis, elderly, mineral bone disorder

Objective: Chronic Kidney Disease (CKD) is a public health problem worldwide with increased prevalence. Chronic Kidney Disease–Mineral and Bone Disorders (CKD-MBD), which are commonly seen in CKD, have been considered to be the important cause of morbidity and mortality. We aimed to evaluate bone mineral markers and treatments that are performed in different age groups of elderly hemodialysis (HD) patients in routine follow up.

Materials and Methods: 47 elderly HD patients undergoing maintenance HD were divided into two age groups: Group I early elderly (65-74 years old) and Group II mid elderly (75-84 years old). Features of the groups and differences in laboratory parameters and treatment administrations between groups were analyzed.

Results: The mean age was 72.9±4.5 years. A total of 51.1% of patients were women and 40.4 % had diabetes mellitus (DM). Serum intact parathyroid hormone (iPTH) levels were lower while vitamin D replacement and phosphorus binding medication were less in group II (P<0.05). PTH levels (r= - 0.307, P= 0.017), serum P (r= - 0.291, P= 0.024) and albumin levels (r= - 0.291, P=0.024) were found inversely correlated with age.

Conclusion: iPTH levels were found lower and medication usage was less in mid elderly HD patients. DM had no effect on iPTH levels.


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