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Table 1 Baseline demographics and clinical data

From: Risk factors and clinical course of hungry bone syndrome after total parathyroidectomy in dialysis patients with secondary hyperparathyroidism

No. of patients

62

Gender (M:F)

16:46

Age at time of surgery (years)

52.6 ± 12.2

Body weight (kg)

52.9 (46–65)

Underlying renal diagnosis, no. of patients (%)

 Diabetic nephropathy

9 (14.5)

 Hypertensive nephropathy

10 (16.1)

 Polycystic kidney

4 (6.5)

 Glomerulonephritis

20 (32.2)

 Unknown

19 (30.6)

RRT at time of surgery

 PD

45 (72.6)

 HD

17 (27.4)

Duration of dialysis (years)

5.9 ± 2.6

Kt/V (weekly)

2.31 ± 0.9

Preoperative serum biochemistry

 iPTH–peak (pmol/L)

170 (131–221)

 iPTH–immediately before operation (pmol/L)

156.5 (122–215)

 ALP–peak (IU/L)

309.5 (192–511)

 ALP–immediately before operation (IU/L)

261 (161–447)

 Calciuma (mmol/L)

2.57 ± 0.21

 Phosphate (mmol/L)

2.28 ± 0.65

 Albumin (g/L)

31 ± 5

 Haemoglobin (g/dL)

9.9 ± 1.5

Preoperative drug treatment

 Phosphate binders (n = 31)

  Calcium carbonate (n = 21) (mg/day)

2904.8 ± 1921.1

  Aluminium hydroxide (n = 4) (mg/day)

1400.0 ± 632.5

  Lanthanum (n = 3) (mg/day)

1083.3 ± 381.9

  Sevelamer (n = 4) (mg/day)

2100.0 ± 1194.4

 Active vitamin D (n = 23)

  Calcitriol (n = 3) (μg/week)

1.00 ± 0.50

  Alfacalcidol (n = 12) (μg/week)

1.17 ± 0.83

  Paricalcitol (n = 8) (μg/week)

24.00 ± 14.30

 Cinacalcet (n = 14) (mg/day)

35.7 ± 16.2

Surgical procedure, no. of patients (%)

 4 glands resected

48 (77.4)

 Less than four glands resected

14 (22.6)

Weight of resected parathyroid tissue (g)

2.56 ± 1.56

Pathology of parathyroid tissue, no. of patients (%)

 Hyperplasia

59 (95.2)

 Adenoma

3 (4.8)

  1. Abbreviations: PD Peritoneal dialysis, HD Hemodialysis, iPTH intact parathyroid hormone, ALP alkaline phosphatase
  2. aAdjusted by serum albumin level