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The efficacy of cinacalcet in the treatment of hyperparathyroidism in turkish hemodialysis patient population

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Altunoren, Orcun
Gungor, Ozkan
Eren, Necmi
Tanrisev, Mehmet
Hur, Ender
Turkmen, Kultigin
Yavuz, Yasemin Coskun
Sahin, Osman Zikirullah
Saglam, Funda
Turan, Mehmet Nuri

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Türk Nefroloji Diyaliz Transplantasyon Dergisi

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OBJECTIVE: Cinacalcet reduces parathyroid hormone levels by increasing the sensitivity of the parathyroid gland to calcium. In this study, we firstly aimed to evaluate the efficacy of cinacalcet in Turkish hemodialysis patients.MATERIAL and METHODS: 4483 hemodialysis patients were screened and 469 patients who had used cinacalcet were included in the study. The patients were divided into 4 groups according to drug usage durations (Group 1: 3 months, Group 2: 6 months, Group 3: 9 months and Group 4: 12 months). The patients' Parathormone, Ca, P and CaxP levels at the 3rd, 6th, 9th and 12th months were compared to the start of treatment and previous months.RESULTS: The levels of Parathormone, Ca, P and CaxP significantly decreased compared to their initial levels in all groups (from 1412 pg/ml to 1222 pg/mL for Parathormone, p< 0,001) in the 3rd month. However, this reduction was not continued in the subsequent months (Parathormone: 1381 pg/ml for the 12th month).CONCLUSION: Cinacalcet may not provide adequate benefit in control of hyperparathyroidism in Turkish hemodialysis patient population.

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Parathyroid-hormone levels, Secondary hyperparathyroidism, Calcimimetic agent, Mineral metabolism, Management, Amg-073, Bone, Cinacalcet, Chronic renal failure, Hemodialysis, Parathormone, Secondary hyperparathyroidism, Urology & nephrology

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