Türk Hemodiyaliz Hasta Popülasyonunda Hiperparatiroidizm Tedavisinde Sinakalset'in Etkinliği

The Efficacy of Cinacalcet in the Treatment of Hyperparathyroidism in Turkish Hemodialysis Patient Population

Mehmet TANRISEV, Özkan GÜNGÖR, Orçun ALTUNÖREN, Necmi EREN, Kültigin TÜRKMEN, Ender HÜR

Özet

AMAÇ: Sinakalset paratiroid bezinin kalsiyum'a duyarlılığını artırarak parathormon seviyelerini düşürür. Çalışmada biz ilk olarak Türk hemodiyaliz hastalarında Sinakalset'in etkinliğini değerlendirmeyi amaçladık

Abstract

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