Should Dialysate Calcium be Individualized?
Article first published online: 9 JAN 2014
© 2014 Wiley Periodicals, Inc.
Seminars in Dialysis
Volume 27, Issue 1, pages 4–7, January–February 2014
How to Cite
Messa, P. and Sherman, R. A. (2014), Should Dialysate Calcium be Individualized?. Seminars in Dialysis, 27: 4–7. doi: 10.1111/sdi.12150
- Issue published online: 9 JAN 2014
- Article first published online: 9 JAN 2014
- Project Glomerulonephritis
The growing interest in a personalized choice of dialysate calcium concentration faces some important unsolved questions. First, the desired aims to be achieved should be clarified, as different d-Ca concentrations might differentially impact dialysis calcium balance and serum calcium concentration. A second point to be addressed is how to achieve the desired goals; the kinetics of calcium during dialysis treatment are complex. This is not an easy task and probably only an automatic device able to read serum calcium concentration in real-time and adjust d-Ca to it might supply an effective method for individualizing d-Ca. Finally, it is not even clear whether individualizing d-Ca is worth doing; cost-effectiveness studies might give some further insights into this intricate issue.