Hyperparathyroidism and Dialysis Adequacy in Hemodialysis Patients

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAssiut University

About this trial

This cross-sectional study aims to determine the prevalence of secondary hyperparathyroidism among end-stage renal disease patients on regular hemodialysis and to evaluate its relationship with dialysis adequacy at Assiut University Hospitals.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

- Age 18 years or older

Diagnosed with end-stage renal disease

Maintained on regular thrice-weekly hemodialysis for at least three consecutive months

Written informed consent

Disqualifiers

- Primary hyperparathyroidism or prior parathyroidectomy

Active severe infections or acute systemic illnesses

Active malignancy

Severe hepatic dysfunction or chronic liver cirrhosis

Trial population

Adult patients with end-stage renal disease maintained on regular thrice-weekly hemodialysis for at least three months at the Hemodialysis Unit, Nephrology Department, Assiut University Hospitals.

Trial design

Design model

Case-only

Time perspective

Cross-sectional

Treatments tested in this trial

Not listed

Trial groups

130 Participants
are grouped into 1 trial group
Group A: Single cohort: ESRD patients on regular hemodialysis

Trial outcomes

Primary outcomes

1

Prevalence of secondary hyperparathyroidism

Proportion of patients with elevated intact parathyroid hormone (iPTH) levels above the target range (greater than 9 times the upper limit of normal) among regular hemodialysis patients.

Time frame
Baseline

Secondary outcomes

1

Prevalence of adequate dialysis

Proportion of patients achieving target dialysis adequacy defined as single-pool Kt/V (spKt/V) ≥ 1.2 or urea reduction ratio (URR) ≥ 65%.

Time frame
Baseline
2

Correlation between dialysis adequacy and iPTH level

Correlation coefficient between dialysis adequacy parameters (spKt/V and URR) and serum intact parathyroid hormone (iPTH) levels, using Spearman or Pearson correlation as appropriate.

Time frame
Baseline
3

Serum phosphate levels according to dialysis adequacy

Mean serum phosphate concentration (mg/dL) in patients with adequate versus inadequate dialysis.

Time frame
Baseline
4

Serum calcium level

Mean serum calcium concentration (mg/dL) in patients with secondary hyperparathyroidism.

Time frame
Baseline

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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