Hidden hypercalcemia and mortality risk in incident hemodialysis patients

摘要: Context: Neither uncorrected- nor albumin-corrected total calcium reliably predict ionized in patients with end-stage renal disease. However, little is known about the consequences of inaccurate assessment concentration using calcium. Objective: We hypothesized that hidden hypercalcemia (ie, elevated normal calcium) and apparent are both associated increased mortality risk. Design, Setting, Patients: identified 874 incident hemodialysis measured serum calcium, albumin, phosphorus, bicarbonate from October 2007 to December 2011, data a large dialysis organization United States. Exposures: Serum concentrations were measured. Main Outcome Measure: The primary outcome was all-cause mortality. Results: There only fair interindex agreement status between cal...