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. 2007 Jan 24;2007(1):CD001890. doi: 10.1002/14651858.CD001890.pub3

Szeto 2003.

Methods Country: Hong Kong
 Setting/Design: University, randomised trial
 Time frame: 12 months
 Randomisation method: not stated
 Blinding 
 ‐ Participants: Yes
 ‐ Investigators: Yes
 ‐ Outcome assessors: Yes
 ‐ Data analysis: Yes
 Intention‐to‐treat: Yes
 Loss to follow‐up: 4/30 and 3/30 in intervention and control respectively
Participants INCLUSION CRITERIA
 Plasma bicarbonate level measured twice in the 3 months prior to enrolment.
 Total weekly Kt/V < 2.1
 Venous bicarbonate ≤ 25 mmol/L on 2 consecutive measurements
 Stable clinical condition and CAPD regimen for at least 12 months
TREATMENT GROUP
 Number: 30
 Age: 54.3 ± 12.4 years
 Sex (M/F): 16/14
 Duration of dialysis: 39.9 ± 20.8 months
 Diabetes: 12
CONTROL GROUP
 Number: 30
 Age: 56.6 ± 13.2 years
 Sex (M/F): 19/11
 Duration of dialysis: 39.4 ± 26.0 months
 Diabetes: 8
EXCLUSIONS
 Patients unlikely to survive, planned living‐related kidney transplant, transfer to other renal centre within 6 months
Interventions TREATMENT GROUP
 Oral sodium bicarbonate 0.9 g thrice daily
CONTROL GROUP
 Placebo (pure starch tablet)
CO‐INTERVENTIONS
 None stated
Outcomes Total Kt/V
 Residual GFR
 Subjective global assessment of nutrition (SGA)
 Normalised protein nitrogen appearance (NPNA)
 Anthropometric lean body mass (LBM)
 Anthropmetric measures (e.g. biceps skinfold thickness)
 Oedema, weight, hospitalisation, technique failure, mortality
Notes Appearance, packaging and labeling of tablets were identical
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ Adequate

iPTH ‐ immunoactive parathormone