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. 2019 Dec 17;33(4):803–816. doi: 10.1007/s40620-019-00686-z

Table 6.

Management of hypocalcemia within 90 days following first hypocalcemia episode

Management of hypocalcemia following first hypocalcemic event  Overall First hypocalcemia
Mild Ca 2.0– < 2.1 mmol/L N = 415 Moderate Ca 1.87– < 2.0 mmol/L N = 141 Severe Ca < 1.87 mmol/L N = 54
No. at risk n % No. at risk n % No. at risk n % No. at risk n %
Dialysate calcium concentration
 Increased 610 102 17 415 60 15 141 30 21 54 12 22
 Stable 610 472 77 415 329 79 141 103 73 54 40 74
 Decreased 610 15 3 415 13 3 141 2 1 54 0 0
Cinacalcet
 Increased 610 91 15 415 67 16 141 21 15 54 3 6
 Stable 610 374 61 415 255 61 141 86 61 54 33 61
 Discontinued 610 42 7 415 33 8 141 4 3 54 5 9
 Reduced 610 102 17 415 59 14 141 30 21 54 13 24
Calcitriol/alfacalcidol
 Initiated 486 41 8 326 20 6 115 13 11 45 8 18
 Up-titrated 124 30 24 89 23 26 26 5 19 9 2 22
 Initiated or up-titrated 610 71 12 415 43 10 141 18 13 54 10 19
 Stable 124 73 59 89 53 60 26 14 54 9 6 67
 Down-titrated 124 17 14 89 11 12 26 5 19 9 1 11
 Discontinued 124 4 3 89 2 2 26 2 8 9 0 0
Paricalcitol
 Initiated 394 65 17 258 39 15 96 18 19 40 8 20
 Up-titrated 216 54 25 157 40 26 45 11 24 14 3 21
 Initiated or up-titrated 610 119 20 415 79 19 141 29 21 54 11 20
 Stable 216 115 53 157 84 54 45 22 49 14 9 64
 Down-titrated 216 34 16 157 24 15 45 8 18 14 2 14
 Discontinued 216 13 6 157 9 6 45 4 9 14 0 0
Calcium-based phosphate binder
 Initiated 459 51 11 311 30 10 107 17 16 41 4 10
 Up-titrated 151 25 17 104 14 14 34 9 27 13 2 15
 Initiated or up-titrated 610 76 13 415 44 11 141 26 18 54 6 11
 Stable 151 106 70 104 78 75 34 18 53 13 10 77
 Down-titrated 151 14 9 104 8 8 34 5 15 13 1 8
 Discontinued 151 6 4 104 4 4 34 2 6 13 0 0
Any expected responses1
 No treatment intervention 610 255 42 415 188 45 141 51 36 54 16 30
 Any treatment intervention 610 355 58 415 227 55 141 90 64 54 38 70
Any responses2
 No treatment intervention 610 175 29 415 130 31 141 33 23 54 12 22
 Any treatment intervention 610 435 71 415 285 69 141 108 77 54 42 78

1Any expected treatment response = for Cinacalcet, discontinued or reduced; for Dialysate Calcium: increased calcium; for other drugs: initiated or up-titrated

2Any treatment = any of the changes listed in table