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