Efficacy and tolerability of lanthanum carbonate in treatment of hyperphosphatemia patients receiving dialysis--a systematic review and meta-analysis of randomized controlled trials.

Author: DiBaoshan, GaoXiaoling, HuangWenhui, LiuJing, TangYu, ZhangFengwa

Paper Details 
Original Abstract of the Article :
OBJECTIVE: To evaluate the efficacy and tolerability of lanthanum carbonate (LC) in the treatment of hyperphosphatemia in dialysis patients. METHOD: Multiple databases were used to recruit the published clinical randomized controlled trials (RCTs) comparing LC with placebo for hyperphosphatemia in ...See full text at original site
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引用元:
https://doi.org/10.1185/03007995.2013.838551

データ提供:米国国立医学図書館(NLM)

Lanthanum Carbonate: A Potential Solution for Hyperphosphatemia in Dialysis Patients

In the realm of [renal disease], managing [hyperphosphatemia] in dialysis patients is a constant challenge. This research reviews the effectiveness and tolerability of [lanthanum carbonate] (LC) in controlling hyperphosphatemia. The authors conducted a systematic review and meta-analysis of randomized controlled trials comparing LC to placebo, encompassing a total of 950 patients from seven studies.

The Effectiveness of Lanthanum Carbonate: A Sandstorm of Evidence

This meta-analysis clearly indicates that LC is a powerful tool in the fight against hyperphosphatemia. It was significantly more effective than placebo in controlling phosphate levels. The proportion of patients reaching the target phosphate level was much higher in the LC group. Furthermore, LC helped to maintain [parathyroid hormone] (PTH) and [calcium-phosphate product] (Ca x Pi) levels within recommended ranges. These findings suggest that LC is a promising option for treating hyperphosphatemia in dialysis patients.

Navigating the Side Effects: A Oasis in the Desert?

The researchers also found that LC was generally well tolerated. However, LC treatment was associated with a higher incidence of side effects such as [vomiting] and [nausea] compared to placebo. While these side effects are important to consider, the overall incidence of drug-related adverse events was similar between LC and placebo groups. It's important to remember that the desert of hyperphosphatemia can be tough to navigate, but with careful monitoring and appropriate management, LC could be a valuable oasis for many patients.

Dr.Camel's Conclusion

LC emerges as a potentially effective treatment for hyperphosphatemia in dialysis patients. However, the side effects, particularly gastrointestinal disturbances, should be carefully monitored. As with any medication, it is crucial to consult with a healthcare professional to determine if LC is the right option for you and to manage any potential adverse reactions. Remember, the desert of dialysis is a challenging terrain, but with the right tools and guidance, we can find a path toward improved health and well-being.

Date :
  1. Date Completed 2014-08-29
  2. Date Revised 2018-12-02
Further Info :

Pubmed ID

24063635

DOI: Digital Object Identifier

10.1185/03007995.2013.838551

Related Literature

SNS
PICO Info
in preparation
Languages

English

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