array:21 [
  "pii" => "X201325141200115X"
  "issn" => "20132514"
  "doi" => "10.3265/Nefrologia.pre2012.Feb.11378"
  "estado" => "S300"
  "fechaPublicacion" => "2012-05-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia (English Version). 2012;32:401-2"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4200
    "formatos" => array:3 [
      "EPUB" => 326
      "HTML" => 3184
      "PDF" => 690
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699512001152"
      "issn" => "02116995"
      "doi" => "10.3265/Nefrologia.pre2012.Feb.11378"
      "estado" => "S300"
      "fechaPublicacion" => "2012-05-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2012;32:401-2"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 7077
        "formatos" => array:3 [
          "EPUB" => 307
          "HTML" => 6013
          "PDF" => 757
        ]
      ]
      "es" => array:9 [
        "idiomaDefecto" => true
        "titulo" => "Microalbuminuria, ¿otro uso del paricalcitol? Nuestra experiencia en enfermedad renal crónica avanzada"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "401"
            "paginaFinal" => "402"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Microalbuminuria, another use for paricalcitol? Our experience in advanced chronic kidney disease"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Raquel Blanco-García, Juan J. Bravo-López, Mercedes Moreiras-Plaza, Walfred Nájera-de la Garza, Cynthia Cossio-Annibar, Laura Beato-Coo, Gloria Rodríguez-Goyanes"
            "autores" => array:7 [
              0 => array:2 [
                "nombre" => "Raquel"
                "apellidos" => "Blanco-García"
              ]
              1 => array:2 [
                "nombre" => "Juan J."
                "apellidos" => "Bravo-López"
              ]
              2 => array:2 [
                "nombre" => "Mercedes"
                "apellidos" => "Moreiras-Plaza"
              ]
              3 => array:2 [
                "nombre" => "Walfred"
                "apellidos" => "Nájera-de la Garza"
              ]
              4 => array:2 [
                "nombre" => "Cynthia"
                "apellidos" => "Cossio-Annibar"
              ]
              5 => array:2 [
                "nombre" => "Laura"
                "apellidos" => "Beato-Coo"
              ]
              6 => array:2 [
                "nombre" => "Gloria"
                "apellidos" => "Rodríguez-Goyanes"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X201325141200115X"
          "doi" => "10.3265/Nefrologia.pre2012.Feb.11378"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X201325141200115X?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699512001152?idApp=UINPBA000064"
      "url" => "/02116995/0000003200000003/v0_201502091350/X0211699512001152/v0_201502091351/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251412001141"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.pre2012.Mar.11397"
    "estado" => "S300"
    "fechaPublicacion" => "2012-05-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2012;32:402-3"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4281
      "formatos" => array:3 [
        "EPUB" => 287
        "HTML" => 3291
        "PDF" => 703
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Monitoring haemodialysis in the Cabueñes Hospital"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "402"
          "paginaFinal" => "403"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Monitorización en hemodiálisis en el Hospital de Cabueñes"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig1"
          "etiqueta" => "Tab.  1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier España"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "11397_16025_30585_en_t1_611397.jpg"
              "Alto" => 384
              "Ancho" => 1440
              "Tamanyo" => 182074
            ]
          ]
          "descripcion" => array:1 [
            "en" => "Prevalence during 2011"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ana Suárez-Laurés, Luis Quiñones-Ortiz, Miguel de la Torre-Fernández, Adolfo Torres-Lacalle, Montse de Pablos-Pablo, Susana Puccini, Ramón Forascepi-Roza"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "Ana"
              "apellidos" => "Suárez-Laurés"
            ]
            1 => array:2 [
              "nombre" => "Luis"
              "apellidos" => "Quiñones-Ortiz"
            ]
            2 => array:2 [
              "nombre" => "Miguel"
              "apellidos" => "de la Torre-Fernández"
            ]
            3 => array:2 [
              "nombre" => "Adolfo"
              "apellidos" => "Torres-Lacalle"
            ]
            4 => array:2 [
              "nombre" => "Montse"
              "apellidos" => "de Pablos-Pablo"
            ]
            5 => array:2 [
              "nombre" => "Susana"
              "apellidos" => "Puccini"
            ]
            6 => array:2 [
              "nombre" => "Ramón"
              "apellidos" => "Forascepi-Roza"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699512001144"
        "doi" => "10.3265/Nefrologia.pre2012.Mar.11397"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699512001144?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251412001141?idApp=UINPBA000064"
    "url" => "/20132514/0000003200000003/v0_201502091613/X2013251412001141/v0_201502091614/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251412001168"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.pre2012.Mar.11422"
    "estado" => "S300"
    "fechaPublicacion" => "2012-05-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2012;32:400-1"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 8331
      "formatos" => array:3 [
        "EPUB" => 332
        "HTML" => 7216
        "PDF" => 783
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Effects of suspending ACE inhibitors and ARBs in advanced chronic kidney disease"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "400"
          "paginaFinal" => "401"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Efectos de la suspensión de IECA y ARAII en enfermedad crónica avanzada"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig1"
          "etiqueta" => "Tab.  1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier España"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "11422_16025_30821_en_t1_411422.jpg"
              "Alto" => 489
              "Ancho" => 1446
              "Tamanyo" => 201916
            ]
          ]
          "descripcion" => array:1 [
            "en" => "Evolution of glomerular filtration rate and proteinuria following suspension of ACE inhibitors and ARBs"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Martha E. Díaz-Domínguez, Milagros Fernández-Lucas, Antonio Gomis-Couto, Gloria Ruiz-Roso, José L. Teruel, Carlos Quereda"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Martha E."
              "apellidos" => "Díaz-Domínguez"
            ]
            1 => array:2 [
              "nombre" => "Milagros"
              "apellidos" => "Fernández-Lucas"
            ]
            2 => array:2 [
              "nombre" => "Antonio"
              "apellidos" => "Gomis-Couto"
            ]
            3 => array:2 [
              "nombre" => "Gloria"
              "apellidos" => "Ruiz-Roso"
            ]
            4 => array:2 [
              "nombre" => "José L."
              "apellidos" => "Teruel"
            ]
            5 => array:2 [
              "nombre" => "Carlos"
              "apellidos" => "Quereda"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699512001160"
        "doi" => "10.3265/Nefrologia.pre2012.Mar.11422"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699512001160?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251412001168?idApp=UINPBA000064"
    "url" => "/20132514/0000003200000003/v0_201502091613/X2013251412001168/v0_201502091614/en/main.assets"
  ]
  "en" => array:10 [
    "idiomaDefecto" => true
    "titulo" => "Microalbuminuria, another use for paricalcitol? Our experience in advanced chronic kidney disease"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "401"
        "paginaFinal" => "402"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Raquel Blanco-García, Juan J. Bravo-López, Mercedes Moreiras-Plaza, Walfred Nájera-de la Garza, Cynthia Cossio-Annibar, Laura Beato-Coo, Gloria Rodríguez-Goyanes"
        "autores" => array:7 [
          0 => array:4 [
            "nombre" => "Raquel"
            "apellidos" => "Blanco-García"
            "email" => array:1 [
              0 => "raquel.blanco.garcia@sergas.es"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Juan J&#46;"
            "apellidos" => "Bravo-L&#243;pez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Mercedes"
            "apellidos" => "Moreiras-Plaza"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Walfred"
            "apellidos" => "N&#225;jera-de la Garza"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Cynthia"
            "apellidos" => "Cossio-Annibar"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Laura"
            "apellidos" => "Beato-Coo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Gloria"
            "apellidos" => "Rodr&#237;guez-Goyanes"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Nefrología, Hospital Xeral de Vigo, Vigo, Pontevedra,  "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Nefrología, Hospital Universitario Lucus Agusti, Lugo,   "
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "affb"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Microalbuminuria&#44; &#191;otro uso del paricalcitol&#63; Nuestra experiencia en enfermedad renal cr&#243;nica avanzada"
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">To the Editor&#44;</span></p><p class="elsevierStylePara">Albuminuria increases the risk of progression of renal failure &#40;RF&#41;&#44; even in advanced stages&#46;<span class="elsevierStyleSup">1</span> Renin-angiotensin-aldosterone system &#40;RAAS&#41; inhibitors are the main tool used for reducing albuminuria and slowing the progression of RF&#44; although this treatment is often insufficient&#46;<span class="elsevierStyleSup">2</span> Recently&#44; paricalcitol has been proven effective in reducing albuminuria in certain patients&#46;<span class="elsevierStyleSup">3</span></p><p class="elsevierStylePara">The aim of our study was to assess the usefulness of paricalcitol to reduce albuminuria in patients with stage 4-5 RF&#46;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Method&#58;</span> We included all patients referred to the predialysis unit&#46; Patients were administered paricalcitol at an initial mean dose of 1&#177;0&#46;3&#956;g&#47;day orally&#44; adjusted for calcium&#47;phosphorous metabolic parameters&#46; Follow-up continued for at least 6 months&#44; with three visits every 2 months&#44; in which albuminuria&#44; MDRD&#44; and calcium&#47;phosphorous metabolism parameters were registered&#46; Treatment with RAAS inhibitors and hidroferol continued without change&#46; Statistical analysis&#58; we used analysis of variance for comparing the means of quantitative variables&#44; Wilcoxon tests for comparing medians&#44; and chi-square tests to compare percentages&#46;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Results&#58;</span> Our study included a total of 40 patients&#44; 67&#37; males&#44; with a follow-up period of 135-235 days&#46; Baseline MDRD was 19&#46;5&#177;3ml&#47;min&#44; 97&#46;5&#37; of patients had hypertension&#44; and 35&#37; were diabetic&#46; Mean urine albumin-to-creatinine ratio &#40;UACR&#41; was 1932&#177;1641mg&#47;g&#46; Initial calcium-phosphorous metabolism parameters were&#58; calcium&#58; 8&#46;8&#177;0&#46;5mg&#47;dl&#59; phosphorous&#58; 4&#46;5&#177;0&#46;5mg&#47;dl&#59; intact parathyroid hormone &#40;iPTH&#41;&#58; 473&#177;143pg&#47;ml&#46; At the start of the follow-up period&#44; 25&#37; of patients received angiotensin-converting enzyme inhibitors&#44; 42&#46;5&#37; angiotensin receptor blockers&#44; 55&#37; hidroferol&#44; and 12&#46;5&#37; calcitriol&#46; During the follow-up period&#44; we observed a significant decrease in MDRD &#40;19&#46;5&#177;3ml&#47;min vs 17&#46;3&#177;3&#46;4ml&#47;min&#59; <span class="elsevierStyleItalic">P</span>&#61;&#46;003&#41;&#46; There was also a decrease in iPTH and an increase in calcium&#44; both significant results &#40;473&#177;143pg&#47;ml vs 197&#177;88pg&#47;ml&#44; and 8&#46;84&#177;0&#46;5mg&#47;dl vs 9&#177;0&#46;4mg&#47;dl&#59; <span class="elsevierStyleItalic">P</span>&#61;&#46;00 and <span class="elsevierStyleItalic">P</span>&#61;&#46;01&#44; respectively&#41;&#46; We also observed an increase in phosphorous&#44; although this was not significant &#40;4&#46;5&#177;0&#46;5mg&#47;dl vs 4&#46;8&#177;0&#46;6mg&#47;dl&#59; <span class="elsevierStyleItalic">P</span>&#61;&#46;1&#41;&#46; UACR decreased over the course of the study from an initial mean value of 1932&#177;1641mg&#47;g to the final mean value of 1417&#177;1284mg&#47;g&#44; a 27&#37; decrease &#40;<span class="elsevierStyleItalic">P</span>&#61;&#46;1&#41;&#46; In the group of patients with higher initial UACR values &#40;&#62;3000mg&#47;g&#41;&#44; the decrease was significant &#40;4258&#177;944mg&#47;g vs 2786&#177;1630mg&#47;g&#59; <span class="elsevierStyleItalic">P</span>&#61;&#46;03&#41;&#46; We observed an increase in patients with normalised albuminuria and a decrease in those with albuminuria &#62;3000mg&#47;g&#46; UACR was not associated with treatment with RAAS inhibitors&#44; hidroferol&#44; or calcitriol&#46; In no cases was suspension of treatment necessary due to altered calcium&#47;phosphorous metabolism or secondary side effects&#44; although 17&#37; of patients required dosage adjustments&#46;</p><p class="elsevierStylePara">Our study shows that treatment with paricalcitol in this group of patients is associated with a significant decrease in UACR&#44; leading to a higher proportion of patients with normal excretion of albumin&#44; in addition to providing better control of bone metabolism&#46; The effect was greatest and most significant in patients with higher initial albumin excretion levels&#44; which is the group with the highest risk for progression of RF&#46;<span class="elsevierStyleSup">4</span></p><p class="elsevierStylePara">It may be that the small sample in our study was insufficient to demonstrate the antiproteinuric effects of this treatment with a greater level of significance&#46; We may not have observed significant results in the control of renal function deterioration because of this same reason&#46; Although it was not an objective of this study&#44; we should also keep in mind the decreased cardiovascular risk associated with reduced UACR&#46;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Conclusion&#58;</span> Paricalcitol can be effective in halting proteinuria in patients with stage 4-5 chronic renal failure disease and controlling secondary hyperparathyroidism&#46; Its efficacy in preventing the progression of IR must be verified in future studies&#46;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Conflicts of interest</span></p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">The authors affirm that they have no conflicts of interest related to the content of this article&#46;</p>"
    "pdfFichero" => "P1-E536-S3516-A11378-EN.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:4 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "1.\u{A0}Burton C, Harris KP. The role of proteinuria in the progression of chronic renal failure. Am J Kidney Dis 1996;27(6):765-75. <a href="http://www.ncbi.nlm.nih.gov/pubmed/8651239" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Sarafidis PA, Khosia N, Bakris GL. Antihypertensive therapy in the presence of proteinuria. Am J Kidney Dis 2007;49(1):12-26. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17185142" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Zeeuw D, Agazwal R, Amdahl M, Audhya P, Coyne D, Tushaz G, et al. Selective vitamin D receptor activation with paricalcitol for reduction of albuminuria in patients with type 2 diabetes (VITAL study): a randomised controlled trial. Lancet 2010;376:1543-51. <a href="http://www.ncbi.nlm.nih.gov/pubmed/21055801" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Ruggenenti P, Perna A, Ghezardi G, Benini R, Remuzzi G. Chronic proteinuric nephropathies. Outcomes and response to treatment in a prospective cohort of 352 patients with different patterns of renal injury. Am J Kidney Dis 2000;35(6):1155-65. <a href="http://www.ncbi.nlm.nih.gov/pubmed/10845831" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000003200000003/v0_201502091613/X201325141200115X/v0_201502091614/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35438"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor - Brief papers about basic research or clinical experiences"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003200000003/v0_201502091613/X201325141200115X/v0_201502091614/en/P1-E536-S3516-A11378-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X201325141200115X?idApp=UINPBA000064"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Microalbuminuria, another use for paricalcitol? Our experience in advanced chronic kidney disease
Microalbuminuria, ¿otro uso del paricalcitol? Nuestra experiencia en enfermedad renal crónica avanzada
Raquel Blanco-Garcíaa, Juan J. Bravo-Lópezb, Mercedes Moreiras-Plazaa, Walfred Nájera-de la Garzaa, Cynthia Cossio-Annibara, Laura Beato-Cooa, Gloria Rodríguez-Goyanesa
a Servicio de Nefrología, Hospital Xeral de Vigo, Vigo, Pontevedra,
b Servicio de Nefrología, Hospital Universitario Lucus Agusti, Lugo,
Read
7281
Times
was read the article
2277
Total PDF
5004
Total HTML
Share statistics
 array:21 [
  "pii" => "X201325141200115X"
  "issn" => "20132514"
  "doi" => "10.3265/Nefrologia.pre2012.Feb.11378"
  "estado" => "S300"
  "fechaPublicacion" => "2012-05-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia &#40;English Version&#41;. 2012;32:401-2"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4200
    "formatos" => array:3 [
      "EPUB" => 326
      "HTML" => 3184
      "PDF" => 690
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699512001152"
      "issn" => "02116995"
      "doi" => "10.3265/Nefrologia.pre2012.Feb.11378"
      "estado" => "S300"
      "fechaPublicacion" => "2012-05-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2012;32:401-2"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 7077
        "formatos" => array:3 [
          "EPUB" => 307
          "HTML" => 6013
          "PDF" => 757
        ]
      ]
      "es" => array:9 [
        "idiomaDefecto" => true
        "titulo" => "Microalbuminuria&#44; &#191;otro uso del paricalcitol&#63; Nuestra experiencia en enfermedad renal cr&#243;nica avanzada"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "401"
            "paginaFinal" => "402"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Microalbuminuria&#44; another use for paricalcitol&#63; Our experience in advanced chronic kidney disease"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Raquel Blanco-Garc&#237;a, Juan J&#46; Bravo-L&#243;pez, Mercedes Moreiras-Plaza, Walfred N&#225;jera-de la Garza, Cynthia Cossio-Annibar, Laura Beato-Coo, Gloria Rodr&#237;guez-Goyanes"
            "autores" => array:7 [
              0 => array:2 [
                "nombre" => "Raquel"
                "apellidos" => "Blanco-Garc&#237;a"
              ]
              1 => array:2 [
                "nombre" => "Juan J&#46;"
                "apellidos" => "Bravo-L&#243;pez"
              ]
              2 => array:2 [
                "nombre" => "Mercedes"
                "apellidos" => "Moreiras-Plaza"
              ]
              3 => array:2 [
                "nombre" => "Walfred"
                "apellidos" => "N&#225;jera-de la Garza"
              ]
              4 => array:2 [
                "nombre" => "Cynthia"
                "apellidos" => "Cossio-Annibar"
              ]
              5 => array:2 [
                "nombre" => "Laura"
                "apellidos" => "Beato-Coo"
              ]
              6 => array:2 [
                "nombre" => "Gloria"
                "apellidos" => "Rodr&#237;guez-Goyanes"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X201325141200115X"
          "doi" => "10.3265/Nefrologia.pre2012.Feb.11378"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X201325141200115X?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699512001152?idApp=UINPBA000064"
      "url" => "/02116995/0000003200000003/v0_201502091350/X0211699512001152/v0_201502091351/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251412001141"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.pre2012.Mar.11397"
    "estado" => "S300"
    "fechaPublicacion" => "2012-05-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia &#40;English Version&#41;. 2012;32:402-3"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4281
      "formatos" => array:3 [
        "EPUB" => 287
        "HTML" => 3291
        "PDF" => 703
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Monitoring haemodialysis in the Cabue&#241;es Hospital"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "402"
          "paginaFinal" => "403"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Monitorizaci&#243;n en hemodi&#225;lisis en el Hospital de Cabue&#241;es"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig1"
          "etiqueta" => "Tab.  1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier Espa&#241;a"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "11397_16025_30585_en_t1_611397.jpg"
              "Alto" => 384
              "Ancho" => 1440
              "Tamanyo" => 182074
            ]
          ]
          "descripcion" => array:1 [
            "en" => "Prevalence during 2011"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ana Su&#225;rez-Laur&#233;s, Luis Qui&#241;ones-Ortiz, Miguel de la Torre-Fern&#225;ndez, Adolfo Torres-Lacalle, Montse de Pablos-Pablo, Susana Puccini, Ram&#243;n Forascepi-Roza"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "Ana"
              "apellidos" => "Su&#225;rez-Laur&#233;s"
            ]
            1 => array:2 [
              "nombre" => "Luis"
              "apellidos" => "Qui&#241;ones-Ortiz"
            ]
            2 => array:2 [
              "nombre" => "Miguel"
              "apellidos" => "de la Torre-Fern&#225;ndez"
            ]
            3 => array:2 [
              "nombre" => "Adolfo"
              "apellidos" => "Torres-Lacalle"
            ]
            4 => array:2 [
              "nombre" => "Montse"
              "apellidos" => "de Pablos-Pablo"
            ]
            5 => array:2 [
              "nombre" => "Susana"
              "apellidos" => "Puccini"
            ]
            6 => array:2 [
              "nombre" => "Ram&#243;n"
              "apellidos" => "Forascepi-Roza"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699512001144"
        "doi" => "10.3265/Nefrologia.pre2012.Mar.11397"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699512001144?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251412001141?idApp=UINPBA000064"
    "url" => "/20132514/0000003200000003/v0_201502091613/X2013251412001141/v0_201502091614/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251412001168"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.pre2012.Mar.11422"
    "estado" => "S300"
    "fechaPublicacion" => "2012-05-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia &#40;English Version&#41;. 2012;32:400-1"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 8331
      "formatos" => array:3 [
        "EPUB" => 332
        "HTML" => 7216
        "PDF" => 783
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Effects of suspending ACE inhibitors and ARBs in advanced chronic kidney disease"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "400"
          "paginaFinal" => "401"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Efectos de la suspensi&#243;n de IECA y ARAII en enfermedad cr&#243;nica avanzada"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig1"
          "etiqueta" => "Tab.  1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier Espa&#241;a"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "11422_16025_30821_en_t1_411422.jpg"
              "Alto" => 489
              "Ancho" => 1446
              "Tamanyo" => 201916
            ]
          ]
          "descripcion" => array:1 [
            "en" => "Evolution of glomerular filtration rate and proteinuria following suspension of ACE inhibitors and ARBs"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Martha E&#46; D&#237;az-Dom&#237;nguez, Milagros Fern&#225;ndez-Lucas, Antonio Gomis-Couto, Gloria Ruiz-Roso, Jos&#233; L&#46; Teruel, Carlos Quereda"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Martha E&#46;"
              "apellidos" => "D&#237;az-Dom&#237;nguez"
            ]
            1 => array:2 [
              "nombre" => "Milagros"
              "apellidos" => "Fern&#225;ndez-Lucas"
            ]
            2 => array:2 [
              "nombre" => "Antonio"
              "apellidos" => "Gomis-Couto"
            ]
            3 => array:2 [
              "nombre" => "Gloria"
              "apellidos" => "Ruiz-Roso"
            ]
            4 => array:2 [
              "nombre" => "Jos&#233; L&#46;"
              "apellidos" => "Teruel"
            ]
            5 => array:2 [
              "nombre" => "Carlos"
              "apellidos" => "Quereda"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699512001160"
        "doi" => "10.3265/Nefrologia.pre2012.Mar.11422"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699512001160?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251412001168?idApp=UINPBA000064"
    "url" => "/20132514/0000003200000003/v0_201502091613/X2013251412001168/v0_201502091614/en/main.assets"
  ]
  "en" => array:10 [
    "idiomaDefecto" => true
    "titulo" => "Microalbuminuria&#44; another use for paricalcitol&#63; Our experience in advanced chronic kidney disease"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "401"
        "paginaFinal" => "402"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Raquel Blanco-Garc&#237;a, Juan J&#46; Bravo-L&#243;pez, Mercedes Moreiras-Plaza, Walfred N&#225;jera-de la Garza, Cynthia Cossio-Annibar, Laura Beato-Coo, Gloria Rodr&#237;guez-Goyanes"
        "autores" => array:7 [
          0 => array:4 [
            "nombre" => "Raquel"
            "apellidos" => "Blanco-Garc&#237;a"
            "email" => array:1 [
              0 => "raquel&#46;blanco&#46;garcia&#64;sergas&#46;es"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Juan J&#46;"
            "apellidos" => "Bravo-L&#243;pez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Mercedes"
            "apellidos" => "Moreiras-Plaza"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Walfred"
            "apellidos" => "N&#225;jera-de la Garza"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Cynthia"
            "apellidos" => "Cossio-Annibar"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Laura"
            "apellidos" => "Beato-Coo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Gloria"
            "apellidos" => "Rodr&#237;guez-Goyanes"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Nefrología, Hospital Xeral de Vigo, Vigo, Pontevedra,  "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Nefrología, Hospital Universitario Lucus Agusti, Lugo,   "
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "affb"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Microalbuminuria&#44; &#191;otro uso del paricalcitol&#63; Nuestra experiencia en enfermedad renal cr&#243;nica avanzada"
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">To the Editor&#44;</span></p><p class="elsevierStylePara">Albuminuria increases the risk of progression of renal failure &#40;RF&#41;&#44; even in advanced stages&#46;<span class="elsevierStyleSup">1</span> Renin-angiotensin-aldosterone system &#40;RAAS&#41; inhibitors are the main tool used for reducing albuminuria and slowing the progression of RF&#44; although this treatment is often insufficient&#46;<span class="elsevierStyleSup">2</span> Recently&#44; paricalcitol has been proven effective in reducing albuminuria in certain patients&#46;<span class="elsevierStyleSup">3</span></p><p class="elsevierStylePara">The aim of our study was to assess the usefulness of paricalcitol to reduce albuminuria in patients with stage 4-5 RF&#46;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Method&#58;</span> We included all patients referred to the predialysis unit&#46; Patients were administered paricalcitol at an initial mean dose of 1&#177;0&#46;3&#956;g&#47;day orally&#44; adjusted for calcium&#47;phosphorous metabolic parameters&#46; Follow-up continued for at least 6 months&#44; with three visits every 2 months&#44; in which albuminuria&#44; MDRD&#44; and calcium&#47;phosphorous metabolism parameters were registered&#46; Treatment with RAAS inhibitors and hidroferol continued without change&#46; Statistical analysis&#58; we used analysis of variance for comparing the means of quantitative variables&#44; Wilcoxon tests for comparing medians&#44; and chi-square tests to compare percentages&#46;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Results&#58;</span> Our study included a total of 40 patients&#44; 67&#37; males&#44; with a follow-up period of 135-235 days&#46; Baseline MDRD was 19&#46;5&#177;3ml&#47;min&#44; 97&#46;5&#37; of patients had hypertension&#44; and 35&#37; were diabetic&#46; Mean urine albumin-to-creatinine ratio &#40;UACR&#41; was 1932&#177;1641mg&#47;g&#46; Initial calcium-phosphorous metabolism parameters were&#58; calcium&#58; 8&#46;8&#177;0&#46;5mg&#47;dl&#59; phosphorous&#58; 4&#46;5&#177;0&#46;5mg&#47;dl&#59; intact parathyroid hormone &#40;iPTH&#41;&#58; 473&#177;143pg&#47;ml&#46; At the start of the follow-up period&#44; 25&#37; of patients received angiotensin-converting enzyme inhibitors&#44; 42&#46;5&#37; angiotensin receptor blockers&#44; 55&#37; hidroferol&#44; and 12&#46;5&#37; calcitriol&#46; During the follow-up period&#44; we observed a significant decrease in MDRD &#40;19&#46;5&#177;3ml&#47;min vs 17&#46;3&#177;3&#46;4ml&#47;min&#59; <span class="elsevierStyleItalic">P</span>&#61;&#46;003&#41;&#46; There was also a decrease in iPTH and an increase in calcium&#44; both significant results &#40;473&#177;143pg&#47;ml vs 197&#177;88pg&#47;ml&#44; and 8&#46;84&#177;0&#46;5mg&#47;dl vs 9&#177;0&#46;4mg&#47;dl&#59; <span class="elsevierStyleItalic">P</span>&#61;&#46;00 and <span class="elsevierStyleItalic">P</span>&#61;&#46;01&#44; respectively&#41;&#46; We also observed an increase in phosphorous&#44; although this was not significant &#40;4&#46;5&#177;0&#46;5mg&#47;dl vs 4&#46;8&#177;0&#46;6mg&#47;dl&#59; <span class="elsevierStyleItalic">P</span>&#61;&#46;1&#41;&#46; UACR decreased over the course of the study from an initial mean value of 1932&#177;1641mg&#47;g to the final mean value of 1417&#177;1284mg&#47;g&#44; a 27&#37; decrease &#40;<span class="elsevierStyleItalic">P</span>&#61;&#46;1&#41;&#46; In the group of patients with higher initial UACR values &#40;&#62;3000mg&#47;g&#41;&#44; the decrease was significant &#40;4258&#177;944mg&#47;g vs 2786&#177;1630mg&#47;g&#59; <span class="elsevierStyleItalic">P</span>&#61;&#46;03&#41;&#46; We observed an increase in patients with normalised albuminuria and a decrease in those with albuminuria &#62;3000mg&#47;g&#46; UACR was not associated with treatment with RAAS inhibitors&#44; hidroferol&#44; or calcitriol&#46; In no cases was suspension of treatment necessary due to altered calcium&#47;phosphorous metabolism or secondary side effects&#44; although 17&#37; of patients required dosage adjustments&#46;</p><p class="elsevierStylePara">Our study shows that treatment with paricalcitol in this group of patients is associated with a significant decrease in UACR&#44; leading to a higher proportion of patients with normal excretion of albumin&#44; in addition to providing better control of bone metabolism&#46; The effect was greatest and most significant in patients with higher initial albumin excretion levels&#44; which is the group with the highest risk for progression of RF&#46;<span class="elsevierStyleSup">4</span></p><p class="elsevierStylePara">It may be that the small sample in our study was insufficient to demonstrate the antiproteinuric effects of this treatment with a greater level of significance&#46; We may not have observed significant results in the control of renal function deterioration because of this same reason&#46; Although it was not an objective of this study&#44; we should also keep in mind the decreased cardiovascular risk associated with reduced UACR&#46;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Conclusion&#58;</span> Paricalcitol can be effective in halting proteinuria in patients with stage 4-5 chronic renal failure disease and controlling secondary hyperparathyroidism&#46; Its efficacy in preventing the progression of IR must be verified in future studies&#46;</p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara"><span class="elsevierStyleBold">Conflicts of interest</span></p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">The authors affirm that they have no conflicts of interest related to the content of this article&#46;</p>"
    "pdfFichero" => "P1-E536-S3516-A11378-EN.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:4 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "1.\u{A0}Burton C, Harris KP. The role of proteinuria in the progression of chronic renal failure. Am J Kidney Dis 1996;27(6):765-75. <a href="http://www.ncbi.nlm.nih.gov/pubmed/8651239" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Sarafidis PA, Khosia N, Bakris GL. Antihypertensive therapy in the presence of proteinuria. Am J Kidney Dis 2007;49(1):12-26. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17185142" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Zeeuw D, Agazwal R, Amdahl M, Audhya P, Coyne D, Tushaz G, et al. Selective vitamin D receptor activation with paricalcitol for reduction of albuminuria in patients with type 2 diabetes (VITAL study): a randomised controlled trial. Lancet 2010;376:1543-51. <a href="http://www.ncbi.nlm.nih.gov/pubmed/21055801" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Ruggenenti P, Perna A, Ghezardi G, Benini R, Remuzzi G. Chronic proteinuric nephropathies. Outcomes and response to treatment in a prospective cohort of 352 patients with different patterns of renal injury. Am J Kidney Dis 2000;35(6):1155-65. <a href="http://www.ncbi.nlm.nih.gov/pubmed/10845831" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000003200000003/v0_201502091613/X201325141200115X/v0_201502091614/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35438"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor - Brief papers about basic research or clinical experiences"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003200000003/v0_201502091613/X201325141200115X/v0_201502091614/en/P1-E536-S3516-A11378-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X201325141200115X?idApp=UINPBA000064"
]
Article information
ISSN: 20132514
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 4 7 11
2024 October 30 54 84
2024 September 57 26 83
2024 August 49 49 98
2024 July 38 24 62
2024 June 54 40 94
2024 May 62 34 96
2024 April 55 34 89
2024 March 30 25 55
2024 February 28 40 68
2024 January 30 25 55
2023 December 16 19 35
2023 November 41 32 73
2023 October 44 30 74
2023 September 20 32 52
2023 August 31 21 52
2023 July 24 27 51
2023 June 21 20 41
2023 May 46 28 74
2023 April 18 14 32
2023 March 31 16 47
2023 February 37 19 56
2023 January 35 26 61
2022 December 47 28 75
2022 November 30 26 56
2022 October 25 37 62
2022 September 39 31 70
2022 August 35 48 83
2022 July 26 33 59
2022 June 25 26 51
2022 May 33 20 53
2022 April 29 40 69
2022 March 34 35 69
2022 February 25 42 67
2022 January 30 35 65
2021 December 30 44 74
2021 November 20 34 54
2021 October 23 42 65
2021 September 29 36 65
2021 August 20 34 54
2021 July 32 32 64
2021 June 38 18 56
2021 May 41 30 71
2021 April 63 48 111
2021 March 37 40 77
2021 February 17 22 39
2021 January 35 15 50
2020 December 35 22 57
2020 November 17 17 34
2020 October 18 15 33
2020 September 21 4 25
2020 August 35 17 52
2020 July 15 10 25
2020 June 25 12 37
2020 May 28 14 42
2020 April 26 18 44
2020 March 28 14 42
2020 February 21 22 43
2020 January 35 23 58
2019 December 36 25 61
2019 November 24 16 40
2019 October 11 10 21
2019 September 16 21 37
2019 August 12 11 23
2019 July 13 21 34
2019 June 22 14 36
2019 May 19 17 36
2019 April 29 32 61
2019 March 20 17 37
2019 February 17 17 34
2019 January 27 26 53
2018 December 70 33 103
2018 November 68 17 85
2018 October 64 14 78
2018 September 58 14 72
2018 August 59 22 81
2018 July 35 16 51
2018 June 51 14 65
2018 May 46 23 69
2018 April 62 11 73
2018 March 74 7 81
2018 February 54 6 60
2018 January 60 6 66
2017 December 66 14 80
2017 November 45 7 52
2017 October 38 10 48
2017 September 43 11 54
2017 August 42 11 53
2017 July 40 9 49
2017 June 38 33 71
2017 May 44 9 53
2017 April 29 14 43
2017 March 26 43 69
2017 February 16 14 30
2017 January 20 14 34
2016 December 44 11 55
2016 November 68 9 77
2016 October 61 10 71
2016 September 100 5 105
2016 August 157 6 163
2016 July 184 11 195
2016 June 110 0 110
2016 May 116 0 116
2016 April 88 0 88
2016 March 70 0 70
2016 February 93 0 93
2016 January 95 0 95
2015 December 113 0 113
2015 November 81 0 81
2015 October 89 0 89
2015 September 49 0 49
2015 August 76 0 76
2015 July 66 0 66
2015 June 30 0 30
2015 May 44 0 44
2015 April 8 0 8
Show all

Follow this link to access the full text of the article

Idiomas
Nefrología (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?