array:21 [
  "pii" => "X0211699514054565"
  "issn" => "02116995"
  "doi" => "10.3265/Nefrologia.pre2014.Jul.12527"
  "estado" => "S300"
  "fechaPublicacion" => "2014-09-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia. 2014;34:617-27"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 6781
    "formatos" => array:3 [
      "EPUB" => 305
      "HTML" => 5522
      "PDF" => 954
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:17 [
      "pii" => "X2013251414054562"
      "issn" => "20132514"
      "doi" => "10.3265/Nefrologia.pre2014.Jul.12527"
      "estado" => "S300"
      "fechaPublicacion" => "2014-09-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia (English Version). 2014;34:617-27"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 6687
        "formatos" => array:3 [
          "EPUB" => 330
          "HTML" => 5443
          "PDF" => 914
        ]
      ]
      "en" => array:12 [
        "idiomaDefecto" => true
        "titulo" => "Effect of calcium acetate/magnesium carbonate in the treatment of hyperphosphataemia in dialysis patients in real clinical practice. One year follow up"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "617"
            "paginaFinal" => "627"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Efectos del acetato cálcico/carbonato magnésico en el tratamiento de la hiperfosfatemia en pacientes en diálisis en la práctica clínica real. Seguimiento durante un año"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "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" => "12527_19904_60456_en_12527_t1.jpg"
                "Alto" => 472
                "Ancho" => 702
                "Tamanyo" => 235395
              ]
            ]
            "descripcion" => array:1 [
              "en" => "Patients and baseline characteristics"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Ángel L.M. de Francisco, Lara Belmar, Celestino Piñera, María Kislikova, Miguel Seras, Mara Serrano, Zoila Albines, Cristina Sango, Manuel Arias"
            "autores" => array:9 [
              0 => array:2 [
                "nombre" => "Ángel L.M."
                "apellidos" => "de Francisco"
              ]
              1 => array:2 [
                "nombre" => "Lara"
                "apellidos" => "Belmar"
              ]
              2 => array:2 [
                "nombre" => "Celestino"
                "apellidos" => "Piñera"
              ]
              3 => array:2 [
                "nombre" => "María"
                "apellidos" => "Kislikova"
              ]
              4 => array:2 [
                "nombre" => "Miguel"
                "apellidos" => "Seras"
              ]
              5 => array:2 [
                "nombre" => "Mara"
                "apellidos" => "Serrano"
              ]
              6 => array:2 [
                "nombre" => "Zoila"
                "apellidos" => "Albines"
              ]
              7 => array:2 [
                "nombre" => "Cristina"
                "apellidos" => "Sango"
              ]
              8 => array:2 [
                "nombre" => "Manuel"
                "apellidos" => "Arias"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "es" => array:9 [
          "pii" => "X0211699514054565"
          "doi" => "10.3265/Nefrologia.pre2014.Jul.12527"
          "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/X0211699514054565?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251414054562?idApp=UINPBA000064"
      "url" => "/20132514/0000003400000005/v0_201502091605/X2013251414054562/v0_201502091605/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X0211699514054557"
    "issn" => "02116995"
    "doi" => "10.3265/Nefrologia.pre2014.Jul.11953"
    "estado" => "S300"
    "fechaPublicacion" => "2014-09-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia. 2014;34:628-36"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 6559
      "formatos" => array:3 [
        "EPUB" => 300
        "HTML" => 5343
        "PDF" => 916
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Evaluación de fracaso renal agudo subclínico tras cirugía de aneurisma aórtico abdominal utilizando nuevos marcadores: L-FABP y H-FABP"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "628"
          "paginaFinal" => "636"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Assessment of subclinical acute kidney injury after abdominal aortic aneurysm surgery using novel markers: L-FABP and H-FABP"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Michał Kokot, Grzegorz Biolik, Damian Ziaja, Tadeusz Fojt, Leszek Kędzierski, Katarzyna Antoniak, Mirosława Janowska, Krzysztof Pawlicki, Krzysztof Ziaja, Jan Duława"
          "autores" => array:10 [
            0 => array:2 [
              "nombre" => "Michał"
              "apellidos" => "Kokot"
            ]
            1 => array:2 [
              "nombre" => "Grzegorz"
              "apellidos" => "Biolik"
            ]
            2 => array:2 [
              "nombre" => "Damian"
              "apellidos" => "Ziaja"
            ]
            3 => array:2 [
              "nombre" => "Tadeusz"
              "apellidos" => "Fojt"
            ]
            4 => array:2 [
              "nombre" => "Leszek"
              "apellidos" => "Kędzierski"
            ]
            5 => array:2 [
              "nombre" => "Katarzyna"
              "apellidos" => "Antoniak"
            ]
            6 => array:2 [
              "nombre" => "Mirosława"
              "apellidos" => "Janowska"
            ]
            7 => array:2 [
              "nombre" => "Krzysztof"
              "apellidos" => "Pawlicki"
            ]
            8 => array:2 [
              "nombre" => "Krzysztof"
              "apellidos" => "Ziaja"
            ]
            9 => array:2 [
              "nombre" => "Jan"
              "apellidos" => "Duława"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "X2013251414054554"
        "doi" => "10.3265/Nefrologia.pre2014.Jul.11953"
        "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/X2013251414054554?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514054557?idApp=UINPBA000064"
    "url" => "/02116995/0000003400000005/v0_201502091337/X0211699514054557/v0_201502091338/es/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X0211699514054573"
    "issn" => "02116995"
    "doi" => "10.3265/Nefrologia.pre2014.Jun.12595"
    "estado" => "S300"
    "fechaPublicacion" => "2014-09-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia. 2014;34:611-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 11719
      "formatos" => array:3 [
        "EPUB" => 306
        "HTML" => 10446
        "PDF" => 967
      ]
    ]
    "es" => array:12 [
      "idiomaDefecto" => true
      "titulo" => "Programa de atención domiciliaria a pacientes con enfermedad renal crónica avanzada. Experiencia de dos años"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "611"
          "paginaFinal" => "616"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Home care programme for patients with advanced chronic kidney disease. A two-year experience"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => 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" => "12595_19904_59606_es_12595_t1.jpg"
              "Alto" => 388
              "Ancho" => 422
              "Tamanyo" => 105236
            ]
          ]
          "descripcion" => array:1 [
            "es" => "Datos basales en el momento de inclusión en el programa"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "José L. Teruel, Lourdes Rexach, Víctor Burguera, Antonio Gomis, Nuria Rodríguez-Mendiola, Alicia Díaz, Sergio Collazo, Carlos Quereda"
          "autores" => array:8 [
            0 => array:2 [
              "nombre" => "José L."
              "apellidos" => "Teruel"
            ]
            1 => array:2 [
              "nombre" => "Lourdes"
              "apellidos" => "Rexach"
            ]
            2 => array:2 [
              "nombre" => "Víctor"
              "apellidos" => "Burguera"
            ]
            3 => array:2 [
              "nombre" => "Antonio"
              "apellidos" => "Gomis"
            ]
            4 => array:2 [
              "nombre" => "Nuria"
              "apellidos" => "Rodríguez-Mendiola"
            ]
            5 => array:2 [
              "nombre" => "Alicia"
              "apellidos" => "Díaz"
            ]
            6 => array:2 [
              "nombre" => "Sergio"
              "apellidos" => "Collazo"
            ]
            7 => array:2 [
              "nombre" => "Carlos"
              "apellidos" => "Quereda"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "X2013251414054570"
        "doi" => "10.3265/Nefrologia.pre2014.Jun.12595"
        "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/X2013251414054570?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514054573?idApp=UINPBA000064"
    "url" => "/02116995/0000003400000005/v0_201502091337/X0211699514054573/v0_201502091337/es/main.assets"
  ]
  "es" => array:12 [
    "idiomaDefecto" => true
    "titulo" => "Efectos del acetato cálcico/carbonato magnésico en el tratamiento de la hiperfosfatemia en pacientes en diálisis en la práctica clínica real. Seguimiento durante un año"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "617"
        "paginaFinal" => "627"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Ángel L.M. de Francisco, Lara Belmar, Celestino Piñera, María Kislikova, Miguel Seras, Mara Serrano, Zoila Albines, Cristina Sango, Manuel Arias"
        "autores" => array:9 [
          0 => array:4 [
            "nombre" => "Ángel L.M."
            "apellidos" => "de Francisco"
            "email" => array:1 [
              0 => "angelmartindefrancisco@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Lara"
            "apellidos" => "Belmar"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Celestino"
            "apellidos" => "Pi&#241;era"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Mar&#237;a"
            "apellidos" => "Kislikova"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Miguel"
            "apellidos" => "Seras"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Mara"
            "apellidos" => "Serrano"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Zoila"
            "apellidos" => "Albines"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Cristina"
            "apellidos" => "Sango"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          8 => array:3 [
            "nombre" => "Manuel"
            "apellidos" => "Arias"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Servicio de Nefrología, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria,  "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Effect of calcium acetate&#47;magnesium carbonate in the treatment of hyperphosphataemia in dialysis patients in real clinical practice&#46; One year follow up"
      ]
    ]
    "pdfFichero" => "P1-E574-S4691-A12527.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:2 [
      "es" => array:4 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec431603"
          "palabras" => array:1 [
            0 => "Acetato c&#225;lcico&#47;carbonato magn&#233;sico"
          ]
        ]
        1 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec431605"
          "palabras" => array:1 [
            0 => "Hiperfosfatemia"
          ]
        ]
        2 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec431607"
          "palabras" => array:1 [
            0 => "Di&#225;lisis"
          ]
        ]
        3 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec431609"
          "palabras" => array:1 [
            0 => "Quelante de f&#243;sforo"
          ]
        ]
      ]
      "en" => array:4 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec431604"
          "palabras" => array:1 [
            0 => "Calcium acetate&#47;magnesium carbonate"
          ]
        ]
        1 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec431606"
          "palabras" => array:1 [
            0 => "Hyperphosphataemia"
          ]
        ]
        2 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec431608"
          "palabras" => array:1 [
            0 => "Dialysis"
          ]
        ]
        3 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec431610"
          "palabras" => array:1 [
            0 => "Phosphate binder"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Antecedentes&#58;</span> Este estudio observacional se llev&#243; a cabo para investigar el uso y la efectividad&#44; en la pr&#225;ctica cl&#237;nica real&#44; del acetato c&#225;lcico&#47;carbonato magn&#233;sico &#40;CaMg&#41; en el tratamiento de la hiperfosfatemia en pacientes en di&#225;lisis&#46;<span class="elsevierStyleBold"> </span><span class="elsevierStyleBold">M&#233;todos&#58;</span> Se realiz&#243; un seguimiento durante 3-12&#160;meses en 120&#160;pacientes adultos con enfermedad cr&#243;nica renal en tratamiento con di&#225;lisis que recib&#237;an monotratamiento con CaMg o en combinaci&#243;n con otros quelantes del f&#243;sforo&#46; Se midieron en suero los valores de f&#243;sforo&#44; calcio&#44; magnesio&#44; hormona paratiroidea y concentraci&#243;n de alb&#250;mina a nivel basal y tras 3&#44; 6 y 12&#160;meses&#44; respectivamente&#46; Adem&#225;s&#44; se document&#243; la dosis de CaMg&#44; el uso de quelantes de f&#243;sforo concomitantes&#44; la vitamina D y el cinacalcet&#46; Los pacientes se dividieron en 2&#160;subgrupos&#58; aquellos a los que solo se les administraba CaMg &#40;n&#61;79&#41; frente a los que recib&#237;an CaMg y un quelante de f&#243;sforo concomitante &#40;n&#61;41&#41;&#46; <span class="elsevierStyleBold">Resultados&#58;</span> En ambos subgrupos&#44; los niveles de f&#243;sforo s&#233;rico disminuyeron de forma significativa&#44; con respecto a los basales&#44; a los 3&#44; 6 y 12 meses de tratamiento con CaMg&#46; El porcentaje de logro de los niveles recomendados de f&#243;sforo s&#233;rico mejor&#243; tras iniciar el tratamiento con CaMg&#46; El mes&#160;6&#44; un total del 78&#37; se encontraba dentro de las recomendaciones objetivo de Calidad de los Resultados de la Insuficiencia Renal &#40;K&#47;DOQI&#41;&#46; El calcio s&#233;rico total corregido aument&#243; durante el tratamiento con CaMg&#44; pero superaba levemente los l&#237;mites superiores normales solo en tres pacientes&#46; Asimismo&#44; se observaron incrementos significativos del magnesio asintom&#225;ticos &#40;<span class="elsevierStyleItalic">P</span>&#60;0&#44;001&#41; en el grupo de monoterapia a los 3&#44; 6 y 12&#160;meses&#46; Un total de 80&#160;pacientes &#40;67&#37;&#41; sufrieron episodios de hipermagnesemia leve &#40;&#62;2&#44;6&#160;mg&#47;mL&#44; 1&#44;05&#160;mmol&#47;L&#41;&#46;<span class="elsevierStyleBold"> </span><span class="elsevierStyleBold">Conclusiones&#58;</span><span class="elsevierStyleBold"> </span>El presente an&#225;lisis de la pr&#225;ctica cl&#237;nica habitual&#44; en consonancia con los datos obtenidos de un ensayo aleatorizado controlado&#44; demuestra que el tratamiento con CaMg mejora de forma considerable los niveles de f&#243;sforo s&#233;rico y ayuda a los pacientes a conseguir los objetivos K&#47;DOQI y KDIGO &#40;mejora de los resultados globales en la enfermedad renal&#41;&#46;</p>"
      ]
      "en" => array:1 [
        "resumen" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Background&#58; </span>This observational study was conducted to investigate the use and effectiveness of calcium acetate&#47;magnesium carbonate &#40;CaMg&#41; in the treatment of hyperphosphataemia in dialysis patients in real-world clinical practice&#46; <span class="elsevierStyleBold">Methods&#58; </span>120 adult CKD patients on dialysis who received CaMg alone or in combination with other phosphate binders were followed-up for 3-12 months&#46; Serum phosphorus&#44; calcium&#44; magnesium&#44; parathyroid hormone and albumin concentration was measured at baseline and after 3&#44; 6 and 12 months respectively&#46; In addition&#44; CaMg dosage&#44; use of concurrent phosphate binders&#44; vitamin D and cinacalcet was documented&#46; Patients were evaluated in 2 subgroups &#8211; CaMg alone &#40;n&#61;79&#41; vs&#46; CaMg &#43; concurrent phosphate binder &#40;n&#61;41&#41;&#46; <span class="elsevierStyleBold">Results&#58; </span>In both subgroups serum phosphorus levels decreased significantly from baseline at 3&#44; 6 and 12 months of CaMg treatment&#46; The percentage achievement of recommended serum phosphorus targets improved after CaMg initiation&#46; At month 6&#44; a total of 78&#37; were within the Kidney Disease Outcomes Quality Initiative &#40;K&#47;DOQI&#41; target range&#46; Total corrected serum calcium increased during CaMg treatment&#44; but mildly exceeded the upper limit of normal in three patients only&#46; Asymptomatic significant increases in magnesium &#40;p&#60;0&#46;001&#41; were observed in the monotherapy group at 3&#44; 6 and 12 months&#46; A total of 80 patients &#40;67&#37;&#41; experienced episodes of mild hypermagnesaemia &#40;&#62;2&#46;6mg&#47;mL&#44; 1&#46;05mmol&#47;L&#41;&#46;<span class="elsevierStyleBold"> Conclusions&#58; </span>This analysis of current clinical practice shows that &#8211; consistent with findings from a randomised controlled trial &#8211; CaMg treatment leads to marked improvement in serum phosphorus levels&#44; helping patients in trying to achieve K&#47;DOQI and KDIGO &#40;Kidney Disease Improving Global Outcome&#41; targets&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:31 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Block GA, Hulbert-Shearon TE, Levin NW, Port FK. Association of serum phosphorus and calcium x phosphate product with mortality risk in chronic hemodialysis patients: a national study. Am J Kidney Dis 1998;31:607-17. <a href="http://www.ncbi.nlm.nih.gov/pubmed/9531176" 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" => "Floege J, Kim J, Ireland E, Chazot C, Drueke T, de Francisco A, et al. Serum iPTH, calcium and phosphate, and the risk of mortality in a European haemodialysis population. Nephrol Dial Transplant 2011;26:1948-55. <a href="http://www.ncbi.nlm.nih.gov/pubmed/20466670" 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" => "Tonelli M, Pannu N, Manns B. Oral phosphate binders in patients with kidney failure. N Engl J Med 2010;362(14):1312-24. <a href="http://www.ncbi.nlm.nih.gov/pubmed/20375408" 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" => "Friedman EA. Calcium-based phosphate binders are appropriate in chronic renal failure. Clin J Am Soc Nephrol 2006;1:704-9. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17699276" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Qunibi WY, Hootkins RE, McDowell LL, Meyer MS, Simon M, Garza RO, et al. Treatment of hyperphosphatemia in hemodialysis patients: The Calcium Acetate Renagel Evaluation (CARE Study). Kidney Int 2004;65:1914-26. <a href="http://www.ncbi.nlm.nih.gov/pubmed/15086935" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Qunibi WY, Moustafa M, Muenz LR, He DY, Kessler PD, Diaz-Buxo JA, et al. A 1-year randomized trial of calcium acetate versus sevelamer on progression of coronary artery calcification in hemodialysis patients with comparable lipid control: the Calcium Acetate Renagel Evaluation-2 (CARE-2) study. Am J Kidney Dis 2008;51:952-65. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18423809" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Ring T, Nielsen C, Andersen SP, Behrens JK, Sodemann B, Kornerup HJ. Calcium acetate versus calcium carbonate as phosphorus binders in patients on chronic haemodialysis: a controlled study. Nephrol Dial Transplant 1993;8:341-6. <a href="http://www.ncbi.nlm.nih.gov/pubmed/8390009" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Schaefer K, Scheer J, Asmus G, Umlauf E, Hagemann J, von Herrath D. The treatment of uraemic hyperphosphataemia with calcium acetate and calcium carbonate: a comparative study. Nephrol Dial Transplant 1991;6:170-5. <a href="http://www.ncbi.nlm.nih.gov/pubmed/1866045" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Delmez JA, Tindira CA, Windus DW, Norwood KY, Giles KS, Nighswander TL, et al. Calcium acetate as a phosphorus binder in hemodialysis patients. J Am Soc Nephrol 1992;3:96-102. <a href="http://www.ncbi.nlm.nih.gov/pubmed/1391713" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:1 [
                        "itemHostRev" => array:3 [
                          "pii" => "S0163445310002410"
                          "estado" => "S300"
                          "issn" => "01634453"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Delmez JA, Kelber J, Norword KY, Giles KS, Slatopolsky E. Magnesium carbonate as a phosphorus binder: a prospective, controlled, crossover study. Kidney Int 1996;49:163-7. <a href="http://www.ncbi.nlm.nih.gov/pubmed/8770963" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Spiegel DM, Farmer B, Smits G, Chonchol M. Magnesium carbonate is an effective phosphate binder for chronic hemodialysis patients: a pilot study. J Ren Nutr 2007;17:416-22. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17971314" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Spiegel DM. The role of magnesium binders in chronic kidney disease. Semin Dial 2007;20:333-6. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17635824" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Spiegel DM, Farmer B. Long-term effects of magnesium carbonate on coronary artery calcification and bone mineral density in hemodialysis patients: A pilot study. Hemodial Int 2009;13:453-59."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Tzanakis IP, Papadaki AN, Wei M, Kagia S, Spadidakis VV, Kallivretakis NE, et al. Magnesium carbonate for phosphate control in patients on hemodialysis. A randomized controlled trial. Int Urol Nephrol 2008;40:193-201. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18193489" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Deuber HJ. Long-term efficacy and safety of an oral phosphate binder containing both calcium acetate and magnesium carbonate in hemodialysis patients. Nieren-und Hochdruckkrankheiten 2004;33:403-8."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "de Francisco AL, Leidig M, Covic AC, Ketteler M, Benedyk-Lorens E, Mircescu GM, et al. Evaluation of calcium acetate/magnesium carbonate as a phosphate binder compared with sevelamer hydrochloride in haemodialysis patients: a controlled randomized study (CALMAG study) assessing efficacy and tolerability. Nephrol Dial Transplant 2010;25:3707-17. <a href="http://www.ncbi.nlm.nih.gov/pubmed/20530499" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Ureña P, Jacobson SH, Zitt E, Vervloet M, Malberti F, Ashman N, et al. Cinacalcet and achievement of the NKF/K-DOQI recommended target values for bone and mineral metabolism in real-world clinical practice--the ECHO observational study. Nephrol Dial Transplant 2009;24(9):2852-9. <a href="http://www.ncbi.nlm.nih.gov/pubmed/19369690" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "National Kidney Foundation. K/DOQI clinical practice guidelines for bone metabolism and disease in chronic kidney disease. Am J Kidney Dis 2003;42(Suppl 3):S1-S202."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Kidney Disease: Improving Global Outcomes (KDIGO) CKD-MBD Work Group. KDIGO clinical practice guideline for the diagnosis, evaluation, prevention, and treatment of Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD). Kidney Int \u{A0}Suppl 2009;(113):S1-S130."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Al Aly Z, González EA, Martin KJ, Gellens ME. Achieving K/DOQI laboratory target values for bone and mineral metabolism: an uphill battle. Am J Nephrol 2004;24:422-6. <a href="http://www.ncbi.nlm.nih.gov/pubmed/15308874" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Lorenzo V, Martin-Malo A, Perez-Garcia R, Torregrosa JV, Vega N, de Francisco AL, et al. Prevalence, clinical correlates and therapy cost of mineral abnormalities among haemodialysis patients: a cross-sectional multicentre study. Nephrol Dial Transplant 2006;21(2):459-65."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Geiger H, Wanner C. Magnesium in disease. Clin Kidney J 2012;5(Suppl 1):i25-i38."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Khan AM, Lubitz SA, Sullivan LM, Sun JX, Levy D, Vasan RS, et al. Low serum magnesium and the development of atrial fibrillation in the community: the Framingham Heart Study. Circulation 2013;127(1):33-8. <a href="http://www.ncbi.nlm.nih.gov/pubmed/23172839" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Zimmerman D, Sood MM, Rigatto C, Holden RM, Hiremath S, Clase CM. Systematic review and meta-analysis of incidence, prevalence and outcomes of atrial fibrillation in patients on dialysis. Nephrol Dial Transplant 2012;27(10):3816-22. <a href="http://www.ncbi.nlm.nih.gov/pubmed/23114904" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Massy ZA, Drüeke TB. Magnesium and outcomes in patients with chronic kidney disease: focus on vascular calcification, atherosclerosis and survival. Clin Kidney J 2012;5(Suppl 1):i52-i61."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Navarro-Gonzalez JF, Mora-Fernandez C, Garcia-Perez J. Clinical implications of disordered magnesium homeostasis in chronic renal failure and dialysis. Semin Dial 2009;22:37-44. <a href="http://www.ncbi.nlm.nih.gov/pubmed/19250445" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Covic A, Passlick-Deetjen J, Kroczak M, Büschges-Seraphin B, Ghenu A, Ponce P, et al. A comparison of calcium acetate/magnesium carbonate and sevelamer-hydrochloride effects on fibroblast growth factor-23 and bone markers: post hoc evaluation from a controlled, randomized study. Nephrol Dial Transplant 2013;28(9):2383-92. <a href="http://www.ncbi.nlm.nih.gov/pubmed/23787550" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Cunningham J, Rodríguez M, Messa P. Magnesium in chronic kidney disease Stages 3 and 4 and in dialysis patients. Clin Kidney J 2012;5(Suppl 1):i39-i51."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Plagemann T, Prenzler A, Mittendorf T. Considerations about the effectiveness and cost effectiveness of therapies in the treatment of hyperphosphataemia. Health Econ Rev 2011;1(1):1. <a href="http://www.ncbi.nlm.nih.gov/pubmed/22828213" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "De Francisco ALM, Rodriguez M. Magnesium ¿ its role in CKD. Nefrologia 2013;33(3):389-99. <a href="http://www.ncbi.nlm.nih.gov/pubmed/23640095" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Jamal SA, Vandermeer B, Raggi P, Mendelssohn DC, Chatterley T, Dorgan M, et al. Effect of calcium-based versus non-calcium-based phosphate binders on mortality in patients with chronic kidney disease: an updated systematic review and meta-analysis. Lancet 2013;382(9900):1268-77. <a href="http://www.ncbi.nlm.nih.gov/pubmed/23870817" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02116995/0000003400000005/v0_201502091337/X0211699514054565/v0_201502091337/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35393"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Artículos Originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02116995/0000003400000005/v0_201502091337/X0211699514054565/v0_201502091337/es/P1-E574-S4691-A12527.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514054565?idApp=UINPBA000064"
]
Compartir
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Efectos del acetato cálcico/carbonato magnésico en el tratamiento de la hiperfosfatemia en pacientes en diálisis en la práctica clínica real. Seguimiento durante un año
Effect of calcium acetate/magnesium carbonate in the treatment of hyperphosphataemia in dialysis patients in real clinical practice. One year follow up
Ángel L.M. de Franciscoa, Lara Belmara, Celestino Piñeraa, María Kislikovaa, Miguel Serasa, Mara Serranoa, Zoila Albinesa, Cristina Sangoa, Manuel Ariasa
a Servicio de Nefrología, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria,
Leído
11252
Veces
se ha leído el artículo
3118
Total PDF
8134
Total HTML
Compartir estadísticas
 array:21 [
  "pii" => "X0211699514054565"
  "issn" => "02116995"
  "doi" => "10.3265/Nefrologia.pre2014.Jul.12527"
  "estado" => "S300"
  "fechaPublicacion" => "2014-09-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia. 2014;34:617-27"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 6781
    "formatos" => array:3 [
      "EPUB" => 305
      "HTML" => 5522
      "PDF" => 954
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:17 [
      "pii" => "X2013251414054562"
      "issn" => "20132514"
      "doi" => "10.3265/Nefrologia.pre2014.Jul.12527"
      "estado" => "S300"
      "fechaPublicacion" => "2014-09-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia &#40;English Version&#41;. 2014;34:617-27"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 6687
        "formatos" => array:3 [
          "EPUB" => 330
          "HTML" => 5443
          "PDF" => 914
        ]
      ]
      "en" => array:12 [
        "idiomaDefecto" => true
        "titulo" => "Effect of calcium acetate&#47;magnesium carbonate in the treatment of hyperphosphataemia in dialysis patients in real clinical practice&#46; One year follow up"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "617"
            "paginaFinal" => "627"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Efectos del acetato c&#225;lcico&#47;carbonato magn&#233;sico en el tratamiento de la hiperfosfatemia en pacientes en di&#225;lisis en la pr&#225;ctica cl&#237;nica real&#46; Seguimiento durante un a&#241;o"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "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" => "12527_19904_60456_en_12527_t1.jpg"
                "Alto" => 472
                "Ancho" => 702
                "Tamanyo" => 235395
              ]
            ]
            "descripcion" => array:1 [
              "en" => "Patients and baseline characteristics"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "&#193;ngel L&#46;M&#46; de Francisco, Lara Belmar, Celestino Pi&#241;era, Mar&#237;a Kislikova, Miguel Seras, Mara Serrano, Zoila Albines, Cristina Sango, Manuel Arias"
            "autores" => array:9 [
              0 => array:2 [
                "nombre" => "&#193;ngel L&#46;M&#46;"
                "apellidos" => "de Francisco"
              ]
              1 => array:2 [
                "nombre" => "Lara"
                "apellidos" => "Belmar"
              ]
              2 => array:2 [
                "nombre" => "Celestino"
                "apellidos" => "Pi&#241;era"
              ]
              3 => array:2 [
                "nombre" => "Mar&#237;a"
                "apellidos" => "Kislikova"
              ]
              4 => array:2 [
                "nombre" => "Miguel"
                "apellidos" => "Seras"
              ]
              5 => array:2 [
                "nombre" => "Mara"
                "apellidos" => "Serrano"
              ]
              6 => array:2 [
                "nombre" => "Zoila"
                "apellidos" => "Albines"
              ]
              7 => array:2 [
                "nombre" => "Cristina"
                "apellidos" => "Sango"
              ]
              8 => array:2 [
                "nombre" => "Manuel"
                "apellidos" => "Arias"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "es" => array:9 [
          "pii" => "X0211699514054565"
          "doi" => "10.3265/Nefrologia.pre2014.Jul.12527"
          "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/X0211699514054565?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251414054562?idApp=UINPBA000064"
      "url" => "/20132514/0000003400000005/v0_201502091605/X2013251414054562/v0_201502091605/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X0211699514054557"
    "issn" => "02116995"
    "doi" => "10.3265/Nefrologia.pre2014.Jul.11953"
    "estado" => "S300"
    "fechaPublicacion" => "2014-09-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia. 2014;34:628-36"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 6559
      "formatos" => array:3 [
        "EPUB" => 300
        "HTML" => 5343
        "PDF" => 916
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Evaluaci&#243;n de fracaso renal agudo subcl&#237;nico tras cirug&#237;a de aneurisma a&#243;rtico abdominal utilizando nuevos marcadores&#58; L-FABP y H-FABP"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "628"
          "paginaFinal" => "636"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Assessment of subclinical acute kidney injury after abdominal aortic aneurysm surgery using novel markers&#58; L-FABP and H-FABP"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Micha&#322; Kokot, Grzegorz Biolik, Damian Ziaja, Tadeusz Fojt, Leszek K&#281;dzierski, Katarzyna Antoniak, Miros&#322;awa Janowska, Krzysztof Pawlicki, Krzysztof Ziaja, Jan Du&#322;awa"
          "autores" => array:10 [
            0 => array:2 [
              "nombre" => "Micha&#322;"
              "apellidos" => "Kokot"
            ]
            1 => array:2 [
              "nombre" => "Grzegorz"
              "apellidos" => "Biolik"
            ]
            2 => array:2 [
              "nombre" => "Damian"
              "apellidos" => "Ziaja"
            ]
            3 => array:2 [
              "nombre" => "Tadeusz"
              "apellidos" => "Fojt"
            ]
            4 => array:2 [
              "nombre" => "Leszek"
              "apellidos" => "K&#281;dzierski"
            ]
            5 => array:2 [
              "nombre" => "Katarzyna"
              "apellidos" => "Antoniak"
            ]
            6 => array:2 [
              "nombre" => "Miros&#322;awa"
              "apellidos" => "Janowska"
            ]
            7 => array:2 [
              "nombre" => "Krzysztof"
              "apellidos" => "Pawlicki"
            ]
            8 => array:2 [
              "nombre" => "Krzysztof"
              "apellidos" => "Ziaja"
            ]
            9 => array:2 [
              "nombre" => "Jan"
              "apellidos" => "Du&#322;awa"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "X2013251414054554"
        "doi" => "10.3265/Nefrologia.pre2014.Jul.11953"
        "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/X2013251414054554?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514054557?idApp=UINPBA000064"
    "url" => "/02116995/0000003400000005/v0_201502091337/X0211699514054557/v0_201502091338/es/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X0211699514054573"
    "issn" => "02116995"
    "doi" => "10.3265/Nefrologia.pre2014.Jun.12595"
    "estado" => "S300"
    "fechaPublicacion" => "2014-09-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia. 2014;34:611-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 11719
      "formatos" => array:3 [
        "EPUB" => 306
        "HTML" => 10446
        "PDF" => 967
      ]
    ]
    "es" => array:12 [
      "idiomaDefecto" => true
      "titulo" => "Programa de atenci&#243;n domiciliaria a pacientes con enfermedad renal cr&#243;nica avanzada&#46; Experiencia de dos a&#241;os"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "611"
          "paginaFinal" => "616"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Home care programme for patients with advanced chronic kidney disease&#46; A two-year experience"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => 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" => "12595_19904_59606_es_12595_t1.jpg"
              "Alto" => 388
              "Ancho" => 422
              "Tamanyo" => 105236
            ]
          ]
          "descripcion" => array:1 [
            "es" => "Datos basales en el momento de inclusi&#243;n en el programa"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jos&#233; L&#46; Teruel, Lourdes Rexach, V&#237;ctor Burguera, Antonio Gomis, Nuria Rodr&#237;guez-Mendiola, Alicia D&#237;az, Sergio Collazo, Carlos Quereda"
          "autores" => array:8 [
            0 => array:2 [
              "nombre" => "Jos&#233; L&#46;"
              "apellidos" => "Teruel"
            ]
            1 => array:2 [
              "nombre" => "Lourdes"
              "apellidos" => "Rexach"
            ]
            2 => array:2 [
              "nombre" => "V&#237;ctor"
              "apellidos" => "Burguera"
            ]
            3 => array:2 [
              "nombre" => "Antonio"
              "apellidos" => "Gomis"
            ]
            4 => array:2 [
              "nombre" => "Nuria"
              "apellidos" => "Rodr&#237;guez-Mendiola"
            ]
            5 => array:2 [
              "nombre" => "Alicia"
              "apellidos" => "D&#237;az"
            ]
            6 => array:2 [
              "nombre" => "Sergio"
              "apellidos" => "Collazo"
            ]
            7 => array:2 [
              "nombre" => "Carlos"
              "apellidos" => "Quereda"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "X2013251414054570"
        "doi" => "10.3265/Nefrologia.pre2014.Jun.12595"
        "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/X2013251414054570?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514054573?idApp=UINPBA000064"
    "url" => "/02116995/0000003400000005/v0_201502091337/X0211699514054573/v0_201502091337/es/main.assets"
  ]
  "es" => array:12 [
    "idiomaDefecto" => true
    "titulo" => "Efectos del acetato c&#225;lcico&#47;carbonato magn&#233;sico en el tratamiento de la hiperfosfatemia en pacientes en di&#225;lisis en la pr&#225;ctica cl&#237;nica real&#46; Seguimiento durante un a&#241;o"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "617"
        "paginaFinal" => "627"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "&#193;ngel L&#46;M&#46; de Francisco, Lara Belmar, Celestino Pi&#241;era, Mar&#237;a Kislikova, Miguel Seras, Mara Serrano, Zoila Albines, Cristina Sango, Manuel Arias"
        "autores" => array:9 [
          0 => array:4 [
            "nombre" => "&#193;ngel L&#46;M&#46;"
            "apellidos" => "de Francisco"
            "email" => array:1 [
              0 => "angelmartindefrancisco&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Lara"
            "apellidos" => "Belmar"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Celestino"
            "apellidos" => "Pi&#241;era"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Mar&#237;a"
            "apellidos" => "Kislikova"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Miguel"
            "apellidos" => "Seras"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Mara"
            "apellidos" => "Serrano"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Zoila"
            "apellidos" => "Albines"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Cristina"
            "apellidos" => "Sango"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          8 => array:3 [
            "nombre" => "Manuel"
            "apellidos" => "Arias"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Servicio de Nefrología, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria,  "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Effect of calcium acetate&#47;magnesium carbonate in the treatment of hyperphosphataemia in dialysis patients in real clinical practice&#46; One year follow up"
      ]
    ]
    "pdfFichero" => "P1-E574-S4691-A12527.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:2 [
      "es" => array:4 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec431603"
          "palabras" => array:1 [
            0 => "Acetato c&#225;lcico&#47;carbonato magn&#233;sico"
          ]
        ]
        1 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec431605"
          "palabras" => array:1 [
            0 => "Hiperfosfatemia"
          ]
        ]
        2 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec431607"
          "palabras" => array:1 [
            0 => "Di&#225;lisis"
          ]
        ]
        3 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec431609"
          "palabras" => array:1 [
            0 => "Quelante de f&#243;sforo"
          ]
        ]
      ]
      "en" => array:4 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec431604"
          "palabras" => array:1 [
            0 => "Calcium acetate&#47;magnesium carbonate"
          ]
        ]
        1 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec431606"
          "palabras" => array:1 [
            0 => "Hyperphosphataemia"
          ]
        ]
        2 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec431608"
          "palabras" => array:1 [
            0 => "Dialysis"
          ]
        ]
        3 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec431610"
          "palabras" => array:1 [
            0 => "Phosphate binder"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Antecedentes&#58;</span> Este estudio observacional se llev&#243; a cabo para investigar el uso y la efectividad&#44; en la pr&#225;ctica cl&#237;nica real&#44; del acetato c&#225;lcico&#47;carbonato magn&#233;sico &#40;CaMg&#41; en el tratamiento de la hiperfosfatemia en pacientes en di&#225;lisis&#46;<span class="elsevierStyleBold"> </span><span class="elsevierStyleBold">M&#233;todos&#58;</span> Se realiz&#243; un seguimiento durante 3-12&#160;meses en 120&#160;pacientes adultos con enfermedad cr&#243;nica renal en tratamiento con di&#225;lisis que recib&#237;an monotratamiento con CaMg o en combinaci&#243;n con otros quelantes del f&#243;sforo&#46; Se midieron en suero los valores de f&#243;sforo&#44; calcio&#44; magnesio&#44; hormona paratiroidea y concentraci&#243;n de alb&#250;mina a nivel basal y tras 3&#44; 6 y 12&#160;meses&#44; respectivamente&#46; Adem&#225;s&#44; se document&#243; la dosis de CaMg&#44; el uso de quelantes de f&#243;sforo concomitantes&#44; la vitamina D y el cinacalcet&#46; Los pacientes se dividieron en 2&#160;subgrupos&#58; aquellos a los que solo se les administraba CaMg &#40;n&#61;79&#41; frente a los que recib&#237;an CaMg y un quelante de f&#243;sforo concomitante &#40;n&#61;41&#41;&#46; <span class="elsevierStyleBold">Resultados&#58;</span> En ambos subgrupos&#44; los niveles de f&#243;sforo s&#233;rico disminuyeron de forma significativa&#44; con respecto a los basales&#44; a los 3&#44; 6 y 12 meses de tratamiento con CaMg&#46; El porcentaje de logro de los niveles recomendados de f&#243;sforo s&#233;rico mejor&#243; tras iniciar el tratamiento con CaMg&#46; El mes&#160;6&#44; un total del 78&#37; se encontraba dentro de las recomendaciones objetivo de Calidad de los Resultados de la Insuficiencia Renal &#40;K&#47;DOQI&#41;&#46; El calcio s&#233;rico total corregido aument&#243; durante el tratamiento con CaMg&#44; pero superaba levemente los l&#237;mites superiores normales solo en tres pacientes&#46; Asimismo&#44; se observaron incrementos significativos del magnesio asintom&#225;ticos &#40;<span class="elsevierStyleItalic">P</span>&#60;0&#44;001&#41; en el grupo de monoterapia a los 3&#44; 6 y 12&#160;meses&#46; Un total de 80&#160;pacientes &#40;67&#37;&#41; sufrieron episodios de hipermagnesemia leve &#40;&#62;2&#44;6&#160;mg&#47;mL&#44; 1&#44;05&#160;mmol&#47;L&#41;&#46;<span class="elsevierStyleBold"> </span><span class="elsevierStyleBold">Conclusiones&#58;</span><span class="elsevierStyleBold"> </span>El presente an&#225;lisis de la pr&#225;ctica cl&#237;nica habitual&#44; en consonancia con los datos obtenidos de un ensayo aleatorizado controlado&#44; demuestra que el tratamiento con CaMg mejora de forma considerable los niveles de f&#243;sforo s&#233;rico y ayuda a los pacientes a conseguir los objetivos K&#47;DOQI y KDIGO &#40;mejora de los resultados globales en la enfermedad renal&#41;&#46;</p>"
      ]
      "en" => array:1 [
        "resumen" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Background&#58; </span>This observational study was conducted to investigate the use and effectiveness of calcium acetate&#47;magnesium carbonate &#40;CaMg&#41; in the treatment of hyperphosphataemia in dialysis patients in real-world clinical practice&#46; <span class="elsevierStyleBold">Methods&#58; </span>120 adult CKD patients on dialysis who received CaMg alone or in combination with other phosphate binders were followed-up for 3-12 months&#46; Serum phosphorus&#44; calcium&#44; magnesium&#44; parathyroid hormone and albumin concentration was measured at baseline and after 3&#44; 6 and 12 months respectively&#46; In addition&#44; CaMg dosage&#44; use of concurrent phosphate binders&#44; vitamin D and cinacalcet was documented&#46; Patients were evaluated in 2 subgroups &#8211; CaMg alone &#40;n&#61;79&#41; vs&#46; CaMg &#43; concurrent phosphate binder &#40;n&#61;41&#41;&#46; <span class="elsevierStyleBold">Results&#58; </span>In both subgroups serum phosphorus levels decreased significantly from baseline at 3&#44; 6 and 12 months of CaMg treatment&#46; The percentage achievement of recommended serum phosphorus targets improved after CaMg initiation&#46; At month 6&#44; a total of 78&#37; were within the Kidney Disease Outcomes Quality Initiative &#40;K&#47;DOQI&#41; target range&#46; Total corrected serum calcium increased during CaMg treatment&#44; but mildly exceeded the upper limit of normal in three patients only&#46; Asymptomatic significant increases in magnesium &#40;p&#60;0&#46;001&#41; were observed in the monotherapy group at 3&#44; 6 and 12 months&#46; A total of 80 patients &#40;67&#37;&#41; experienced episodes of mild hypermagnesaemia &#40;&#62;2&#46;6mg&#47;mL&#44; 1&#46;05mmol&#47;L&#41;&#46;<span class="elsevierStyleBold"> Conclusions&#58; </span>This analysis of current clinical practice shows that &#8211; consistent with findings from a randomised controlled trial &#8211; CaMg treatment leads to marked improvement in serum phosphorus levels&#44; helping patients in trying to achieve K&#47;DOQI and KDIGO &#40;Kidney Disease Improving Global Outcome&#41; targets&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:31 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Block GA, Hulbert-Shearon TE, Levin NW, Port FK. Association of serum phosphorus and calcium x phosphate product with mortality risk in chronic hemodialysis patients: a national study. Am J Kidney Dis 1998;31:607-17. <a href="http://www.ncbi.nlm.nih.gov/pubmed/9531176" 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" => "Floege J, Kim J, Ireland E, Chazot C, Drueke T, de Francisco A, et al. Serum iPTH, calcium and phosphate, and the risk of mortality in a European haemodialysis population. Nephrol Dial Transplant 2011;26:1948-55. <a href="http://www.ncbi.nlm.nih.gov/pubmed/20466670" 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" => "Tonelli M, Pannu N, Manns B. Oral phosphate binders in patients with kidney failure. N Engl J Med 2010;362(14):1312-24. <a href="http://www.ncbi.nlm.nih.gov/pubmed/20375408" 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" => "Friedman EA. Calcium-based phosphate binders are appropriate in chronic renal failure. Clin J Am Soc Nephrol 2006;1:704-9. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17699276" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Qunibi WY, Hootkins RE, McDowell LL, Meyer MS, Simon M, Garza RO, et al. Treatment of hyperphosphatemia in hemodialysis patients: The Calcium Acetate Renagel Evaluation (CARE Study). Kidney Int 2004;65:1914-26. <a href="http://www.ncbi.nlm.nih.gov/pubmed/15086935" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Qunibi WY, Moustafa M, Muenz LR, He DY, Kessler PD, Diaz-Buxo JA, et al. A 1-year randomized trial of calcium acetate versus sevelamer on progression of coronary artery calcification in hemodialysis patients with comparable lipid control: the Calcium Acetate Renagel Evaluation-2 (CARE-2) study. Am J Kidney Dis 2008;51:952-65. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18423809" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Ring T, Nielsen C, Andersen SP, Behrens JK, Sodemann B, Kornerup HJ. Calcium acetate versus calcium carbonate as phosphorus binders in patients on chronic haemodialysis: a controlled study. Nephrol Dial Transplant 1993;8:341-6. <a href="http://www.ncbi.nlm.nih.gov/pubmed/8390009" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Schaefer K, Scheer J, Asmus G, Umlauf E, Hagemann J, von Herrath D. The treatment of uraemic hyperphosphataemia with calcium acetate and calcium carbonate: a comparative study. Nephrol Dial Transplant 1991;6:170-5. <a href="http://www.ncbi.nlm.nih.gov/pubmed/1866045" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Delmez JA, Tindira CA, Windus DW, Norwood KY, Giles KS, Nighswander TL, et al. Calcium acetate as a phosphorus binder in hemodialysis patients. J Am Soc Nephrol 1992;3:96-102. <a href="http://www.ncbi.nlm.nih.gov/pubmed/1391713" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:1 [
                        "itemHostRev" => array:3 [
                          "pii" => "S0163445310002410"
                          "estado" => "S300"
                          "issn" => "01634453"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Delmez JA, Kelber J, Norword KY, Giles KS, Slatopolsky E. Magnesium carbonate as a phosphorus binder: a prospective, controlled, crossover study. Kidney Int 1996;49:163-7. <a href="http://www.ncbi.nlm.nih.gov/pubmed/8770963" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Spiegel DM, Farmer B, Smits G, Chonchol M. Magnesium carbonate is an effective phosphate binder for chronic hemodialysis patients: a pilot study. J Ren Nutr 2007;17:416-22. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17971314" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Spiegel DM. The role of magnesium binders in chronic kidney disease. Semin Dial 2007;20:333-6. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17635824" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Spiegel DM, Farmer B. Long-term effects of magnesium carbonate on coronary artery calcification and bone mineral density in hemodialysis patients: A pilot study. Hemodial Int 2009;13:453-59."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Tzanakis IP, Papadaki AN, Wei M, Kagia S, Spadidakis VV, Kallivretakis NE, et al. Magnesium carbonate for phosphate control in patients on hemodialysis. A randomized controlled trial. Int Urol Nephrol 2008;40:193-201. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18193489" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Deuber HJ. Long-term efficacy and safety of an oral phosphate binder containing both calcium acetate and magnesium carbonate in hemodialysis patients. Nieren-und Hochdruckkrankheiten 2004;33:403-8."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "de Francisco AL, Leidig M, Covic AC, Ketteler M, Benedyk-Lorens E, Mircescu GM, et al. Evaluation of calcium acetate/magnesium carbonate as a phosphate binder compared with sevelamer hydrochloride in haemodialysis patients: a controlled randomized study (CALMAG study) assessing efficacy and tolerability. Nephrol Dial Transplant 2010;25:3707-17. <a href="http://www.ncbi.nlm.nih.gov/pubmed/20530499" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Ureña P, Jacobson SH, Zitt E, Vervloet M, Malberti F, Ashman N, et al. Cinacalcet and achievement of the NKF/K-DOQI recommended target values for bone and mineral metabolism in real-world clinical practice--the ECHO observational study. Nephrol Dial Transplant 2009;24(9):2852-9. <a href="http://www.ncbi.nlm.nih.gov/pubmed/19369690" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "National Kidney Foundation. K/DOQI clinical practice guidelines for bone metabolism and disease in chronic kidney disease. Am J Kidney Dis 2003;42(Suppl 3):S1-S202."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Kidney Disease: Improving Global Outcomes (KDIGO) CKD-MBD Work Group. KDIGO clinical practice guideline for the diagnosis, evaluation, prevention, and treatment of Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD). Kidney Int \u{A0}Suppl 2009;(113):S1-S130."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Al Aly Z, González EA, Martin KJ, Gellens ME. Achieving K/DOQI laboratory target values for bone and mineral metabolism: an uphill battle. Am J Nephrol 2004;24:422-6. <a href="http://www.ncbi.nlm.nih.gov/pubmed/15308874" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Lorenzo V, Martin-Malo A, Perez-Garcia R, Torregrosa JV, Vega N, de Francisco AL, et al. Prevalence, clinical correlates and therapy cost of mineral abnormalities among haemodialysis patients: a cross-sectional multicentre study. Nephrol Dial Transplant 2006;21(2):459-65."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Geiger H, Wanner C. Magnesium in disease. Clin Kidney J 2012;5(Suppl 1):i25-i38."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Khan AM, Lubitz SA, Sullivan LM, Sun JX, Levy D, Vasan RS, et al. Low serum magnesium and the development of atrial fibrillation in the community: the Framingham Heart Study. Circulation 2013;127(1):33-8. <a href="http://www.ncbi.nlm.nih.gov/pubmed/23172839" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Zimmerman D, Sood MM, Rigatto C, Holden RM, Hiremath S, Clase CM. Systematic review and meta-analysis of incidence, prevalence and outcomes of atrial fibrillation in patients on dialysis. Nephrol Dial Transplant 2012;27(10):3816-22. <a href="http://www.ncbi.nlm.nih.gov/pubmed/23114904" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Massy ZA, Drüeke TB. Magnesium and outcomes in patients with chronic kidney disease: focus on vascular calcification, atherosclerosis and survival. Clin Kidney J 2012;5(Suppl 1):i52-i61."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Navarro-Gonzalez JF, Mora-Fernandez C, Garcia-Perez J. Clinical implications of disordered magnesium homeostasis in chronic renal failure and dialysis. Semin Dial 2009;22:37-44. <a href="http://www.ncbi.nlm.nih.gov/pubmed/19250445" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Covic A, Passlick-Deetjen J, Kroczak M, Büschges-Seraphin B, Ghenu A, Ponce P, et al. A comparison of calcium acetate/magnesium carbonate and sevelamer-hydrochloride effects on fibroblast growth factor-23 and bone markers: post hoc evaluation from a controlled, randomized study. Nephrol Dial Transplant 2013;28(9):2383-92. <a href="http://www.ncbi.nlm.nih.gov/pubmed/23787550" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Cunningham J, Rodríguez M, Messa P. Magnesium in chronic kidney disease Stages 3 and 4 and in dialysis patients. Clin Kidney J 2012;5(Suppl 1):i39-i51."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Plagemann T, Prenzler A, Mittendorf T. Considerations about the effectiveness and cost effectiveness of therapies in the treatment of hyperphosphataemia. Health Econ Rev 2011;1(1):1. <a href="http://www.ncbi.nlm.nih.gov/pubmed/22828213" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "De Francisco ALM, Rodriguez M. Magnesium ¿ its role in CKD. Nefrologia 2013;33(3):389-99. <a href="http://www.ncbi.nlm.nih.gov/pubmed/23640095" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Jamal SA, Vandermeer B, Raggi P, Mendelssohn DC, Chatterley T, Dorgan M, et al. Effect of calcium-based versus non-calcium-based phosphate binders on mortality in patients with chronic kidney disease: an updated systematic review and meta-analysis. Lancet 2013;382(9900):1268-77. <a href="http://www.ncbi.nlm.nih.gov/pubmed/23870817" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02116995/0000003400000005/v0_201502091337/X0211699514054565/v0_201502091337/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35393"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Artículos Originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02116995/0000003400000005/v0_201502091337/X0211699514054565/v0_201502091337/es/P1-E574-S4691-A12527.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514054565?idApp=UINPBA000064"
]
Información del artículo
ISSN: 02116995
Idioma original: Español
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 2 8 10
2024 Octubre 46 53 99
2024 Septiembre 60 27 87
2024 Agosto 48 89 137
2024 Julio 54 31 85
2024 Junio 48 40 88
2024 Mayo 73 43 116
2024 Abril 59 43 102
2024 Marzo 51 33 84
2024 Febrero 30 40 70
2024 Enero 38 34 72
2023 Diciembre 61 30 91
2023 Noviembre 44 39 83
2023 Octubre 58 31 89
2023 Septiembre 46 34 80
2023 Agosto 43 32 75
2023 Julio 72 35 107
2023 Junio 93 30 123
2023 Mayo 77 37 114
2023 Abril 80 23 103
2023 Marzo 70 36 106
2023 Febrero 47 20 67
2023 Enero 56 34 90
2022 Diciembre 50 35 85
2022 Noviembre 39 41 80
2022 Octubre 58 43 101
2022 Septiembre 29 36 65
2022 Agosto 44 52 96
2022 Julio 43 48 91
2022 Junio 35 44 79
2022 Mayo 27 55 82
2022 Abril 50 45 95
2022 Marzo 38 55 93
2022 Febrero 48 46 94
2022 Enero 35 41 76
2021 Diciembre 65 68 133
2021 Noviembre 37 47 84
2021 Octubre 39 61 100
2021 Septiembre 46 68 114
2021 Agosto 36 43 79
2021 Julio 24 42 66
2021 Junio 39 30 69
2021 Mayo 41 55 96
2021 Abril 69 77 146
2021 Marzo 68 37 105
2021 Febrero 36 29 65
2021 Enero 41 22 63
2020 Diciembre 29 21 50
2020 Noviembre 41 29 70
2020 Octubre 33 16 49
2020 Septiembre 24 19 43
2020 Agosto 22 15 37
2020 Julio 40 20 60
2020 Junio 24 25 49
2020 Mayo 23 25 48
2020 Abril 35 24 59
2020 Marzo 24 20 44
2020 Febrero 47 29 76
2020 Enero 34 43 77
2019 Diciembre 33 37 70
2019 Noviembre 31 31 62
2019 Octubre 29 19 48
2019 Septiembre 25 20 45
2019 Agosto 33 20 53
2019 Julio 39 32 71
2019 Junio 31 37 68
2019 Mayo 30 39 69
2019 Abril 42 68 110
2019 Marzo 35 29 64
2019 Febrero 25 22 47
2019 Enero 25 21 46
2018 Diciembre 77 52 129
2018 Noviembre 66 21 87
2018 Octubre 46 13 59
2018 Septiembre 44 25 69
2018 Agosto 36 19 55
2018 Julio 32 20 52
2018 Junio 36 15 51
2018 Mayo 41 15 56
2018 Abril 53 16 69
2018 Marzo 35 9 44
2018 Febrero 38 11 49
2018 Enero 46 12 58
2017 Diciembre 42 9 51
2017 Noviembre 52 17 69
2017 Octubre 42 11 53
2017 Septiembre 30 15 45
2017 Agosto 45 12 57
2017 Julio 55 18 73
2017 Junio 47 33 80
2017 Mayo 56 16 72
2017 Abril 61 18 79
2017 Marzo 50 25 75
2017 Febrero 38 19 57
2017 Enero 41 15 56
2016 Diciembre 67 26 93
2016 Noviembre 82 14 96
2016 Octubre 102 20 122
2016 Septiembre 157 7 164
2016 Agosto 273 5 278
2016 Julio 234 7 241
2016 Junio 153 0 153
2016 Mayo 191 0 191
2016 Abril 154 0 154
2016 Marzo 149 0 149
2016 Febrero 185 0 185
2016 Enero 171 0 171
2015 Diciembre 160 0 160
2015 Noviembre 172 0 172
2015 Octubre 184 0 184
2015 Septiembre 165 0 165
2015 Agosto 135 0 135
2015 Julio 172 0 172
2015 Junio 144 0 144
2015 Mayo 253 0 253
2015 Abril 30 0 30
2015 Febrero 645 0 645
Mostrar todo

Siga este enlace para acceder al texto completo del artículo

Idiomas
Nefrología
es en

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

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