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Creatinine and Phosphorus Kinetics: A New Tool for the Nephrologist and Dietitian

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Dr John T Daugirdas    02 December 2019

  • Creatinine: Using standard modeling and only the predialysis serum creatinine, the creatinine generation rate, akin to normalized protein catabolic rate (nPCR), can be calculated as a measure of patient’s nutrition and health.
  • Phosphorus: Using a new kinetic phosphorus model, and combining all P-binders into a measure called equivalent binder dose (EBD), one can predict predialysis serum phosphorus as a function of intake, binder dose and dialysis treatment. This may be useful to identify causes of high predialysis serum phosphorus.

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