Phosphate Binder Dissatisfaction May Affect Patient Outcomes - Renal and Urology News
Patients who express greater difficulty, inconvenience, and dissatisfaction with their phosphate binder regimen have higher serum phosphorus levels and, for unclear reasons, worse survival rates, a new study finds. Investigators surveyed 895 patients on hemodialysis from Germany, Italy, Spain, and the UK who participated in the 2016-2018 Dialysis Outcomes and Practice Patterns Study (DOPPS) about their satisfaction with their phosphate binders. Patients gave responses on a 5-point Likert scale. For analyses, responses were grouped into average, better, or worse. Compared with those who gave better scores, patients who gave average or worse scores had increased odds of serum phosphorus levels of 6.0 mg/dL or greater, Keith McCullough, MS, of Arbor Research Collaborative for Health in Ann Arbor, Michigan, and colleagues reported in Clinical Kidney Journal . Patients who gave negative responses to questions about phosphate binder difficulty, inconvenience, and diss...