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Letters
June 17, 2009

Reducing Serum Phosphorus Concentration in Patients With End-Stage Renal Disease

JAMA. 2009;301(23):2443-2444. doi:10.1001/jama.2009.845

To the Editor: The clinical trial by Dr Sullivan and colleagues1 showed that the serum phosphorus concentration can be reduced in patients on maintenance hemodialysis by avoiding phosphorus-containing food additives. The results are potentially useful to guide educational interventions aimed at improving the nutritional care of hemodialysis patients. The findings also have public health importance, considering that high serum phosphorus concentration is a risk factor for adverse cardiovascular events and bone disease among patients at earlier stages of chronic kidney disease.2

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