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Dialysis Patients Need Bone & Mineral Metric
Date:8/30/2013

WASHINGTON, Aug. 30, 2013 /PRNewswire-USNewswire/ -- Dialysis Patient Citizens (DPC) released additional information today from its Annual Membership Survey, conducted by global market research firm Ipsos.  The survey reported that 85 percent of DPC's membership relies on phosphate binders and 22 percent relies on calcimimetics, both used for the treatment of Bone and Mineral Metabolism (BMM) disorder that occurs with the loss of kidney function.  "With so many dialysis patients relying on phosphate binders and calcimimetics to help maintain their health, the addition of patient access protections and quality performance measures around the treatment of BMM are critical as these drugs are added to the End Stage Renal Disease (ESRD) bundled payment system," said Hrant Jamgochian, executive director of DPC.

BMM disorder is associated with increased mortality and morbidity and its treatment is important in improving the quality of life and longevity of dialysis patients.  Dialysis patients require the clinical management of phosphorus, calcium and parathyroid (PTH) levels, and large prospective studies have shown that lower mortality is observed when all three parameters are managed to target ranges established by national clinical practice guidelines.

The Centers for Medicare and Medicaid Services (CMS) is currently revisiting quality performance measures for the ESRD Quality Improvement Program (QIP).  As a result, CMS is proposing to add hypercalcemia as a clinical measure in the QIP, to the current requirement that dialysis centers report lab values for patients' serum phosphorus, which started on January 1, 2013.  "DPC commends CMS for proposing to include BMM measures in the QIP," said Jamgochian. "There is no better time to add such important patient protections."

DPC also encourages CMS to adopt broader patient protections into the ESRD bundle requirements th
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SOURCE Dialysis Patient Citizens
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