We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Increased Calcium Content Suggested For Dialysis Bath

JAMA. 1966;198(3):46. doi:10.1001/jama.1966.03110160020010.
Text Size: A A A
Published online


Metabolic bone disease is frequently seen in patients on a chronic dialysis program.

At the University Hospital and Artificial Kidney Center, Seattle, bone demineralization is a complication in 11 of 26 dialysis patients. Significant disability has occurred, at least transiently, in five of the affected individuals, Frederick C. Curtis, MD, told the Third International Congress of Nephrology.

These patients apparently absorb a relatively small percentage of an already low dietary calcium load, and do not absorb enough calcium during dialysis to compensate for a negative diet-stool balance.

(In Seattle, patients treated by chronic dialysis are dialysed 10 to 35 hours a week using a modified Kiil dialyzer. They consume a low protein diet containing approximately 500 mg/day of calcium. Vitamin D supplement is not routinely given.)

Persistent parathyroid hyperactivity, despite high normal serum calcium levels, appears to be an etiological factor in some patients; in others, the condition resembles idiopathic


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.