Effect of Velphoro on Serum Phosphate and Albumin in Peritoneal Dialysis Patients

Inclusion Criteria: * Age ≥ 18 years * On peritoneal dialysis at least 3 months with a Kt/V of ≥ 1.7 * Use of Automated Peritoneal Dialysis * Serum phosphate \> 5.5 mg/dL or \<5.5 mg/dL on a binder other than velphoro * Serum albumin ≤ 3.7 g/dL * Able to provide consent * Ability to complete self-reported questionnaire Exclusion Criteria: * Inadequate dialysis * Current use of sucroferric oxyhydroxide * Significant comorbid conditions that lead the investigator to conclude that life expectancy is less than 6 months * Active malignancy * Recent episode of peritonitis * Pregnancy or planning to become pregnant * Anticipated kidney transplantation within 6 months * Factors judged to limit adherence to interventions * Known adverse side effect to sucroferric oxydroxide