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Management of chronic kidney disease–mineral and bone disorder: Korean working group recommendations

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Author(s)
Eunah HwangBum Soon ChoiKook-Hwan OhYoung Joo KwonGheun-Ho Kim
Keimyung Author(s)
Hwang, Eun Ah
Department
Dept. of Internal Medicine (내과학)
Journal Title
Kidney Research and Clinical Practice
Issued Date
2015
Volume
34
Issue
1
Keyword
CalciumDialysisPhosphorusSecondary hyperparathyroidism
Abstract
For Korean dialysis patients, chronic kidney disease–mineral bone disorder is a serious burden because of cardiovascular calcification and mortality. However, recent epidemiologic data have demonstrated that many patients undergoing maintenance hemodialysis are out of the target ranges of serum calcium, phosphorus, and intact parathyroid hormone. Thus, we felt the necessity for the development of practical recommendations to treat abnormal serum phosphorus, calcium, and iPTH in dialysis patients. In this paper, we briefly comment on the measurement of serum calcium, phosphorus, iPTH, dialysate calcium concentration, dietary phosphorus restriction, use of phosphate binders, and medical and surgical options to correct secondary hyperparathyroidism. In particular, for the optimal management of secondary hyperparathyroidism, we suggest a simplified medication adjustment according to certain ranges of serum phosphorus and calcium. Large-scale, well-designed clinical studies are required to support our strategies to control chronic kidney disease–mineral bone disorder in this country. Based on such data, our practice guidelines could be established and better long-term outcomes should be anticipated in our dialysis patients.
Keimyung Author(s)(Kor)
황은아
Publisher
School of Medicine
Citation
Eunah Hwang et al. (2015). Management of chronic kidney disease–mineral and bone disorder: Korean working group recommendations. Kidney Research and Clinical Practice, 34(1), 4–12. doi: 10.1016/j.krcp.2015.02.002
Type
Article
ISSN
2211-9132
DOI
10.1016/j.krcp.2015.02.002
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34314
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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