Hope for CKD-MBD Patients: New Diagnostic Approaches for Better Treatment of CKD-MBD

被引:10
作者
Hocher, Berthold [1 ,2 ,3 ,4 ]
Pasch, Andreas [5 ]
机构
[1] Univ Potsdam, Inst Nutr Sci, Potsdam, Germany
[2] Inst Lab Med Berlin, IFLb, Berlin, Germany
[3] Jinan Univ, Dept Embryol, Sch Med, Guangzhou, Guangdong, Peoples R China
[4] Jinan Univ, Dept Nephrol, Guangzhou Overseas Chinese Hosp, Affiliated Hosp 1, Guangzhou, Guangdong, Peoples R China
[5] Univ Bern, Dept Clin Res, Univ Hosp Bern, Bern, Switzerland
关键词
Biomarker; Calcification propensity; Chronic kidney disease-mineral and bone disorder; Nonoxidized parathyroid hormone; Morbidity; Mortality; T-50; test; SERUM CALCIFICATION PROPENSITY; HUMAN PARATHYROID-HORMONE; CHRONIC KIDNEY-DISEASE; INDEPENDENT RISK-FACTOR; CHRONIC-RENAL-FAILURE; ALL-CAUSE MORTALITY; HEMODIALYSIS-PATIENTS; CARDIOVASCULAR-DISEASE; TRANSPLANT RECIPIENTS; BIOLOGICAL-ACTIVITY;
D O I
10.1159/000477244
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
100201 [内科学]; 100221 [泌尿外科学];
摘要
Background: Chronic kidney disease-mineral and bone disorder (CKD-MBD) patients have a huge morbidity and mortality. Only relatively minor progress in therapeutic strategies has been made in the past decades. This is at least partially due to a lack of predictive diagnostic tools allowing personalized treatment of CKD-MBD patients. Summary: In this review we describe recent progress in the diagnosis of disturbances of calcium and phosphate metabolism in patients with CKD-MBD, measuring biological active nonoxidized parathyroid hormone as well as the overall likelihood of a patient to get calcified. Key Message: There is hope. The new tools have the potential of allowing personalized therapy for the treatment of CKD-MBD and hence improving outcome. (c) 2017 S. Karger AG, Basel
引用
收藏
页码:8 / 14
页数:7
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