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Mineral and Bone Disorders in Kidney Transplant Recipients: Reversible, Irreversible, and De Novo Abnormalities

Overview
Publisher Springer
Specialty Nephrology
Date 2015 May 2
PMID 25931403
Citations 10
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Abstract

Given the advances in medical technologies related to kidney transplantation, the post-transplant graft survival rate and quality of life have improved dramatically. Nevertheless, post-transplant mortality rate still remains high as compared to the general population due to the development of cardiovascular events. It has recently been widely recognized that chronic kidney disease-mineral and bone disorders (CKD-MBD) significantly contribute to such poor prognosis at least in part. In the majority of kidney recipients, abnormal serum parameters for mineral and bone disorder (MBD), such as phosphorus, calcium, 1,25-dihydroxyvitamin D, parathyroid hormone and fibroblast growth factor 23, gradually return toward acceptable levels following the re-establishment of kidney function after transplantation; however, some irreversible abnormalities, developed as the result of long-term dialysis, persist, require treatment, or even progress after kidney transplantation. Thus, better management of CKD-MBD during pre-dialysis and dialysis period as well as after kidney transplantation is highly appreciated.

Citing Articles

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Outcome of surgical parathyroidectomy for tertiary hyperparathyroidism in kidney transplant recipients: tertiary hyperparathyroidism should not be ignored, for the sake of precious allografts.

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Mineral and bone disorder after kidney transplantation: a single-center cohort study.

Sun L, Wang Z, Zheng M, Hang Z, Liu J, Gao X Ren Fail. 2023; 45(1):2210231.

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Bone volume, mineral density, and fracture risk after kidney transplantation.

Keronen S, Martola L, Finne P, Burton I, Tong X, Kroger H PLoS One. 2022; 17(3):e0261686.

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Clinical Prediction of High-Turnover Bone Disease After Kidney Transplantation.

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