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K/DOQI clinical practice guidelines for bone metabolism and disease in chronic kidney disease

Shaul G. Massry, +80 more
- 01 Oct 2003 - 
- Vol. 42
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This article is published in American Journal of Kidney Diseases.The article was published on 2003-10-01 and is currently open access. It has received 2609 citations till now. The article focuses on the topics: Chronic kidney disease-mineral and bone disorder & Kidney disease.

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Chronic Kidney Disease: Mineral and Bone Disorder in Children

TL;DR: Treatment of hyperphosphatemia and secondary hyperparathyroidism improves high-turnover bone disease but fails to correct defects in skeletal mineralization, and therapy must be titrated carefully to maintain optimal serum biochemical parameters according to stage of CKD.
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First- and second-generation immunometric PTH assays during treatment of hyperparathyroidism with cinacalcet HCl.

TL;DR: The data show that PTH can be monitored with either iPTH or biPTH assays during therapy with cinacalcet, and that cinacancet therapy does not exert a major influence on the ratio between PTH(1-84) and large, N-terminally truncated PTH fragments.
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Clinical and Practical Use of Calcimimetics in Dialysis Patients With Secondary Hyperparathyroidism.

TL;DR: This review aims to summarize the results of studies on cinacalcet, up to and including the publication of the recent ADVANCE and EVOLVE RCTs, and to offer practical guidance on how to improve the clinical management of the most frequent adverse events associated with cinacanalyst, based on both currently available information and personal experience.
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Effects of parathyroid hormone on immune function.

TL;DR: Parathyroidectomy has been found to reverse the immunologic defect in patients with high PTH levels, but the clinical significance is unclear and further studies are needed to define if PTH does have immunomodulatory effects.
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Association between Serum Phosphate Levels and Stroke Risk in Patients Undergoing Hemodialysis: The Q-Cohort Study

TL;DR: The results suggest the importance of managing serum phosphate levels within an appropriate range in hemodialysis patients, and suggest the need to select patients at a low risk of brain hemorrhage or infarction according to their serum phosphate level.
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