Management of renal osteodystrophy in peritoneal dialysis patients

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations

Abstract

The term "renal osteodystrophy" encompasses all forms of metabolic bone disease found in dialysis patients. The primary approach to the treatment of renal osteodystrophy in peritoneal dialysis (PD) patients is similar to that in hemodialysis patients. However, the increased prevalence of adynamic bone histology, together with the difficulty in judging calcium balance, the inability to practicably give intravenous vitamin D, and the clearance of vitamin D and parathyroid hormone via dialysate require a different therapeutic approach in PD compared to hemodialysis patients. Clearly, more comparative studies of new agents are needed to find the optimal approach to achieving the K/DOQI guidelines in PD patients. The unique aspects of the approach to renal osteodystrophy in PD patients are the focus of this review.

Original languageEnglish (US)
Pages (from-to)209-216
Number of pages8
JournalPeritoneal Dialysis International
Volume24
Issue number3
DOIs
StatePublished - 2004

Keywords

  • Calcium
  • Osteoporosis
  • Phosphorus
  • Renal osteodystrophy
  • Vitamin D

ASJC Scopus subject areas

  • Nephrology

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