Bone and Mineral Disease in Kidney Transplant Recipients
Author(s) -
Pascale Khairallah,
Thomas L. Nickolas
Publication year - 2021
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.03410321
Subject(s) - medicine , bone mineral , vitamin d and neurology , epidemiology , metabolic bone disease , transplantation , hyperparathyroidism , kidney transplantation , vitamin d deficiency , bone disease , disease , kidney disease , risk factor , osteoporosis , intensive care medicine
After kidney transplantation, mineral and bone disorders are associated with higher risk of fractures and consequent morbidity and mortality. Disorders of calcium and phosphorus, vitamin D deficiency, and hyperparathyroidism are also common. The epidemiology of bone disease has evolved over the past several decades due to changes in immunosuppressive regimens, mainly glucocorticoid minimization or avoidance. The assessment of bone disease in kidney transplant recipients relies on risk factor recognition and bone mineral density assessment. Several drugs have been trialed for the treatment of post-transplant mineral and bone disorders. This review will focus on the epidemiology, effect, and treatment of metabolic and skeletal derangements in the transplant recipient.
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