Individualized Therapy to Prevent Bone Mineral Density Loss after Kidney and Kidney-Pancreas Transplantation
Author(s) -
Rahul Mainra,
Grahame J. Elder
Publication year - 2009
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.03770609
Subject(s) - medicine , bone mineral , urology , femoral neck , transplantation , bone remodeling , osteoporosis , kidney transplantation , bone density , calcitriol , teriparatide , renal osteodystrophy , surgery , kidney disease , vitamin d and neurology
Most patients who undergo kidney or kidney-pancreas transplantation have renal osteodystrophy, and immediately after transplantation bone mineral density (BMD) commonly falls. Together, these abnormalities predispose to an increased fracture incidence. Bisphosphonate or calcitriol therapy can preserve BMD after transplantation, but although bisphosphonates may be more effective, they pose potential risks for adynamic bone.
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