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CHRONIC KIDNEY DISEASE—MINERAL AND BONE DISORDER (CKD‐MBD): A NEW TERM FOR A COMPLEX APPROACH
Author(s) -
Švára František
Publication year - 2009
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/j.1755-6686.2009.00067.x
Subject(s) - medicine , kidney disease , renal osteodystrophy , nephrology , chronic kidney disease mineral and bone disorder , intensive care medicine , incidence (geometry) , disease , quality of life (healthcare) , osteoporosis , nursing , physics , optics
SUMMARY The global widespread of the chronic kidney disease (CKD) is a worldwide health problem. Its increasing incidence and prevalence and adverse outcomes (including decreased quality of life, increased morbidity and mortality) represents a huge challenge for all recent health are systems. Reflecting this situation, the new, global initiative (KDIGO) was established to enhance communication and clinical decision‐making, promote the use of evidence based medicine and facilitate clinical research. The new definition, evaluation and classification of “renal osteodystrophy”; has been one of the first outcome of this initiative, suggesting the topic of chronic kidney disease—mineral and bone disorder (CKD‐MBD) to be a hot problem of recent nephrology. The new terminology is consistent with a recent view on this topic and describes CKD‐MBD as a complex syndrome, including abnormal mineral and PTH metabolism, altered bone structure as far as extra‐skeletal calcifications.