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Clinical practice guidelines for bone metabolism and disease in chronic kidney disease: an overview
George R Bailie1, Shaul G Massry,
1Albany Nephrology Pharmacy (ANephRx) Group, Department of Pharmacy Practice, Albany College of Pharmacy, Albany, New York 12208, USA. bailieg@acp.edu
Abstract:
The National Kidney Foundation developed and oversees the Kidney Disease Outcomes Quality Initiative, a process that develops clinical practice guidelines in nephrology. Recent guidelines address the aberrations in bone metabolism and disease that occur as a complication of chronic kidney disease. These guidelines provide, for the first time, a standard approach to the detection and management of alterations in calcium, phosphorus, and parathyroid hormone metabolism. The problems and sequelae of soft-tissue calcification are discussed, and recommendations are provided for reducing the associated morbidity and mortality.
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