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Introduction It is common practice to put patients with chronic kidney disease (CKD) on an activated form of vitamin D such as alphacalcidol without measuring or correcting the vitamin D3 level. The 2009 Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guideline on the management...
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Published in: | Annals of Saudi medicine Vol. 33; no. 2; p. 201 |
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Main Author: | |
Format: | Journal Article |
Language: | English |
Published: |
Riyadh
KING FAISAL SPECIALIST HOSPITAL & RESEARCH CENTRE
01-03-2013
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Subjects: | |
Online Access: | Get full text |
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Summary: | Introduction It is common practice to put patients with chronic kidney disease (CKD) on an activated form of vitamin D such as alphacalcidol without measuring or correcting the vitamin D3 level. The 2009 Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guideline on the management of CKD-MBD recommended that 25 (OH) D3 levels should be monitored and if low, ergo- or cholecalciferol supplements should be prescribed. 3 We have conducted a study investigating the effect of daily oral vitamin D3 on the levels of 25(OH) D3 and iPTH in vitamin D insufficient/ deficient children with CKD.4 Maintenance therapy with oral vitamin D3 (2000 IU/day for 6 months) did not result in improved iPTH levels, and only 11% of the children achieved normal 25 (OH) D3 levels (≥30 ng/mL). "KDIGO clinical practice guideline for the diagnosis, evaluation, prevention, and treatment of Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD)" . |
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ISSN: | 0256-4947 0975-4466 |