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Multidisciplinary team approach for CKD-associated osteoporosis

2025-01Artigo científico Acesso aberto
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dc.contributor.authorHansen, Ditte
dc.contributor.authorJørgensen, Hanne Skou
dc.contributor.authorAndersen, Thomas Levin
dc.contributor.authorFerreira, Ana Carina
dc.contributor.authorFerreira, Aníbal
dc.contributor.authorde Jongh, Renate
dc.contributor.authorKeronen, Satu
dc.contributor.authorKröger, Heikki
dc.contributor.authorLafage-Proust, Marie Hélène
dc.contributor.authorMartola, Leena
dc.contributor.authorPoole, Kenneth E.S.
dc.contributor.authorTong, Xiaoyu
dc.contributor.authorEvenepoel, Pieter
dc.contributor.authorHaarhaus, Mathias
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblEuropean Renal Association - European Dialysis and Transplant Association (ERA-EDTA) | Oxford University Press
dc.date.accessioned2025-01-08T21:23:57Z
dc.date.available2025-01-08T21:23:57Z
dc.date.issued2025-01
dc.descriptionPublisher Copyright: © The Author(s) 2024. Published by Oxford University Press on behalf of the ERA.
dc.description.abstractChronic kidney disease-mineral and bone disorder (CKD-MBD) contributes substantially to the burden of cardiovascular disease and fractures in patients with CKD. An increasing arsenal of diagnostic tools, including bone turnover markers and bone imaging, is available to support clinicians in the management of CKD-associated osteoporosis. Although not mandatory, a bone biopsy remains useful in the diagnostic workup of complex cases. In this special report, the European Renal Osteodystrophy (EUROD) initiative introduces the concept of a kidney-bone multidisciplinary team (MDT) for the diagnosis and clinical management of challenging cases of CKD-associated osteoporosis. In 2021, the EUROD initiative launched virtual clinical-pathological case conferences to discuss challenging cases of patients with CKD-associated osteoporosis, in whom a bone biopsy was useful in the diagnostic workup. Out of these, we selected four representative cases and asked a kidney-bone MDT consisting of a nephrologist, an endocrinologist and a rheumatologist to provide comments on the diagnostic and therapeutic choices. These cases covered a broad spectrum of CKD-associated osteoporosis, including bone fracture in CKD G5D, post-transplant bone disease, disturbed bone mineralization, severely suppressed bone turnover and severe hyperparathyroidism. Comments from the MDT were, in most cases, complementary to each other and additive to the presented approach in the cases. The MDT approach may thus set the stage for improved diagnostics and tailored therapies in the field of CKD-associated osteoporosis. We demonstrate the clinical utility of a kidney-bone MDT for the management of patients with CKD-MBD and recommend their establishment at local, national, and international levels.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent12
dc.format.extent1966605
dc.identifier.doi10.1093/ndt/gfae197
dc.identifier.issn0931-0509
dc.identifier.otherPURE: 105801165
dc.identifier.otherPURE UUID: 59efd8cf-4b24-4719-bbe4-e663b4d40ab7
dc.identifier.otherScopus: 85213596280
dc.identifier.otherPubMed: 39315700
dc.identifier.urihttp://hdl.handle.net/10362/177171
dc.identifier.urlhttps://www.scopus.com/pages/publications/85213596280
dc.language.isoeng
dc.peerreviewedyes
dc.subjectbone biopsy
dc.subjectchronic kidney disease–mineral and bone disorder
dc.subjectmultidisciplinary team
dc.subjectosteoporosis
dc.subjectrenal osteodystrophy
dc.subjectNephrology
dc.subjectTransplantation
dc.subjectSDG 3 - Good Health and Well-being
dc.titleMultidisciplinary team approach for CKD-associated osteoporosisen
dc.typejournal article
degois.publication.firstPage48
degois.publication.issue1
degois.publication.lastPage59
degois.publication.titleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
degois.publication.volume40
dspace.entity.typePublication
rcaap.rightsopenAccess

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