| ID | 110483 |
| Title Transcription | チョウキ トウセキ カンジャ ニオケル エイヨウ カンリ ト ショクセイカツ ノ モンダイテン : リン ノ ジュウヨウセイ ニツイテ
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| Title Alternative | Understanding and managing hyperphosphatemia in dialysis patients
|
| Author |
Miyamoto, Ken-ichi
Department of Nutrition, The University of Tokushima School of Medicine
Tokushima University Educator and Researcher Directory
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Ito, Mikiko
Department of Nutrition, The University of Tokushima School of Medicine
Kuwahata, Masashi
Department of Nutrition, The University of Tokushima School of Medicine
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| Keywords | phosphorus
parathyroid hormone
dialysis
ROD
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| Content Type |
Journal Article
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| Description | Hyperphosphatemia continues to affect a large portion of the dialysis population and is associated with increased patient mortality, secondary hyperparathyroidism, renal osteodystrophy (ROD), and therapeutic failure of calcitriol. Elevated serum phosphorus is implicated in the pathogenesis of ROD through its effects on calcium and calcitriol levels, PTH production, and parathyroid cell proliferation. The exact role of phosphorus in ROD is not completely defined, however, and clinical management of ROD is complicated by interactions between phosphorus, calcium, PTH, and calcitriol. Despite these challenges, strategies for managing ROD-including early control of serum phosphorus and PTH by low phosphate diet, establishment of markers for optimal parathyroid and bone health, and availability of new therapeutic tools-can help prevent complications and improve patient outcomes.
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| Journal Title |
四国医学雑誌
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| ISSN | 00373699
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| NCID | AN00102041
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| Publisher | 徳島医学会
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| Volume | 57
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| Issue | 2
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| Start Page | 35
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| End Page | 38
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| Sort Key | 35
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| Published Date | 2001-05-25
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| EDB ID | |
| FullText File | |
| language |
jpn
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| TextVersion |
Publisher
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| departments |
Medical Sciences
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