Clinical significance of parathyroid intervention on CKD-MBD management.

Abstract

Recently published 'Guidelines for the management of secondary hyperparathyroidism in chronic dialysis patients' by the Japanese Society for Dialysis Therapy advocate that percutaneous ethanol injection into enlarged glands, which has been considered as the only alternative to parathyroidectomy (PTx), should be indicated in patients with a single enlarged parathyroid gland (estimated volume >500 mm(3), or estimated major axis >10 mm), and that PTx should be recommended in patients with multiple enlarged glands. Cinacalcet cannot achieve optimal control of chronic kidney disease-mineral bone disorder in all patients, and parathyroid intervention will be required in a considerable number of patients with refractory secondary hyperparathyroidism.

• Authors: Hiroaki Ogata, Masahide Mizobuchi, Fumihiko Koiwa, Eriko Kinugasa, Tadao Akizawa
• Journal: NDT plus (NDT Plus) Vol. 1 Issue Suppl 3 Pg. iii9-iii13 (Aug 2008) ISSN: 1753-0784 [Print] England
• PMID: 25983977 (Publication Type: Journal Article)