Chronic Kidney Disease-Mineral Bone Disorder (CKD-MBD) in Pediatric Kidney Transplant Recipients.

IF 1.4 4区 医学 Q3 PEDIATRICS
Zenab Tamer, Mark R Hanudel, Isidro B Salusky
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引用次数: 0

Abstract

Kidney transplantation remains the gold standard treatment for end-stage kidney disease (ESKD), effectively alleviating numerous comorbidities and offering a substantial survival advantage over long-term dialysis. Despite advancements in immunosuppressive regimens and improvements in graft and patient survival rates, extended patient longevity brings an accumulating burden and complexity of bone disease in this population, which often goes underrecognized. The present study reviews the pathophysiology of CKD-MBD in pediatric KTR, focusing on the progression of bone disease before and after transplantation. We aim to enhance understanding of available screening options, highlighting their advantages and limitations, to support more informed decision-making in CKD-MBD management.

儿童肾移植受者的慢性肾脏疾病-矿物质骨紊乱(CKD-MBD)
肾移植仍然是终末期肾病(ESKD)的金标准治疗方法,有效缓解了许多合并症,并提供了比长期透析更大的生存优势。尽管免疫抑制方案取得了进步,移植物和患者存活率也有所提高,但患者寿命的延长带来了骨病负担的累积和复杂性,这一点往往未得到充分认识。本研究回顾了CKD-MBD在儿童KTR中的病理生理学,重点关注移植前后骨病的进展。我们的目的是加强对现有筛查方案的了解,强调其优点和局限性,以支持CKD-MBD管理中更明智的决策。
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来源期刊
Pediatric Transplantation
Pediatric Transplantation 医学-小儿科
CiteScore
2.90
自引率
15.40%
发文量
216
审稿时长
3-8 weeks
期刊介绍: The aim of Pediatric Transplantation is to publish original articles of the highest quality on clinical experience and basic research in transplantation of tissues and solid organs in infants, children and adolescents. The journal seeks to disseminate the latest information widely to all individuals involved in kidney, liver, heart, lung, intestine and stem cell (bone-marrow) transplantation. In addition, the journal publishes focused reviews on topics relevant to pediatric transplantation as well as timely editorial comment on controversial issues.
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