1. slide 1


2. Background


3. slide 3


4. slide 4


5. Bone metabolism in CKD


6. Phosphate retention


7. Phosphate retention


8. Phosphate retention


9. Phosphate retention


10. Bone metabolism in CKD


11. Skeletal resistance to PTH


12. Bone metabolism in CKD


13. Vitamin D metabolism


14. slide 14


15. Renal osteodystrophy


16. Interventions


17. Parathyroid glands in CKD


18. Surgical parathyroidectomy


19. Indications


20. Dyalisis Outcomes Quality Initiative (DOQI) 1995 Kidney Disease Outcomes Quality Initiative (K/DOQI) 1999


21. Target PTH range in CKD


22. K/DOQI Clinical Practice Guidelines for Bone Metabolism and Disease in Chronic Kidney Disease


23. slide 23


24. Indications


25. Controversies


26. slide 26


27. Conclusions