Osteoporosis and Impaired Trabecular Bone Score in Hemodialysis Patients
العنوان: | Osteoporosis and Impaired Trabecular Bone Score in Hemodialysis Patients |
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المؤلفون: | Ivan Rychlik, Petr Kasalický, Jana Verešová, Petra Beranová, Jana Potoèková, Ludmila Brunerová, Petra Ronová |
المصدر: | Kidney & Blood Pressure Research, Vol 41, Iss 3, Pp 345-354 (2016) |
بيانات النشر: | S. Karger AG, 2016. |
سنة النشر: | 2016 |
مصطلحات موضوعية: | Male, lcsh:Diseases of the circulatory (Cardiovascular) system, medicine.medical_specialty, Trabecular bone score, Bone density, medicine.medical_treatment, Osteoporosis, 030232 urology & nephrology, 030209 endocrinology & metabolism, lcsh:RC870-923, 03 medical and health sciences, 0302 clinical medicine, Bone Density, Renal Dialysis, Chronic kidney disease-mineral and bone disorder, lcsh:Dermatology, medicine, Humans, Aged, Aged, 80 and over, Chronic Kidney Disease-Mineral and Bone Disorder, Kidney, business.industry, General Medicine, Middle Aged, lcsh:RL1-803, lcsh:Diseases of the genitourinary system. Urology, medicine.disease, Surgery, medicine.anatomical_structure, lcsh:RC666-701, Nephrology, Hemodialysis, Cancellous Bone, Female, Kidney Diseases, Cardiology and Cardiovascular Medicine, Densitometry, business, Cancellous bone |
الوصف: | Background/Aims: Small attention is paid to other types of bone diseases then chronic kidney disease-mineral and bone disorder in dialysis patients. The aim of our study was to assess the occurrence of osteoporosis and bone microarchitecture by trabecular bone score in this population. Methods: 59 patients (67.6 ± 13.1 years, 43 males) treated with hemodiafIltration underwent densitometry (Lunar Prodigy, TBS software 2.1.2) and laboratory assessment. Results: Osteoporosis was observed in 34% patients, high bone turnover was found in 80% of them, with SHPT (PTH > 300 ng/l) present in 69%. TBS was significantly decreased in 47.5% of the patients. TBS correlated with T- and Z-scores of the lumbar spine and proximal femur in the total population (P < 0.0001) and in men (P < 0.00001) and there were significant differences between TBS in groups with normal densitometry, osteopenia, and osteoporosis, both in total population (P < 0.0001; P < 0.01) and in men (P < 0.001; P < 0.001). Conclusions: Osteoporosis was found in about 1/3 of patients treated with hemodiafiltration. Normal TBS was found in only 1/4 of the dialysis population. TBS correlated with densitometric parameters and was significantly different relative to T-scores. |
تدمد: | 1423-0143 1420-4096 |
الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c066711c0c55fbad9ef0ca477fd192feTest https://doi.org/10.1159/000443439Test |
حقوق: | OPEN |
رقم الانضمام: | edsair.doi.dedup.....c066711c0c55fbad9ef0ca477fd192fe |
قاعدة البيانات: | OpenAIRE |
تدمد: | 14230143 14204096 |
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