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CKD Is a Global Burden With Major Implications

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Presentation on theme: "CKD Is a Global Burden With Major Implications"— Presentation transcript:

1 Improving Management of Secondary Hyperparathyroidism (SHPT) in Non-Dialysis Patients

2 CKD Is a Global Burden With Major Implications

3 CKD-MBD

4 Pathophysiology of CKD-MBD

5 Biochemical Phenotype of Disordered Mineral Metabolism in CKD

6 SHPT Is a Component of CKD-MBD Pathophysiology

7 Bone-Kidney-Parathyroid Endocrinological Feedback Loop

8 Vitamin D Metabolism: 1,25(OH)2 D Levels Are Tightly Regulated

9 Low Levels Of 25(OH)D (Calcifediol) Increase the Risk of Disease Progression and Mortality in Patients With CKD

10 Relationship Between 25(OH)D and PTH in CKD

11 Vitamin D Nomenclature

12 Relationship Between 25(OH)D and PTH Before and After Treatment With Vitamin D and Calcium for 8 Weeks

13 2017 Revised KDIGO Guidelines PTH -- Vitamin D

14 2017 Revised KDIGO Guidelines PTH -- Vitamin D (cont)

15 Management of Bone Mineral Parameters Remains the Therapeutic Goal

16 Management of PTH and Vitamin D

17 Ergocalciferol Treatment in Stage 3 and 4 CKD

18 Improved PTH With Calcitriol in CKD Stages 3 and 4

19 Oral Paricalcitol in Treatment of SHPT in CKD 3 & 4

20 Paricalcitol vs Calcitriol in CKD-MBD

21 Vitamin D Receptor Activators Did Not Improve CV Outcomes but Increased Hypercalcemia Risk

22 Ergocalciferol vs Paricalcitol for SHPT in CKD Stages 3 and 4

23 Calcifediol ER Increases 25(OH)D Levels And Reduces iPTH in Patients With Non-Dialysis CKD

24 Calcifediol ER Increased Serum Total 25-Hydroxyvitamin D: 1-Year Results

25 Calcifediol ER Lowers Plasma PTH Consistently Over Time

26 Calcifediol ER Has an Inconsequential Impact on Serum Calcium and Phosphorus

27 Comparison of Vitamin D Therapies for Stage 3-4 CKD

28 Summary and Conclusions

29 Abbreviations

30 Abbreviations (cont)


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