Management of chronic kidney disease-mineral and bone disorder: Korean working group recommendations

Eunah Hwang, Bum Soon Choi, Kook Hwan Oh, Young Joo Kwon, Gheun Ho Kim

Research output: Contribution to journalReview articlepeer-review

19 Citations (Scopus)


For Korean dialysis patients, chronic kidney disease-mineral bone disorder is a serious burden because of cardiovascular calcification and mortality. However, recent epidemiologic data have demonstrated that many patients undergoing maintenance hemodialysis are out of the target ranges of serum calcium, phosphorus, and intact parathyroid hormone. Thus, we felt the necessity for the development of practical recommendations to treat abnormal serum phosphorus, calcium, and iPTH in dialysis patients. In this paper, we briefly comment on the measurement of serum calcium, phosphorus, iPTH, dialysate calcium concentration, dietary phosphorus restriction, use of phosphate binders, and medical and surgical options to correct secondary hyperparathyroidism. In particular, for the optimal management of secondary hyperparathyroidism, we suggest a simplified medication adjustment according to certain ranges of serum phosphorus and calcium. Large-scale, well-designed clinical studies are required to support our strategies to control chronic kidney disease-mineral bone disorder in this country. Based on such data, our practice guidelines could be established and better long-term outcomes should be anticipated in our dialysis patients.

Original languageEnglish
Pages (from-to)4-12
Number of pages9
JournalKidney Research and Clinical Practice
Issue number1
Publication statusPublished - 2015 Mar 1
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2015. The Korean Society of Nephrology. Published by Elsevier. All rights reserved.


  • Calcium
  • Dialysis
  • Phosphorus
  • Secondary hyperparathyroidism

ASJC Scopus subject areas

  • Nephrology
  • Urology


Dive into the research topics of 'Management of chronic kidney disease-mineral and bone disorder: Korean working group recommendations'. Together they form a unique fingerprint.

Cite this