Are there any oucome data of vitamin D therapy benefit in patients with stage 3 CKD? N0
we have shown that GFR is a major determinant of the relationship between 25D & PTH. Patel S et al Calcified Tissue Int 2007, 80, 221
Jeff
Dr Jeffrey Barron
Consultant Chemical Pathologist
Director Newborn Screening
Chair, London Regional Commitee, Royal College Pathologists
St Helier Hospital
Carshalton
Surrey SM5 1AA
UK
Tel UK 20 8296 2660
Fax UK 20 8641 2633
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>>> Mohammad Al-Jubouri <[log in to unmask]> 06/18/07 5:09 pm >>>
Dear All,
CKD guidance recommends that in patients with eGFR of 30 - 59 mL/min/1.73m2, a PTH should be measured and if it is > 70 ng/L (?? > 7.7 pmol/L), then vitamin D should be checked.
Are you accepting PTH & vitamin D requests on these patients even if serum calcium, phosphate and ALP are well within normal?
What is the strength of evidence, if any, of the above recommendation? Are there any oucome data of vitamin D therapy benefit in patients with stage 3 CKD?
Thanks for any feedback.
Mohammad
Dr. M A Al-Jubouri
Consultant Chemical Pathologist
---------------------------------
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BEGIN:VCARD
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FN:Barron, Jeffrey
TEL;WORK:020 8296 2660
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TITLE:Consultant
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