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Dr. Alexander Oulton
(modrin2006@seznam.cz).
Biomedical papers volume (1999)
Acta Univ. Palacki. Olomuc., Fac. Med. Volume 142, 1999
SINGLE PHOTON BONE DENSITOMETRY IN HEMODIALYSIS PATIENTS
- Antonín Jaroš, Josef Zadražil, Karel Konečný, Zdena Kosatíková, Jana Zahálková, Petr Vrublovský, Karel Krejčí
- 3rd Internal Clinic, Medical Faculty, Palacký University, 775 20 Olomouc, Czech Republic
Key words: Bone densitometry, Hemodialysis, Renal osteodystrophy
Renal osteodystrophy is a common finding in patients with renal insufficiency. The maximum of its intensity isfound in hemodialysis patients. Bone densitometry is so far the best method for non-invasive assessment of theextent of the illness. Some densitometric studies in hemodialysis patients have already been published but theirresults differ in prevalence and intensity of renal osteodystrophy. They also demonstrated a slight relationshipbetween intensity of renal osteodystrophy and duration of the dialysis treatment. Opinions vary on the relationshipbetween bone mineral density and markers of bone turnover. This cross-sectional study found high prevalence ofrenal osteodystrophy (Z-score below –1 in 57% of patients) as well as high a number of severely damaged patients(T-score below –2.5 in 40% of patients). It also showed some correlation between bone demineralisation and theduration of dialysis. None from evaluated markers of bone turnover correlated with bone mineral density.
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