CKD-MBD management: what is the role of parathyroidectomy? Results from a nationwide survey in Italy
- 167 Downloads
We herein report on a nationwide survey conducted in Italy to investigate the use of parathyroidectomy (PTX). In spite of the availability of newer and more effective drugs to control chronic kidney disease mineral bone disorder (CKD-MBD) biochemical abnormalities, PTX still remains a resource for nephrologists to use. However, observational analyses suggest that in recent years there has been a constant decline in the number of patients undergoing PTX. The reasons are not clear, though the increasing age and number of comorbidities of dialysis patients may partly explain this trend. Poor adherence to guidelines and/or geographical as well as logistic factors may also contribute to the lower use of PTX. The working group on CKD-MBD of the Italian Society of Nephrology launched a nationwide survey to investigate clinical practice patterns for PTX in Italy and identify modifiable factors that may limit accessibility to surgery.
KeywordsParathyroidectomy CKD-MBD Dialysis CKD
The working group on CKD-MBD of the Italian Society thanks all centers that responded to the survey. A complete list of the centers is available in Supplementary Table 1.
Compliance with ethical standards
Conflict of interest
The authors have no conflict of interest to disclose.
Research involving human participants and/or animals and informed consent
For this type of study formal ethical approval and informed consent are not required.
- 6.Kidney Disease: Improving Global Outcomes CKDMBDWG (2009) KDIGO clinical practice guideline for the diagnosis, evaluation, prevention, and treatment of Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD). Kidney Int Suppl S1–130Google Scholar
- 20.Locatelli F, Messa P, Bellasi A et al (2013) What can we learn from a statistically inconclusive trial? Consensus conference on the EVOLVE study results. G Ital Nefrol 30Google Scholar
- 24.Minuto M, Vera L, Ansaldo GL et al (2014) Modern approach to parathyroidectomy. G Ital Nefrol 31Google Scholar