Longitudinal assessment of bone quality in pediatric patients with chronic kidney disease in relation to treatment modality

Verfasser / Beitragende:
[Chrysa Gkogka, Athanasios Christoforidis, Nikoleta Printza, Konstantinos Kollios, Eirini Kazantzidou, Fotios Papachristou]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Bone and Mineral Metabolism, 33/3(2015-05-01), 303-310
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00774-014-0590-x  |2 doi 
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245 0 0 |a Longitudinal assessment of bone quality in pediatric patients with chronic kidney disease in relation to treatment modality  |h [Elektronische Daten]  |c [Chrysa Gkogka, Athanasios Christoforidis, Nikoleta Printza, Konstantinos Kollios, Eirini Kazantzidou, Fotios Papachristou] 
520 3 |a Children with chronic kidney disease (CKD) are at high risk of developing impaired bone quality. Our aim was to investigate changes of bone quality in children with CKD in relation to their treatmant using two imaging techniques—dual energy X-ray absorptiometry and quantitative ultraSonography (QUS). Thirty-three patients with CKD (18 boys and 15 girls, mean age 10.37±3.37years) were evaluated with bone mineral density (BMD) measured by DXA at the lumbar spine and hip and with speed of sound (SOS) measured by QUS at the radius and tibia at the beginning and at the end of the study. The patient cohort consisted of 14 patients with CKD stage 3-4 not treated with dialysis (CKD group), 5 patients on peritoneal dialysis treatment (PD group) and 14 patients after kidney transplantation (RTx group). BMD measurements did not show any significant changes in CKD and PD patients during the study. There was a reduction in BMD measured at the lumbar spine, femoral neck and total hip in RTx patients that was approaching significance. During the 2-year follow-up, SOS measurements at the radius decreased significantly in PD patients, whereas SOS measurements at the tibia significantly improved in RTx patients. No significant changes in QUS parameters were recorded for patients in the CKD group. In conclusion, our study shows that QUS parameters seem to better reflect the state of hyperparathyroidism of renal osteodystrophy as they deteriorate significantly in patients on dialysis and improve after renal transplantation. 
540 |a The Japanese Society for Bone and Mineral Research and Springer Japan, 2014 
690 7 |a CKD  |2 nationallicence 
690 7 |a Children  |2 nationallicence 
690 7 |a Bone  |2 nationallicence 
690 7 |a DXA  |2 nationallicence 
690 7 |a QUS  |2 nationallicence 
700 1 |a Gkogka  |D Chrysa  |u 1st Paediatric Department, Aristotle University, 49, Konstantinoupoleos str, 54642, Thessaloniki, Greece  |4 aut 
700 1 |a Christoforidis  |D Athanasios  |u 1st Paediatric Department, Aristotle University, 49, Konstantinoupoleos str, 54642, Thessaloniki, Greece  |4 aut 
700 1 |a Printza  |D Nikoleta  |u 1st Paediatric Department, Aristotle University, 49, Konstantinoupoleos str, 54642, Thessaloniki, Greece  |4 aut 
700 1 |a Kollios  |D Konstantinos  |u 3rd Paediatric Department, Aristotle University, Thessaloniki, Greece  |4 aut 
700 1 |a Kazantzidou  |D Eirini  |u Radiology Department, Ippokratio General Hospital, Thessaloniki, Greece  |4 aut 
700 1 |a Papachristou  |D Fotios  |u 1st Paediatric Department, Aristotle University, 49, Konstantinoupoleos str, 54642, Thessaloniki, Greece  |4 aut 
773 0 |t Journal of Bone and Mineral Metabolism  |d Springer Japan  |g 33/3(2015-05-01), 303-310  |x 0914-8779  |q 33:3<303  |1 2015  |2 33  |o 774 
856 4 0 |u https://doi.org/10.1007/s00774-014-0590-x  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00774-014-0590-x  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gkogka  |D Chrysa  |u 1st Paediatric Department, Aristotle University, 49, Konstantinoupoleos str, 54642, Thessaloniki, Greece  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Christoforidis  |D Athanasios  |u 1st Paediatric Department, Aristotle University, 49, Konstantinoupoleos str, 54642, Thessaloniki, Greece  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Printza  |D Nikoleta  |u 1st Paediatric Department, Aristotle University, 49, Konstantinoupoleos str, 54642, Thessaloniki, Greece  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kollios  |D Konstantinos  |u 3rd Paediatric Department, Aristotle University, Thessaloniki, Greece  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kazantzidou  |D Eirini  |u Radiology Department, Ippokratio General Hospital, Thessaloniki, Greece  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Papachristou  |D Fotios  |u 1st Paediatric Department, Aristotle University, 49, Konstantinoupoleos str, 54642, Thessaloniki, Greece  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Bone and Mineral Metabolism  |d Springer Japan  |g 33/3(2015-05-01), 303-310  |x 0914-8779  |q 33:3<303  |1 2015  |2 33  |o 774