关键字：JSDT-JSN,临床实践指南,慢性肾病,矿物质和骨代谢,管理,Chronic kidney disease,Mineral and Bone Disorders, Clinical practice

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简介：The kidney plays an important role in the mineral metabolism; in addition to being a target organ for various hormones involved in calcium and phosphorus metabolism, the kidney is the main organ that activates vitamin D. Thus, it is quite understandable that kidney dysfunction can result in derangement of mineral metabolism. Ever since the first report of severe osteitis fibrosa cystica with parathyroid hyperplasia, this disorder was considered to be a skeletal/bone disease and was named “renal osteodystrophy”. The clinical management of renal osteodystrophy, therefore, primarily aimed to maintain parathyroid hormone (PTH) levels appropriate for normal bone metabolism.