Mineral Metabolism Management

Managing calcium and phosphorous levels in ESRD can help avoid catastrophic complications for patients.

Bone Metabolism in ESRD

Management of bone and mineral metabolism for ESRD patients involves balancing several quality indicators, most notably, calcium and phosphorous. The Kidney Disease Outcomes Quality Initiative (KDOQI) recommendations are for calcium levels to range between 8.4 and 10.2 mg/dL and for phosphorous levels to be maintained between 3.5 and 5.5 mg/dL. These measures are also evaluated by state survey agencies, as referenced in the Measures Assessment Tool (MAT) as well as through the ESRD Quality Incentive Program