Chronic Kidney Disease-Mineral Bone Disorder (CKD-MBD)

Overview

4.6 out of 5 (7 Reviews)

Credits

1.50

Post Assessment Questions

6

Start Date

19 Jul 2022

Last Review Date

3 Apr 2024

Expiration Date

31 Dec 2023

Estimated Time To Finish

90 Minutes


 
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Activity Description

Chronic kidney disease–mineral bone disorder (CKD-MBD) is a complex syndrome characterized by disruptions in calcium, phosphate, parathyroid hormone (PTH), vitamin D, and fibroblast growth factor-23 (FGF23) levels. These disruptions lead to alterations in bone morphology and systemic effects, with elevated mortality rates primarily due to cardiovascular complications. Critical aspects of CKD-MBD include serum imbalances of calcium, phosphorous, PTH, and vitamin D, affecting bone health and extraskeletal calcifications. Evidence suggests their associations with adverse outcomes such as increased fracture risk and cardiovascular mortality. Diagnostic strategies include blood tests and radiological imaging, with treatment focusing on controlling phosphate, calcium, vitamin D, and PTH levels based on individual patient characteristics and metabolic abnormalities.

This activity focuses on exploring CKD-MBD's pathophysiology, evaluation, and management, highlighting the role of the interprofessional healthcare team in patient care. This activity also addresses the multifaceted nature of CKD-MBD by examining its pathophysiological mechanisms, diagnostic strategies, and evidence-based treatment options based on clinical guidelines and recommendations to improve outcomes associated with this multifactorial condition. Effective management of CKD-MBD entails interdisciplinary collaboration among healthcare providers, including nephrologists, endocrinologists, and pharmacists, and emphasizes effective communication among team members. This collaboration enables participants to develop a comprehensive understanding of the condition's management, leading to improved patient outcomes through optimized treatment plans and patient care.


Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify serum imbalances of calcium, phosphorous, parathyroid hormone, and vitamin D in patients with chronic kidney disease–mineral bone disorder.

  •  

    Assess fracture risks and cardiovascular complications associated with chronic kidney disease–mineral bone disorder by ensuring timely detection and intervention for optimal patient care.

  • Select appropriate phosphate binders and vitamin D supplements according to the patient's needs and laboratory results.

  • Collaborate with the interprofessional healthcare team to provide comprehensive care for patients with chronic kidney disease–mineral bone disorder, integrating expertise for a holistic approach to the treatment.

Disclosures

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they or their immediate family may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CUSOM for resolution, to ensure fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

CUSOM will identify, review, and resolve all conflicts of interest that faculty, authors, activity directors, planners, managers, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for authors, editors, planners, peer reviewers, and/or relevant staff is provided with this activity.

Continuing Education Accreditation Information

 

 

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. CUSOM designates this enduring material for a maximum of 1.50 AOA Category 1 B Credits and will report CME credits commensurate with the extent of the physician's participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money back guarantee is provided if not completely satisfied.

  • StatPearls and CUSOM reserve the right to cancel any course due to unforeseen circumstances. StatPearls and CUSOM will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and CUSOM are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and CUSOM adheres to AOA Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and Campbell that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

This course is intended for osteopathic physicians who wish to earn AOA CME credit. Take this version of the course to ensure you receive appropriate credit.

 

 
 

Reviews

mandeep s. on 11/9/2022

Gaston D. on 6/9/2023

Brianna L. on 6/23/2023

Gregorio J. on 12/29/2023

Monique A. on 2/1/2024

Wassim E. on 2/17/2024

michael a. on 4/4/2024

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