title: [New Developments in CKD-MBD. How to "Thinking Global! Acting Local" for treating CKD-MBD].
abstract: "Thinking Global! Acting Local" has been used to express a principle in implementing global guidelines in local. In case of KDIGO 2009 CKD-MBD guideline, Japanese Society of Dialysis Therapy followed the principal part of its global one and published 2012 CKD-MBD guideline for Japanese users. In this guideline, JSDT recommended very different PTH target from the KDIGO and emphasized the parathyroid interventions in their recommendation. Is it a right recommendation as for "Acting Local" ? We should be very careful to implement an opinion-base or low-level evidence-base recommendation to increase a clinical usefulness of guideline.
authors.affiliation: Department of Nephrology, Itabashi Chuo Medical Center, Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Tsukamoto
mesh_terms: D001851:Bone Diseases, Metabolic / Q000188:drug therapy / Q000209:etiology / Q000378:metabolism / Q000503:physiopathology; D002118:Calcium / Q000378:metabolism; D006801:Humans; D010281:Parathyroid Hormone / Q000378:metabolism; D017410:Practice Guidelines as Topic; D051436:Renal Insufficiency, Chronic / Q000150:complications / Q000188:drug therapy / Q000378:metabolism* / Q000503:physiopathology
chemical_list: D010281:Parathyroid Hormone; D002118:Calcium