{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:40:39Z","timestamp":1740174039484,"version":"3.37.3"},"reference-count":26,"publisher":"Universidad de Santander - UDES","issue":"3","license":[{"start":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T00:00:00Z","timestamp":1665360000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["udes.edu.co"],"crossmark-restriction":true},"short-container-title":["Rev Cuid"],"abstract":"<jats:p>Introdu\u00e7\u00e3o: o objetivo foi avaliar a preval\u00eancia do dist\u00farbio mineral e \u00f3sseo em pacientes com doen\u00e7a renal cr\u00f4nica e a associa\u00e7\u00e3o entre Taxa de Filtra\u00e7\u00e3o Glomerular estimada (TFGe) e os indicadores do dist\u00farbio mineral e \u00f3sseo (DMO) (c\u00e1lcio, f\u00f3sforo e PTH) em pacientes renais cr\u00f4nicos n\u00e3o dial\u00edticos. Materiais e M\u00e9todos: estudo seccional da linha de base de uma coorte de dois anos, com adultos e idosos renais cr\u00f4nicos em tratamento conservador. Para identifica\u00e7\u00e3o do DMO utilizamos os seguintes valores s\u00e9ricos: PTH (&gt; 150 pg\/mL) e\/ou hipocalcemia (Ca &lt; 8,8mg\/dl) e\/ou hiperfosfatemia (P &gt; 4,6 mg\/dl). Na an\u00e1lise estat\u00edstica utilizou-se: regress\u00e3o de Poisson; T de Student, Mann Whitney e correla\u00e7\u00f5es de Pearson e Spearman. N\u00edvel de signific\u00e2ncia foi de 5%. Resultados: preval\u00eancia de DMO de 54,6% (n=41) (IC 95%: 43,45 - 65,43).  A maior preval\u00eancia de DMO foi em pessoas do sexo feminino, alfabetizadas, idosas, n\u00e3o etilistas, n\u00e3o tabagistas, sedent\u00e1rias e de cor de pele branca, por\u00e9m, sem diferen\u00e7a estat\u00edstica entre os grupos com e sem DMO. As correla\u00e7\u00f5es entre P e PTH com TFGe foram significativas, inversas, de for\u00e7a moderada (p= &lt;0,005 e p = 0,003; coeficientes de correla\u00e7\u00e3o = - 0,312 e - 0,379 respectivamente). Discuss\u00e3o:os achados desse estudo mostraram que existe uma lacuna no acompanhamento do DMO-DRC pela aten\u00e7\u00e3o prim\u00e1ria e a pr\u00e1tica cl\u00ednica deve ser revista. Conclus\u00e3o:identificou-se preval\u00eancia robusta de DMO nos est\u00e1gios precoces da DRC, al\u00e9m de correla\u00e7\u00f5es significativas entre o aumento dos n\u00edveis de f\u00f3sforo e PTH e piora das fun\u00e7\u00f5es renais.<\/jats:p>","DOI":"10.15649\/cuidarte.2266","type":"journal-article","created":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T18:29:00Z","timestamp":1665426540000},"update-policy":"https:\/\/doi.org\/10.15649\/cuidarte.crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Dist\u00farbio mineral e \u00f3sseo: preval\u00eancia subestimada nos est\u00e1gios iniciais da doen\u00e7a renal cr\u00f4nica"],"prefix":"10.15649","volume":"13","author":[{"name":"Universidade Federal de S\u00e3o Jo\u00e3o del Rei","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3750-4873","authenticated-orcid":false,"given":"Karla Amaral","family":"Nogueira Quadros","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9655-5139","authenticated-orcid":false,"given":"Fl\u00e1vio","family":"Augusto de Morais","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8885-3301","authenticated-orcid":false,"given":"Francisco Edson","family":"Coelho de Vasconcelos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6038-2501","authenticated-orcid":false,"given":"Yoshimi Jos\u00e9","family":"\u00c1vila Watanabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6969-7537","authenticated-orcid":false,"given":"Allan","family":"de Morais Bessa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2236-7009","authenticated-orcid":false,"given":"Fernanda Marcelino","family":"de Rezende e Silva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4812-7030","authenticated-orcid":false,"given":"Jo\u00e3o Victor","family":"Marques Guedes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0183-1175","authenticated-orcid":false,"given":"Vin\u00edcius","family":"Silva Belo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0689-1644","authenticated-orcid":false,"given":"Clareci","family":"Silva Cardoso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8126-3026","authenticated-orcid":false,"given":"Alba","family":"Otoni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6285","published-online":{"date-parts":[[2022,10,10]]},"reference":[{"key":"45184","doi-asserted-by":"crossref","unstructured":"Crews DC, Bello AK, Saadi G. 2019 World Kidney Day Editorial - burden, access, and disparities in kidney disease. 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