Assessment of Bone Density in Patients before and after Kidney Transplantation

Document Type : Research Paper

Authors

1 Professor of Nephrology, Mashhad University of Medical Sciences, Mashhad, Iran

2 Assistant Professor of Nephrology, Mashhad University of Medical Sciences, Mashhad, Iran

3 Associated Professor of Rheumatology, Mashhad University of Medical Sciences, Mashhad, Iran

4 Specialist in internal diseases (internist), Mashhad University of Medical Sciences, Mashhad, Iran

5 Assistant Professor of Rheumatology, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Introduction
Accentuation of bone loss is one of the most important skeletal complications after transplantation. Early diagnosis and treatment of osteopenia and osteoporosis reduce risk of fractures and prevent the aggravation of it by using corticosteroid after kidney transplantation.
Materials and Methods
A total of 50 patients that received graft during the research time, 31 of them completed it. They were screened for decreased bone mineral density at baseline, 6 and 12 months after transplantation with dual-energy x-ray absorptiometry (DEXA) of lumbar spine and hip.
Results
A total of 31 patients [17 (55.8%) female and 14 (45.2%) male] with end stage renal disease entered the study. The mean age of patients in both genders were 39.67±14.5 years (range: 20-67years). Replacement therapy in 24 patients (77.4%) was hemodialysis and in 7 patients (22.6%) was peritoneal dialysis. Before transplantation, the mean of T-score in femoral neck and lumbar vertebra were -0.88±1.19 and-0.37±1.12 respectively, osteopenia was found in 41.9% and 29% of each region. On 6 months after transplantation, the mean of T-score in femoral neck and lumbar vertebra -1.42±0.95 and -1.41±1.36 respectively. Incidence of osteopenia in each region was 83.9% and 64.5% in turn. We tried to examine them in the first year after transplantation, the mean of T-score in femoral neck was-1.13±1.11 and in lumbar vertebra was -1.29±1.33. After 6 months, bone mass reduction was significant (p<0.05), but there was not any significant difference between 6 and 12 months following transplantation (p>0.05).
Conclusion
Bone losswas highest in the first 6 months after transplantation. Then, treatment was necessary during this period of time.

Keywords

References

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medical journal of mashhad university of medical sciences
Volume 52, Issue 4 - Serial Number 4
November and December 2009
Pages 215-219

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