Table 1 Example case vignette. Age, serum calcium, and PTH were varied for the eight clinical case vignettes
40-year old male | ||
|---|---|---|
Currently on hemodialysis for 1.5 years, being screened for kidney transplantation in order to receive a donor kidney from his brother. Serum PTH and calcium: 40 pmol/L (ref: 0.7–8 pmol/L) and 2.25 mmol/L (ref: 2.15–2.55 mmol/L) respectively. 25 (OH) Vitamin D and plasma phosphate are 100 nmol/L (ref: > 50 nmol/L) and 1.4 mmol/L (ref: 0.9–1.5 pmol/L) respectively, optimized by vitamin D supplementation and phosphate binders. | ||
What would be your treatment of choice for this patient? | ||
Maintain conservative treatment | Start calcimimetic treatment | Opt for subtotal parathyroidectomy |