The Interplay Between Thyroid Dysfunction and Kidney Disease

Hypothyroidism is a highly prevalent endocrine complication in chronic kidney disease (CKD) patients. A large body of evidence has shown that there is a bidirectional relationship between thyroid dysfunction and kidney disease, yet there are many remaining gaps in knowledge in regards to the clinica...

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Published inSeminars in nephrology Vol. 41; no. 2; p. 133
Main Authors Narasaki, Yoko, Sohn, Peter, Rhee, Connie M
Format Journal Article
LanguageEnglish
Published United States 01.03.2021
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Abstract Hypothyroidism is a highly prevalent endocrine complication in chronic kidney disease (CKD) patients. A large body of evidence has shown that there is a bidirectional relationship between thyroid dysfunction and kidney disease, yet there are many remaining gaps in knowledge in regards to the clinical management of CKD patients with hypothyroidism, including those receiving hemodialysis and peritoneal dialysis. Given that hypothyroidism has been associated with many deleterious outcomes including a higher risk of (1) mortality, (2) cardiovascular disease, (3) impaired health-related quality of life, and (4) altered body composition in both non-CKD and CKD patients, future research is needed to establish the appropriate screening, diagnosis, and treatment approaches in these populations.
AbstractList Hypothyroidism is a highly prevalent endocrine complication in chronic kidney disease (CKD) patients. A large body of evidence has shown that there is a bidirectional relationship between thyroid dysfunction and kidney disease, yet there are many remaining gaps in knowledge in regards to the clinical management of CKD patients with hypothyroidism, including those receiving hemodialysis and peritoneal dialysis. Given that hypothyroidism has been associated with many deleterious outcomes including a higher risk of (1) mortality, (2) cardiovascular disease, (3) impaired health-related quality of life, and (4) altered body composition in both non-CKD and CKD patients, future research is needed to establish the appropriate screening, diagnosis, and treatment approaches in these populations.
Author Rhee, Connie M
Sohn, Peter
Narasaki, Yoko
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  givenname: Peter
  surname: Sohn
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  organization: Harold Simmons Center for Chronic Disease Research and Epidemiology, Division of Nephrology, Hypertension and Kidney Transplantation, University of California Irvine, Orange, CA
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  givenname: Connie M
  surname: Rhee
  fullname: Rhee, Connie M
  email: crhee1@uci.edu
  organization: Harold Simmons Center for Chronic Disease Research and Epidemiology, Division of Nephrology, Hypertension and Kidney Transplantation, University of California Irvine, Orange, CA. Electronic address: crhee1@uci.edu
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Keywords dialysis
chronic kidney disease
hyperthyroidism
thyrotropin
Thyroid function
hypothyroidism
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Snippet Hypothyroidism is a highly prevalent endocrine complication in chronic kidney disease (CKD) patients. A large body of evidence has shown that there is a...
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StartPage 133
SubjectTerms Humans
Hypothyroidism - complications
Peritoneal Dialysis
Quality of Life
Renal Insufficiency, Chronic - complications
Renal Insufficiency, Chronic - therapy
Title The Interplay Between Thyroid Dysfunction and Kidney Disease
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