Bone Loss after Solid Organ Transplantation: A Review of Organ-Specific Considerations.

IF 3.9 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM Endocrinology and Metabolism Pub Date : 2024-04-01 Epub Date: 2024-04-25 DOI:10.3803/EnM.2024.1939
Kyoung Jin Kim, Jeonghoon Ha, Sang Wan Kim, Jung-Eun Kim, Sihoon Lee, Han Seok Choi, Namki Hong, Sung Hye Kong, Seong Hee Ahn, So Young Park, Ki-Hyun Baek
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Abstract

This review article investigates solid organ transplantation-induced osteoporosis, a critical yet often overlooked issue, emphasizing its significance in post-transplant care. The initial sections provide a comprehensive understanding of the prevalence and multifactorial pathogenesis of transplantation osteoporosis, including factors such as deteriorating post-transplantation health, hormonal changes, and the impact of immunosuppressive medications. Furthermore, the review is dedicated to organ-specific considerations in transplantation osteoporosis, with separate analyses for kidney, liver, heart, and lung transplantations. Each section elucidates the unique challenges and management strategies pertinent to transplantation osteoporosis in relation to each organ type, highlighting the necessity of an organ-specific approach to fully understand the diverse manifestations and implications of transplantation osteoporosis. This review underscores the importance of this topic in transplant medicine, aiming to enhance awareness and knowledge among clinicians and researchers. By comprehensively examining transplantation osteoporosis, this study contributes to the development of improved management and care strategies, ultimately leading to improved patient outcomes in this vulnerable group. This detailed review serves as an essential resource for those involved in the complex multidisciplinary care of transplant recipients.

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实体器官移植后的骨质流失:器官特异性考虑因素综述。
这篇综述文章探讨了实体器官移植诱发的骨质疏松症这一关键但却经常被忽视的问题,强调了其在移植后护理中的重要性。文章的开头部分全面介绍了移植性骨质疏松症的发病率和多因素致病机理,包括移植后健康状况恶化、激素变化和免疫抑制药物的影响等因素。此外,这篇综述还专门讨论了移植骨质疏松症的器官特异性因素,并对肾移植、肝移植、心脏移植和肺移植进行了单独分析。每一部分都阐明了与每种器官类型相关的移植性骨质疏松症的独特挑战和管理策略,强调了采用器官特异性方法来充分了解移植性骨质疏松症的不同表现和影响的必要性。这篇综述强调了这一主题在移植医学中的重要性,旨在提高临床医生和研究人员的认识和知识水平。通过全面研究移植性骨质疏松症,本研究有助于制定更好的管理和护理策略,最终改善这一弱势群体患者的预后。这篇详尽的综述是从事复杂的多学科移植受者护理工作的人员的重要参考资料。
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来源期刊
Endocrinology and Metabolism
Endocrinology and Metabolism Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
6.60
自引率
5.90%
发文量
145
审稿时长
24 weeks
期刊介绍: The aim of this journal is to set high standards of medical care by providing a forum for discussion for basic, clinical, and translational researchers and clinicians on new findings in the fields of endocrinology and metabolism. Endocrinology and Metabolism reports new findings and developments in all aspects of endocrinology and metabolism. The topics covered by this journal include bone and mineral metabolism, cytokines, developmental endocrinology, diagnostic endocrinology, endocrine research, dyslipidemia, endocrine regulation, genetic endocrinology, growth factors, hormone receptors, hormone action and regulation, management of endocrine diseases, clinical trials, epidemiology, molecular endocrinology, neuroendocrinology, neuropeptides, neurotransmitters, obesity, pediatric endocrinology, reproductive endocrinology, signal transduction, the anatomy and physiology of endocrine organs (i.e., the pituitary, thyroid, parathyroid, and adrenal glands, and the gonads), and endocrine diseases (diabetes, nutrition, osteoporosis, etc.).
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