Vitamin D Compounds in Chronic Kidney Disease

  1. Kenneth Scissors, MD
  1. From Grand Junction Veterans Affairs Medical Center, Grand Junction, CO 81501.

    TO THE EDITOR:

    I congratulate Palmer and colleagues (1) for exposing the lack of outcome data to support current guidelines and practices involving vitamin D therapy in chronic kidney disease. It should be noted, however, that their study addressed stage V and end-stage chronic kidney disease treated by nephrologists mainly with “active” vitamin D. But the vast majority of patients with chronic kidney disease have stage III or IV disease and are treated by primary care physicians with common vitamin D2 or D3. Palmer and colleagues' findings …

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