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Summary of KDIGO CKD-MBD Guideline Recommendations Writing recommendation statements and rationale; Public review; Revision of In CKD G4: for serum calcium and phosphate, every 3–6 months; and for PTH, every 6–12 months. than the mathematical construct of calcium-phosphate product (Ca x P) (2D). Calcium x phosphate product. Date written: August 2005. Final submission: October 2005. Author: Carmel Hawley. GUIDELINES. No recommendations possible 21 Nov 2003 Recognition of these risks has led to the proposal of new target levels of serum phosphorus (3.5–5.5 mg/dl), calcium-phosphorus product (Ca ? P; <55 mg2/dl2), serum PTH (150–300 pg/ml), and serum calcium (8.4– 9.6 mg/dl), which are soon to be published in the National Kidney Foundation's Kidney Disease Outcomes Quality Clearly, epidemiologic studies have demonstrated that an increase in serum phosphorus and the calcium X phosphorus product (Ca X P) are associated with K/DOQI guideline requirements for calcium, phosphate, calcium phosphate product, and parathyroid hormone control in dialysis patients: can we achieve them? Of concern was that approximately 40% of patients had serum phosphorus greater than 6.5 mg/dL, and almost 70% had a phosphorus level >5.5 mg/dL. The authors recommend more vigorous control of serum phosphorus to levels between 2.5 and 5.5 mg/dL, while maintaining Ca ? P product less than 55 mg2/dL22,40. Instructions for Authors · Submission Site · Author Reprints .. We assessed the relationship of dietary calcium and phosphorus intake and serum However, the serum calcium, phosphorus, and calcium–phosphorus product . Writing Group. 1 Jan 2010 Current dietary calcium recommendations range from 1000 to 1500 mg/d, depending on age (1). The major ionic complexes in serum are calcium phosphate, . from the levels of serum phosphate and calcium-phosphate product (35). . Writing and editorial assistance was provided by Larry Rosenberg,tion of serum calcium, phosphorus, and PTH levels. Levels of this writing, calcium-based phosphate . sessed calcium-phosphorus product, one placebo-.