[Programmed approach to the treatment of secondary hyperparathyroidism in chronic renal disease].

Prevalence and course of secondary hyperparathyroidism were studied in 616 patients with chronic renal disease. Disorders of mineral metabolism, which develop when person has chronic renal disease, appear at the early stage of the disease. They practically cannot be corrected on predialytic stage of treatment and lead to the development of parathyroid adenoma in patients with substitutive renal therapy by hemodialysis, that requires surgical treatment. Disorders of mineral metabolism regress after successful transplantation of the kidney practically in all cases.