(Deanship of Research - Al-Quds University, 2025-06-01) Shahnd S. M. Abu-Karesh; Omer Othman Ali Othman; Hend Naguib
Background: Chronic kidney disease–mineral and bone disorder (CKD-MBD) significantly impacts morbidity and healthcare costs.
Purpose and Objectives: This audit assessed compliance with KDIGO/KDOQI guidelines for calcium management in CKD patients at Alexandria Main University Hospital.
Methods:
Cycle 1 (Baseline): Retrospective review (n=24) identifying gaps in calcium control, patient education, and care plans.
Cycle 2 (Post-Intervention): Prospective study (n=28) implementing structured education, dietary support, and medication adjustments.
Results: • Cycle 1: 62% hypocalcemia, 12.5% hypercalcemia, 0% patient education.
• Cycle 2: Normal calcium levels increased to 57% (p<0.05), patient education compliance reached 68%, and medication adjustments improved to 75%. Persistent hyperphosphatemia (40%) remained a challenge.
Conclusion: Targeted interventions improved calcium management; however, m