Dialysis Pro · Decision Tool

Smart CKD-MBD Detector

Enter calcium, phosphate, and PTH together. The tool suggests a KDIGO-consistent dialysate calcium and surfaces the interacting mineral-bone alerts — calcium, phosphate, and PTH are read as one system, not in isolation.

Calcium

total serum Ca

Phosphate

serum PO₄

PTH

intact PTH

BALP

bone-specific alk phos (optional)

Enter your lab's upper limit of normal (ULN) — assay-dependent

PTH upper reference limit (URL) (optional · default 65 pg/mL)

Enter values above and tap Analyse to see the suggested dialysate calcium and CKD-MBD alerts.

⚠️ Decision aid, not a directive. Based on KDIGO 2017 CKD-MBD principles and common dialysis practice. BALP (bone-specific alkaline phosphatase) is interpreted relative to the local laboratory's reference range — KDIGO does not provide universal BALP cutoffs; bone turnover assessment is based on the combined pattern of PTH and BALP with serial trends, not a single value. Dialysate calcium is limited to 1.25 or 1.50 mmol/L; higher concentrations (e.g. 1.75) are avoided per KDIGO. Developed by Dr. Abbas Deeb · not affiliated with KDIGO.