Geriatric Medicine

Osteoporosis

Questions discussed in this category

What is your approach to bisphosphonate use in patients with advanced chronic kidney disease and osteoporosis?

What are some practical tips in distinguishing between metabolic bone disease due to chronic kidney disease and osteoporosis?

1 Answer available

How soon after a fracture would it be safe to start anti-resorptive therapy?

2 Answers available

What is the next best osteoporosis treatment option for patients who completed 2 years of teriparatide, but has contraindication to bisphosphosnate therapy (e.g. history of atypical femur fracture)?

1 Answer available

Would you use a parathyroid hormone analog for treatment of osteoporosis in a patient with mildly elevated AlkPhos of unclear etiology?

1 Answer available

Would you start romosozumab in an active smoker?

1 Answer available

During treatment of severe osteoporosis with PTH analogs (abaloparatide), would a rise in alkaline phosphatase level >200 (in the setting of normal GGT) warrant discontinuation of medication?

There is concern for elevation in alkaline phosphatase as a precursor for bone pathology, such as an increase in risk of bone malignancy, potentially ...

1 Answer available

Papers discussed in this category

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2021 Feb 08

Safety of Oral Bisphosphonates in Moderate-to-Severe Chronic Kidney Disease: A Binational Cohort Analysis.

Current opinion in nephrology and hypertension, 2022 Jun 10

Clinical utility of bone turnover markers in patients with chronic kidney disease.

The Journal of clinical endocrinology and metabolism, 2022 Dec 17

Inpatient Zoledronic Acid and Integrated Orthopedic and Fracture Liaison Services Improve Osteoporosis Treatment Rates.

J Bone Miner Res, 2024 Aug 21

Zoledronic acid for hip fracture during initial hospitalization.

J Clin Endocrinol Metab, 2023 Oct 18

Safety of Inpatient Zoledronic Acid in the Immediate Postfracture Setting.

Geriatric Medicine

Osteoporosis

Questions discussed in this category

Papers discussed in this category

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