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Topics:
General Internal Medicine • Rheumatology • Osteoporosis • Chronic kidney disease • Nephrology • Geriatric Medicine • General Primary Care
What is your approach to bisphosphonate use in patients with advanced chronic kidney disease and osteoporosis?
Answer from: at Community Practice
I have used serum markers of bone turnover in decision-making for patients with chronic renal disease, both to initiate treatment and to monitor response. This seems to have a basis in the literature (Smout et al., PMID 35703216).This approach has also helped to minimize doses of oral bisphosphonate...
Answer from: at Academic Institution
Safety of Oral Bisphosphonates in Moderate-to-Severe Chronic Kidney Disease: A Binational Cohort AnalysisI misstated before. I meant to say there is more and more evidence that DEXA scans can be informative even in advanced CKD, which, a few decades ago, was not believed to be the case. However, the...
Injectable or oral? Do CKD5 patients have long eno...
I prefer to use denosumab over the BPN in patients...
Would you point us toward a reference, please, reg...