What is your approach to managing osteoporosis in patients with end stage kidney disease?

Topics: Rheumatology • Osteoporosis • Nephrology • Endocrinology • End stage kidney disease • Bone and Calcium Disorders

Answer from: at Community Practice

I don't believe you can make a diagnosis of osteoporosis in patients with ESRD. They have to be treated based on the disorders associated with CKD-MBD and not solely based on the results of a bone density scan. In some patients with documented low turnover disease and mineralization defect, some may...

Comments

at Garcia-Estrada Md Kidney Associates Pa
That is the best answer I have seen regarding bone...

at U of AZ Phoenix Dept of Orthopaedics
I agree with Dr. @Sprague that we should not use s...

at Lohe And Hasni Medical Group
Would this opinion hold for CKD stage 3b or stage ...

at U Chicago
That is a bit more difficult, but clearly, with CK...

at Comprehensive Medical Care
Impractical maybe, I think patients need bone biop...

at Florida Medical Center
CTX can’t be used in ESRD as it is cleared b...

at U Chicago
Ideally, bone biopsies would be the gold standard,...

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