title: Fragility fractures in chronic kidney disease: an opinion-based approach.
abstract: When a patient with chronic kidney disease suffers a fragility fracture, a key question is whether the patient has osteoporosis or, instead, renal osteodystrophy. Bone densitometry does not help in this distinction: biochemical tests, and sometimes also bone biopsy, are needed. However, even if the patient has osteoporosis, we have little evidence to guide our treatment decisions in cases of advanced chronic kidney disease.
authors: Colorado Center for Bone Research, 3190 S. Wadsworth Boulevard, Lakewood, CO 80227, USA. millerccbr@aol.com
authors: Paul D
authors: PD
authors: Miller
mesh_terms: D015415:Biomarkers / Q000097:blood; D012080:Chronic Kidney Disease-Mineral and Bone Disorder / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D005598:Fractures, Spontaneous / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D010024:Osteoporosis / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy; D051436:Renal Insufficiency, Chronic / Q000150:complications* / Q000503:physiopathology
chemical_list: D015415:Biomarkers