What is your approach to managing osteoporosis in patients with end stage kidney disease?
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,...
That is the best answer I have seen regarding bone...
I agree with Dr. @Sprague that we should not use s...
Would this opinion hold for CKD stage 3b or stage ...
That is a bit more difficult, but clearly, with CK...
Impractical maybe, I think patients need bone biop...
CTX can’t be used in ESRD as it is cleared b...
Ideally, bone biopsies would be the gold standard,...