PT  - JOURNAL ARTICLE
AU  - Paul D. Miller
TI  - Fragility fractures in chronic kidney disease: An opinion-based approach
AID  - 10.3949/ccjm.76a.08108
DP  - 2009 Dec 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 715--723
VI  - 76
IP  - 12
4099  - http://www.ccjm.org/content/76/12/715.short
4100  - http://www.ccjm.org/content/76/12/715.full
SO  - Cleve Clin J Med2009 Dec 01; 76
AB  - 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.