RT Journal Article
SR Electronic
T1 Fragility fractures in chronic kidney disease: An opinion-based approach
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 715
OP 723
DO 10.3949/ccjm.76a.08108
VO 76
IS 12
A1 Paul D. Miller
YR 2009
UL http://www.ccjm.org/content/76/12/715.abstract
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.