Osteoporosis in Patients with CKD: A Diagnostic Dilemma

Nephrol Nurs J. 2017 Jan-Feb;44(1):13-17.

Abstract

Osteoporosis in patients with chronic kidney disease (CKD) is a complex problem, with diagnostic criteria and treatment plans often debated. The debate creates a practice dilemma for clinicians faced with an aging population and an increasing incidence of fragility fractures. This article discusses the dilemma as seen from the perspective of the nephrology clinician on differentiating osteoporosis from other bone mineral disorders in patients with progressive CKD in order to provide the most efficacious and safe care.

Keywords: bone mineral disorders; chronic kidney disease; osteoporosis.

MeSH terms

  • Bone Density
  • Chronic Kidney Disease-Mineral and Bone Disorder / epidemiology*
  • Chronic Kidney Disease-Mineral and Bone Disorder / physiopathology*
  • Fractures, Bone
  • Humans
  • Kidney Failure, Chronic / physiopathology
  • Osteoporosis / epidemiology*
  • Osteoporosis / physiopathology