Published in:
01-11-2015 | Editorial
Not only for the risk of bone fracture
Author:
Masafumi Fukagawa
Published in:
Journal of Bone and Mineral Metabolism
|
Issue 6/2015
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Excerpt
A higher incidence of bone fractures has been well recognized among patients with chronic kidney disease (CKD), especially in those on dialysis therapy [
1]. Nevertheless, assessment of fracture risk in CKD patients has not been fully established yet. Although secondary hyperparathyroidism is the most frequent abnormality of mineral metabolism in CKD patients [
2,
3], it is often difficult to evaluate bone turnover by the parathyroid hormone (PTH) level even in combination with serum bone metabolic markers, presumably because of the skeletal resistance to PTH caused by uremic toxins [
4‐
6]. Furthermore, significant correlations between the PTH level and fracture risk have not always been confirmed in CKD patients either, except for those with extremely high levels [
7]. …