Evidence map›Paper›PMID 35565717›Full record

ReviewNutrients2022

Time for Revival of Bone Biopsy with Histomorphometric Analysis in Chronic Kidney Disease (CKD): Moving from Skepticism to Pragmatism.

Maria Fusaro, Giulia Vanessa Re Sartò, Maurizio Gallieni, Laura Cosmai, Piergiorgio Messa, Maurizio Rossini, Iacopo Chiodini, Mario Plebani, Pieter Evenepoel, Nicholas Harvey and 26 more

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  6. Time-lapse HR-pQCT reliably assesses and monitors local bone turnover in patients with chronic kidney disease.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

36 authors at 20 institutions in 7 countries.

Maria FusaroNational Research Council (CNR), Institute of Clinical Physiology (IFC), 56124 Pisa, Italy.ORCID 0000-0001-9478-4851
Giulia Vanessa Re SartòPost-Graduate School of Specialization in Nephrology, University of Milano, 20157 Milano, Italy.
Maurizio GallieniPost-Graduate School of Specialization in Nephrology, University of Milano, 20157 Milano, Italy.ORCID 0000-0002-2011-2160
Laura CosmaiNephrology Unit, ASST Fatebenefratelli Sacco, 20157 Milano, Italy.
Piergiorgio MessaUnit of Nephrology, Dialysis and Kidney Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, 20157 Milano, Italy.
Maurizio RossiniRheumatology Unit, University of Verona, 37129 Verona, Italy.ORCID 0000-0001-9692-2293
Iacopo ChiodiniUnit for Bone Metabolism Diseases and Diabetes & Lab of Endocrine and Metabolic Research, Istituto Auxologico Italiano, IRCCS, 20157 Milano, Italy.ORCID 0000-0001-7594-3300
Mario PlebaniLaboratory Medicine Unit, Department of Medicine, University of Padua, 35121 Padua, Italy.ORCID 0000-0002-0270-1711
Pieter EvenepoelLaboratory of Nephrology, Department of Immunology and Microbiology, KU Leuven, B-3000 Leuven, Belgium.
Nicholas HarveyMRC Lifecourse Epidemiology Centre, University of Southampton, Southampton SO16 6YD, UK.
Serge FerrariService des Maladies Osseuses, Département de Médecine, HUG, 1205 Geneva, Switzerland.
Jorge Cannata-AndíaBone and Mineral Research Unit, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), REDinREN del ISCIII, Hospital Universitario Central de Asturias, Universidad de Oviedo, 33003 Oviedo, Spain.
Andrea TrombettiDivision of Bone Diseases, Department of Medicine, Geneva University Hospitals and Faculty of Medicine, Rue Gabrielle-Perret-Gentil 4, 1205 Geneva, Switzerland.ORCID 0000-0002-0540-7024
Maria Luisa BrandiDepartment of Surgery and Translational Medicine, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy.ORCID 0000-0002-8741-0592
Markus KettelerDepartment of General Internal Medicine and Nephrology, Robert-Bosch-Krankenhaus, 70376 Stuttgart, Germany.
Thomas L NickolasDivision of Nephrology, Columbia University Irving Medical Center, New York, NY 10027, USA.
John CunninghamCentre for Nephrology, The Royal Free Hospital and UCL Medical School, London WC1E 6BT, UK.
Syazrah SalamSheffield Kidney Institute, Sheffield Teaching Hospitals National Health Service Foundation Trust, Sheffield S10 2JF, UK.
Carlo Della RoccaDepartment of Medico-Surgical Sciences and Biotechnology, Sapienza University, Polo Pontino, 00185 Rome, Italy.
Aldo ScarpaARC-Net Centre for Applied Research on Cancer, University and Hospital Trust of Verona, 37134 Verona, Italy.ORCID 0000-0003-1678-739X
Salvatore MinisolaDepartment of Clinical, Internal, Anaesthesiological and Cardiovascular Sciences, Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0001-6525-0439
Fabio MalbertiUO Nefrologia e Dialisi ASST Cremona, 26100 Cremona, Italy.
Filomena CetaniUnit of Endocrinology, Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy.
Mario CozzolinoDepartment of Health Sciences, Renal Division, San Paolo Hospital, University of Milan, 20142 Milan, Italy.ORCID 0000-0002-8494-6252
Sandro MazzaferroNephrologic Unit, Department of Translational and Precision Medicine, University of Rome 'La Sapienza', 00185 Rome, Italy.ORCID 0000-0003-3071-1893
Luigi MorroneNephrology, Dialysis and Renal Transplantation Unit, University Hospital "Policlinico", 70124 Bari, Italy.ORCID 0000-0002-1126-0719
Giovanni TripepiCNR-IFC, Clinical Epidemiology of Renal Diseases and Hypertension, Ospedali Riuniti, 89124 Reggio Calabria, Italy.
Martina ZaninottoLaboratory Medicine Unit, Department of Medicine, University of Padua, 35121 Padua, Italy.
Maria Cristina MereuIndependent Researcher, 09100 Cagliari, Italy.
Maura RaveraPoliclinico San Martino, 16132 Genova, Italy.
Giuseppe CiancioloNephrology, Dialysis and Renal Transplant Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Alma Mater Studiorum University of Bologna, 40126 Bologna, Italy.
Gaetano La MannaNephrology, Dialysis and Renal Transplant Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Alma Mater Studiorum University of Bologna, 40126 Bologna, Italy.
Andrea AghiDepartment of Medicine, Clinica Medica 1, University of Padua, 35128 Padua, Italy.
Sandro GianniniDepartment of Medicine, Clinica Medica 1, University of Padua, 35128 Padua, Italy.ORCID 0000-0003-0796-9749
Luca Dalle CarbonareSection of Internal Medicine, Department of Medicine, University of Verona, 37134 Verona, Italy.ORCID 0000-0003-3263-6671
On Behalf Of The Sin-Siommms Bone Biopsy Promoting Group
University of Padua · ITUniversity of Milan · ITSapienza University of Rome · ITUniversity of Verona · ITAzienda USL di Bologna · ITASST Fatebenefratelli Sacco · ITColumbia University Irving Medical Center · USIRCCS Istituto Auxologico Italiano · ITIstituti Ospitalieri di Cremona · ITKU Leuven · BENational Health Service · GBOspedale Policlinico San Martino · ITOspedali Riuniti di Foggia · ITRobert Bosch Hospital · DEThe Royal Free Hospital · GBUniversidad de Oviedo · ESUniversity Hospital of Geneva · CHUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Cagliari · ITUniversity of Florence · IT

Funding

Medical Research Council MC_PC_21003Medical Research Council MC_PC_21022
6 · The paper itself

Abstract

Bone Biopsy (BB) with histomorphometric analysis still represents the gold standard for the diagnosis and classification of different forms of renal osteodystrophy. Bone biopsy is the only technique able to provide comprehensive information on all bone parameters, measuring static and dynamic parameters of turnover, cortical and trabecular microarchitecture, and mineralization defects. In nephrological practice, bone biopsy yields relevant indications to support therapeutic choices in CKD, heavily impacting the management and prognosis of uremic patients. Unfortunately, the use of bone biopsy has decreased; a lack of expertise in performing and interpreting, perceived procedure invasiveness and pain, and reimbursement issues have all contributed to this decline. Nevertheless, both bone biomarkers and instrumental images cannot be considered reliable surrogates for histological findings, being insufficiently accurate to properly evaluate underlying mineral and bone disorders. This is a multidisciplinary position paper from the Nephrology and Osteoporosis Italian Scientific Societies with the purpose of restating the role of bone biopsy in CKD patient management and of providing strong solutions to allow diffusion of this technique in Italy, but potentially also in other countries. The Italian approach through the optimization and standardization of bone biopsy procedure, the construction of the Italian Hub and Spoke network, and a request for adjustment and national homogenization of reimbursement to the Italian Health Ministry has led the way to implement bone biopsy and to improve CKD patient management and prognosis.

Indexed as

Chronic Kidney Disease-Mineral and Bone DisorderOsteoporosisRenal Insufficiency, ChronicBiopsyBone and BonesFemaleHumansMalebone biopsychronic kidney diseaseCKD-MBDfracturesosteoporosisrenal osteodystrophy

Identifiers

PMID35565717
PMCPMC9103887
OpenAlexW4224317214

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.