Evidence map›Paper›PMID 36865010›Full record

ReviewClinical kidney journal2023

Management of fracture risk in CKD-traditional and novel approaches.

Mathias Haarhaus, Louise Aaltonen, Daniel Cejka, Mario Cozzolino, Renate T de Jong, Patrick D'Haese, Pieter Evenepoel, Marie-Hélène Lafage-Proust, Sandro Mazzaferro, Eugene McCloskey and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Clinical kidney journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
5.3field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  7. Bone turnover markers in the management of CKD-associated osteoporosis-a European consensus.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Review
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  15. Multidisciplinary team approach for CKD-associated osteoporosis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Article
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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

13 authors at 12 institutions in 9 countries.

Mathias HaarhausDivision of Renal Medicine, Department of Clinical Science, Intervention and Technology, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.
Louise AaltonenTurku University Hospital, Kidney Center, Department of Medicine, Turku, Finland.ORCID https://orcid.org/0000-0001-6537-9056
Daniel CejkaDepartment of Medicine III - Nephrology, Hypertension, Transplantation, Rheumatology, Geriatrics, Ordensklinikum Linz - Elisabethinen Hospital, Linz, Austria.
Mario CozzolinoDepartment of Health Sciences, Renal Division, University of Milan, ASST Santi Paolo e Carlo, Milan, Italy.ORCID https://orcid.org/0000-0002-8494-6252
Renate T de JongAmsterdam UMC location Vrije Universiteit Amsterdam, Department of Internal Medicine and Endocrinology, Amsterdam, The Netherlands.
Patrick D'HaeseLaboratory of Pathophysiology, Department of Biomedical Sciences, University of Antwerp, Antwerp, Belgium.
Pieter EvenepoelDepartment of Nephrology, University Hospitals Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-0797-4321
Marie-Hélène Lafage-ProustINSERM U1059, CHU, Université de Lyon, Saint-Etienne, France.
Sandro MazzaferroNephrology Unit at Policlinico Umberto I Hospital and Department of Translation and Precision Medicine, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0003-3071-1893
Eugene McCloskeyAcademic Unit of Bone Metabolism, Centre for Integrated research in Musculoskeletal Ageing, Mellanby Centre for Musculoskeletal Research, Department of Oncology & Metabolism, University of Sheffield, Sheffield, UK.
Syazrah SalamDepartment of Oncology and Metabolism, University of Sheffield, Sheffield, UK and Sheffield Kidney Institute, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.ORCID https://orcid.org/0000-0001-9236-3906
Hanne Skou JørgensenDepartment of Microbiology Immunology and Transplantation, Nephrology and Renal Transplantation Research Group, KU Leuven-University of Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-0881-2615
Marc VervloetDepartment of Nephrology, Amsterdam University Medical Center, VU University Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0003-4607-9415
Amsterdam University Medical Centers · NLAarhus University · DKKarolinska University Hospital · SEKrankenhaus der Elisabethinen · ATKU Leuven · BEPoliclinico Umberto I · ITSheffield Teaching Hospitals NHS Foundation Trust · GBTurku University Hospital · FIUniversité Claude Bernard Lyon 1 · FRUniversity of Antwerp · BEUniversity of Milan · ITUniversity of Sheffield · GB

Funding

Medical Research Council MR/P020941/1
6 · The paper itself

Abstract

The coexistence of osteoporosis and chronic kidney disease (CKD) is an evolving healthcare challenge in the face of increasingly aging populations. Globally, accelerating fracture incidence causes disability, impaired quality of life and increased mortality. Consequently, several novel diagnostic and therapeutic tools have been introduced for treatment and prevention of fragility fractures. Despite an especially high fracture risk in CKD, these patients are commonly excluded from interventional trials and clinical guidelines. While management of fracture risk in CKD has been discussed in recent opinion-based reviews and consensus papers in the nephrology literature, many patients with CKD stages 3-5D and osteoporosis are still underdiagnosed and untreated. The current review addresses this potential treatment nihilism by discussing established and novel approaches to diagnosis and prevention of fracture risk in patients with CKD stages 3-5D. Skeletal disorders are common in CKD. A wide variety of underlying pathophysiological processes have been identified, including premature aging, chronic wasting, and disturbances in vitamin D and mineral metabolism, which may impact bone fragility beyond established osteoporosis. We discuss current and emerging concepts of CKD-mineral and bone disorders (CKD-MBD) and integrate management of osteoporosis in CKD with current recommendations for management of CKD-MBD. While many diagnostic and therapeutic approaches to osteoporosis can be applied to patients with CKD, some limitations and caveats need to be considered. Consequently, clinical trials are needed that specifically study fracture prevention strategies in patients with CKD stages 3-5D.

Indexed as

biomarkersbone mineral densityfracture riskmineral metabolismrenal osteodystrophy

Identifiers

PMID36865010
PMCPMC9972845
OpenAlexW4307137829

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.