Evidence map›Paper›PMID 40457078›Full record

ReviewCurrent osteoporosis reports2025

Treatment of Osteoporosis in Patients with Chronic Kidney Disease.

Michaël R Laurent, Jolan Dupont, Wim Lemahieu, Sofie Jamar, Bea Mellaerts, Marian Dejaeger, Evelien Gielen, Pieter Evenepoel

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current osteoporosis reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Review
  2. Review
  3. Blood Flow Restriction Training in Hemodialysis Patients: Clinical Benefits, Challenges, and Future Perspectives.Hemodialysis international. International Symposium on Home Hemodialysis · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. High fracture risk, limited evidence: rethinking osteoporosis treatment in chronic kidney disease.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  8. Review
  9. Review
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

8 authors.

Michaël R LaurentGeriatrics Department, Imelda Hospital, Imeldalaan 9, 2820, Bonheiden, Belgium. michael.laurent@imelda.be.ORCID http://orcid.org/0000-0001-9681-8330
Jolan DupontCentre for Metabolic Bone Diseases, University Hospitals Leuven, Louvain, Belgium.ORCID http://orcid.org/0000-0001-5336-2791
Wim LemahieuDepartment of Nephrology, Imelda Hospital, Bonheiden, Belgium.ORCID http://orcid.org/0000-0003-4893-3240
Sofie JamarDepartment of Nephrology, Imelda Hospital, Bonheiden, Belgium.
Bea MellaertsGeriatrics Department, Imelda Hospital, Imeldalaan 9, 2820, Bonheiden, Belgium.
Marian DejaegerCentre for Metabolic Bone Diseases, University Hospitals Leuven, Louvain, Belgium.ORCID http://orcid.org/0000-0002-7289-1397
Evelien GielenCentre for Metabolic Bone Diseases, University Hospitals Leuven, Louvain, Belgium.ORCID http://orcid.org/0000-0002-8985-1201
Pieter EvenepoelDepartment of Nephrology, University Hospitals Leuven, Louvain, Belgium.ORCID http://orcid.org/0000-0002-0797-4321

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTo discuss current evidence on the diagnosis and management of osteoporosis in patients with chronic kidney disease (CKD). RECENT

findingsOsteoporosis and fractures are prevalent in older CKD patients and associated with poor process indicators and outcomes. While osteoporosis treatment is generally similar in patients without or with CKD up to stage 3, there is still a lack of evidence to guide many areas of osteoporosis management in CKD stages 4-5. There is an urgent need to establish local multidisciplinary care pathways for CKD and dialysis patients with osteoporosis, involving nephrologists, bone specialists and fracture liaison services. Optimization of calcium and vitamin D metabolism and non-pharmacological measures including exercise and falls prevention should be considered in all patients. Withholding bone drugs solely based on glomerular filtration rates may constitute renalism (discrimination based on kidney function), which would further widen the already large treatment gap in osteoporosis. On the other hand, more evidence is needed to inform almost every aspect of anti-osteoporotic pharmacotherapy in CKD stages 4-5. The concept of choosing between antiresorptive or anabolic bone drugs based on a pre-treatment assessment of bone turnover (using biomarkers or bone biopsies), is a dogma in urgent need of critical re-evaluation. This narrative review aims to summarize our current understanding of the management of CKD-associated osteoporosis and fracture prevention in stage 4-5 CKD patients.

Indexed as

Bone Density Conservation AgentsOsteoporosisOsteoporotic FracturesRenal Insufficiency, ChronicBone DensityHumansRenal DialysisVitamin DBone Density Conservation AgentsVitamin DBisphosphonatesChronic kidney diseaseDenosumabOsteoporosisRomosozumabTeriparatide

Identifiers

What OpenQuestion holds

Textmetadata
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.