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CKD alert in osteoporosis patients

The majority of osteoporotic patients have chronic kidney disease and identifying it is 'essential', a conference was told last week.

Patients with moderate kidney disease have significantly more bone-related problems than other osteoporosis sufferers.More than three-quarters of those attending a specialist bone clinic had moderate to severe CKD according to research by Dr Miriam Casey, consultant at the medicine for the elderly department of St James's Hospital, Dublin.'These patients had significantly lower bone mineral density at the hip and spine compared with those with mild CKD,' she said.She added: 'It is essential to identify CKD in osteoporotic patients as it has important implications for future fractures and treatment options.'Dr Casey's team reviewed the charts of 175 patients attending the bone clinic and found 76 per cent had moderate to severe CKD. They had 'significantly higher' bone turnover and were also at a two times higher risk of vertebral fracture than those with mild or no CKD.The research was presented at the spring meeting of the British Geriatrics Society, which took place last week in Brighton.

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