Bone Anabolic Treatment in Patients With Chronic Kidney Disease: A Systematic Review.
Huriye Seyma Kafa, Sabina Chaudhary Hauge, Ditte Hansen
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In 30 seconds
This systematic review evaluated the efficacy and safety of anabolic parathyroid hormone (PTH) treatments in patients with chronic kidney disease (CKD) Stages 4-5D. Two randomized controlled trials were included, indicating that teriparatide improved bone mineral density (BMD) at the lumbar spine and femoral neck in CKD Stage 4, and at the total hip in CKD Stage 5D. However, adverse events were more frequent in the teriparatide group.
Key findings
- Teriparatide improved BMD at the lumbar spine and femoral neck in CKD Stage 4 patients.
- In CKD Stage 5D, teriparatide significantly improved BMD at the total hip compared to controls.
- Adverse events were observed more frequently in the teriparatide-treated group.
Why it matters
Patients with chronic kidney disease are at increased risk for fractures due to osteoporosis. Understanding the potential benefits and risks of anabolic treatments like teriparatide is crucial for managing bone health in this population.