Osteoporosis management in patients with chronic kidney disease (ERCOS Study) : A challenge in nephrological care Manejo de la osteoporosis en el paciente con enfermedad renal crónica (Estudio ERCOS): un desafío en la asistencia nefrológica
Bover, Jordi (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Gómez-Alonso, Carlos (Hospital Universitario Central de Asturias)
Casado, Enrique (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Rodríguez-García, Minerva (Unidad de Gestión Clínica de Nefrología. Hospital Universitario Central de Asturias)
Lloret, Maria Jesus (Institut de Recerca Sant Pau)
Castro-Alonso, Cristina (Hospital Universitari Doctor Peset (València))
Gifre, Laia (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Henríquez-Palop, Fernando (Centro de Diálisis Avericum)
Prior-Español, Águeda (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
López de la Manzanara, Virginia (Hospital Clínico San Carlos (Madrid))
Laiz, Ana (Institut de Recerca Sant Pau)
Martínez-Ferrer, Àngels (Hospital Universitari Doctor Peset (València))
Torregrosa, Josep Vicens (Hospital Clínic i Provincial de Barcelona)
Gigarrán-Guldris, Secundino (Hospital Público Da Mariña)
Górriz, José Luis (Hospital Clínic Universitari (València))
Montomoli, Marco (Hospital Clínic Universitari (València))
Panizo, Nayara (Hospital Clínic Universitari (València))
Costa, Ester (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Martínez-Laguna, Daniel (Centre d'Atenció Primària Sant Martí de Provençals)
Rodríguez, Mariano (Hospital Universitario Reina Sofía (Còrdova, Espanya))
Navarro-González, Juan F. (Hospital Universitario Nuestra Señora de Candelaria (Santa Cruz de Tenerife))

Date:	2024
Abstract:	Fracture risk assessment in patients with chronic kidney disease (CKD) has been included in the Chronic Kidney Disease-Mineral and Bone Disorders (CKD-MBD) complex in international and national nephrology guidelines, suggesting for the first time the assessment of bone mineral density (BMD) if the results will impact treatment decisions. However, there is very little information on actual clinical practice in this population. The main objective of the ERC-Osteoporosis (ERCOS) study is to describe the profile of patients with CKD G3-5D with osteoporosis (OP) and/or fragility fractures treated in specialized nephrology, rheumatology and internal medicine clinics in Spain. Fifteen centers participated and 162 patients (mostly women [71. 2%] postmenopausal [98. 3%]) with a median age of 77 years were included. Mean estimated glomerular filtration rate (eGFR) was 36 ml/min/1. 73 m and 38% of the included patients were on dialysis. We highlight the high frequency of prevalent fragility fractures ([37. 7%], mainly vertebral [52. 5%] and hip [24. 6%]), the disproportionate history of patients with glomerular disease compared to purely nephrological series (corticosteroids) and undertreatment for fracture prevention, especially in nephrology consultations. This study is an immediate call to action with the dissemination of the new, more proactive, clinical guidelines, and underlines the need to standardize a coordinated and efficient multidisciplinary care/therapeutic approach to these patients to avoid current discrepancies and therapeutic nihilism.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Castellà
Document:	Article ; recerca ; Versió publicada
Subject:	BMD ; Bone mineral density ; Chronic kidney disease ; Chronic kidney disease-mineral and bone disorder ; CKD-MBD ; Densitometry ; DXA ; Fracture ; Osteoporosis ; Treatment
Published in:	Nefrología (Badalona. English), Vol. 44 Núm. 2 (enero 2024) , p. 241-250, ISSN 2013-2514

DOI: 10.1016/j.nefro.2023.05.002

10 p, 887.4 KB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Parc Taulí Research and Innovation Institute (I3PT
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles