“More research is needed, particularly among patients with chronic kidney disease stages 3 to 5, to determine the safety and effectiveness of osteoporosis medications in patients with CKD,” Dr. Robinson concludes.
“Studies should be adequately powered to show a reduction in the risk for fractures and should have sufficient follow-up (>=3 years),” the researchers note. “Future research should also provide details about trial methods, should specify a priori how outcomes will be measured and reported, and should report on adverse events and safety.”
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Reference
- Wilson LM, Rebholz CM, Jirru E, et al. Benefits and harms of osteoporosis medications in patients with chronic kidney disease: A systematic review and meta-analysis. Ann Intern Med. 2017 Apr 11. doi: 10.7326/M16-2752. [Epub ahead of print]