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Is It Always Osteoporosis?

Stuart M. Sprague, DO

Arch Intern Med. 2007;167(2):115-116.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Chronic kidney disease (CKD) is rapidly becoming a significant public health problem. A staggering 19.2 million Americans, or 11% of the adult population, are currently living with CKD.¹ Moreover, there are nearly 400 000 people in the United States with end-stage kidney disease (ESKD), a number that is almost certain to rise owing to the high prevalence of CKD.² Adding to the morbidity of CKD is the development of disturbances of mineral metabolism, which occurs in virtually all patients during the progression of their disease and is associated with bone loss and fractures, cardiovascular disease, immune suppression, and increased mortality.³

In addition to the public health impact, CKD and ESKD also impose a tremendous economic burden. In fact, the cost to treat patients with ESKD in the United States was estimated to be more than $25 billion in 2002.⁴ While dialysis treatment accounts for the majority of . . . [Full Text of this Article]

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