Declining Hip Fracture Rates in Dialysis Patients: Is This Winning the War?

Fracture rates in patients with chronic kidney disease (CKD) are remarkably higher than in the general population.1-7 All studies of adults and children with CKD stages 3 and 4 on dialysis therapy and after kidney transplantation demonstrate that fracture incidence is 2- to 100-fold higher compared with age- and sex-matched individuals without CKD.1-3,7-10 Fracture incidence increases in a graded manner with more severely reduced kidney function,5 and even declines in estimated glomerular filtration rates have been demonstrated to predict future fracture.

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