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Finding osteoporosis in people with kidney disease in primary care

Looks at bone weakness and kidney disease in adults aged 40 to 90.

Plain-language title generated from the registry record
Registry title: Osteoporosis & Renal Disease: Research in Primary Health Care Services

Key facts

Where
Barcelos, PortugalSee the site

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 40 and 90 years old?

Source: NCT07848490, who can take part

Where in Portugal

  • ULS de Barcelos/EsposendeBarcelos, PortugalNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Universidade do Porto
Trial code
NCT07848490
Record updated
30 September 2026
Original description
Osteoporosis, a silent and multifactorial systemic skeletal disorder, severely compromises bone strength and significantly increases the risk of fragility fractures. Despite its high prevalence (affecting ~10% of Portuguese over 50), it remains critically underdiagnosed and undertreated, with over 80% of fragility fractures occurring in untreated individuals.Read full original descriptionShow less

Osteoporosis & Renal Disease: Research in Primary Health Care Services - A Pilot Study

Osteoporosis, a silent and multifactorial systemic skeletal disorder, severely compromises bone strength and significantly increases the risk of fragility fractures. Despite its high prevalence (affecting ~10% of Portuguese over 50), it remains critically underdiagnosed and undertreated, with over 80% of fragility fractures occurring in untreated individuals.

Chronic Kidney Disease (CKD) profoundly exacerbates bone fragility, giving rise to CKD-associated osteoporosis, a complex skeletal disorder often integrated within CKD-Mineral and Bone Disorder. This systemic dysregulation of mineral metabolism not only impairs bone quality but also actively promotes vascular calcification and significantly elevates cardiovascular disease risk, underscoring a critical kidney-bone-vascular nexus. Despite these well-established links, CKD-associated osteoporosis is similarly underdiagnosed and undertreated, partly due to diagnostic challenges related to Bone Mineral Density interpretation and therapeutic hesitancy in this complex patient population.

This multi-phase observational study is designed to address the significant public health challenges posed by osteoporosis and by osteoporosis associated with CKD in Portugal, particularly among individuals aged 40 years to 90 years. The study aims to enhance understanding of disease prevalence, identify diagnostic and treatment gaps, and evaluate management trajectories, while emphasizing the intricate interrelationships among bone health, renal function, and cardiovascular risk.

Inclusion: Age between 40 years and 90 years; Registered at participating Primary Healthcare Unit; Capable of providing informed consent.

Exclusion: Severe cognitive/physical impairment; Life expectancy <12 months; Inability to undergo DXA.

ClinicalTrials.gov NCT07848490