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What is the gold standard and how do you determine which PTH test is best for determining bone status in the ESRD patient?

April 26, 2017best bone determine determining ESRD gold Pth standard Status Test

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What is the gold standard and how do you determine which PTH test is best for determining bone status in the ESRD patient?

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The gold standard for determining renal bone disease is histomorphemetry derived from a bone biopsy. Bone biopsies are useful for an accurate snapshot of bone status (particularly as a confirmation before parathyroidectomy). But, monitoring therapy via multiple bone biopsies is not practical.