rounds 1, 2, 3.docx

To reach a consensus on an updated version of the recommendations for the diagnosis and / Treat-to-Target management of osteoporosis that is effective and safe for individuals with chronic kidney disease (CKD) G4-G5D / kidney transplant. Delphi process was implemented (3 rounds) to establish a consensus on 10 clinical domains: (1) Study targets, (2) Risk factors, (3) Diagnosis, (4) Case stratification, (5) Treatment targets, (6) Investigations, (7) Medical Management, (8) Monitoring, (9) Management of special groups, (10) Fracture liaison service. After each round, statements were retired, modified, or added in view of the experts’ suggestions and the percent agreement was calculated. Statements receiving rates of 7-9 by more than 75% of experts' votes were considered as achieving consensus.