Chronic kidney disease–mineral and bone disorder (CKD-MBD) is a systemic disorder of mineral and bone metabolism encompassing one or more of the following conditions: aberrations in calcium, phosphorus, parathyroid hormone (PTH), or vitamin D metabolism; abnormalities in bone mineralization, volume linear growth, strength, and turnover; and extraskeletal calcification. The disorder is associated with increased mortality1 and fracture risk.2,3