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Renal Osteodystrophy Assessment Score (Premenstrual) – Serum/plasma

Published: August 9, 2026Updated: August 17, 2026

This test evaluates markers related to bone and kidney health, particularly in the context of hormonal fluctuations, such as those seen before menstruation.

Quick summary

["Understanding your bone and kidney health can help manage conditions like osteoporosis or kidney disease, especially during hormonal changes."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
69569-2
Short code
ROMA score premen SerPl
Synonyms
ROMA score premen SerPl
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
17
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What This Test Measures

This test assesses a composite score derived from several blood-based indicators that collectively reflect the risk or presence of renal osteodystrophy—a condition involving abnormal bone metabolism linked to chronic kidney disease. The score considers factors like calcium, phosphorus, parathyroid hormone (PTH), and possibly other electrolytes or markers that may be measured indirectly.

Why It Might Be Ordered

Your healthcare provider may order this test if you have chronic kidney disease, are taking medications that affect bone health, or if you experience symptoms like bone pain, fractures, or fatigue—especially if these symptoms occur more frequently before your menstrual cycle.

What to Expect Before the Test

No special preparation is typically required. You may fast before the test, but your provider will confirm if dietary restrictions apply. Bring any medications you’re currently taking, as some may affect results.

What the Results Mean

The results provide a numerical score that helps assess the likelihood of renal osteodystrophy. While a higher score may indicate a higher risk, your provider will interpret results in the context of your overall health, medical history, and symptoms.

Reference range

NCBI: NSE 0-17 ng/mLN/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Renal osteodystrophy is a common complication of chronic kidney disease, where the kidneys fail to properly regulate calcium, phosphorus, and parathyroid hormone levels, leading to weakened bones and other complications. This test helps identify patients at risk of developing bone-related issues, allowing for early interventions like dietary adjustments, vitamin D supplementation, or medication changes to improve bone health.

Frequently asked questions

Will this test show if I have kidney disease?
No, this test specifically evaluates markers related to bone health in the context of kidney disease (renal osteodystrophy). While it may indirectly reflect kidney function, it does not diagnose kidney disease itself. Your provider may order additional tests to assess kidney function separately.
What does a high score mean?
A higher score suggests an increased likelihood of renal osteodystrophy, meaning your bones may be at higher risk of weakening or other complications. Your healthcare provider will discuss next steps, such as lifestyle changes or treatments tailored to your needs.
Can I adjust my diet before this test?
While no strict dietary restrictions apply, it’s best to avoid excessive intake of calcium, phosphorus-rich foods, or supplements unless advised by your provider. Always follow their guidance for optimal test accuracy.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy