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Osteoporosis International· 2012Q1· Review

European guidance for the diagnosis and management of osteoporosis in postmenopausal women

J. A. Kanis, E. V. McCloskey, Håkan Johansson, Cyrus Cooper et al.

Short summary

Updated European guidance for diagnosing and managing osteoporosis in postmenopausal women offers new insights into bone microstructure evaluation, the role of FRAX® and Fracture Liaison Services, dietary impacts on fracture risk, and risks associated with stopping treatment.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Incorporates bone microstructure evaluation into fracture risk assessment.
  • Highlights the importance of FRAX® and Fracture Liaison Services for secondary fracture prevention.
  • Addresses long-term dietary impacts on fracture risk.
  • Details the increased fracture risk upon cessation of osteoporosis drug treatment.

AI-generated from the title and abstract; the full text is not read.

Abstract

Guidance is provided in a European setting on the assessment and treatment of postmenopausal women at risk from fractures due to osteoporosis. INTRODUCTION: The International Osteoporosis Foundation and European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis published guidance for the diagnosis and management of osteoporosis in 2013. This manuscript updates these in a European setting. METHODS: Systematic reviews were updated. RESULTS: The following areas are reviewed: the role of bone mineral density measurement for the diagnosis of osteoporosis and assessment of fracture risk; general and pharmacological management of osteoporosis; monitoring of treatment; assessment of fracture risk; case-finding strategies; investigation of patients; health economics of treatment. The update includes new information on the evaluation of bone microstructure evaluation in facture risk assessment, the role of FRAX® and Fracture Liaison Services in secondary fracture prevention, long-term effects on fracture risk of dietary intakes, and increased fracture risk on stopping drug treatment. CONCLUSIONS: A platform is provided on which specific guidelines can be developed for national use.

The authors' abstract, as published at the source. Osteoporosis International, 2012 · DOI ↗

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Field: Orthopedics and Sports Medicine

Orthopedics and Sports MedicineMedicine