European guidance for the diagnosis and management of osteoporosis in postmenopausal women
Journal article
Kanis, John A., Cooper, Cyrus, Rizzoli, Rene and Reginster, Jean-Yves. (2019). European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporosis International. 30(1), pp. 3 - 44. https://doi.org/10.1007/s00198-018-4704-5
Authors | Kanis, John A., Cooper, Cyrus, Rizzoli, Rene and Reginster, Jean-Yves |
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Abstract | Summary 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. |
Keywords | bone mineral density; diagnosis of osteoporosis; fracture risk assessment; FRAX; health economics; treatment of osteoporosis |
Year | 2019 |
Journal | Osteoporosis International |
Journal citation | 30 (1), pp. 3 - 44 |
Publisher | Springer UK |
ISSN | 0937-941X |
Digital Object Identifier (DOI) | https://doi.org/10.1007/s00198-018-4704-5 |
Scopus EID | 2-s2.0-85059523089 |
Page range | 3 - 44 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | Germany |
https://acuresearchbank.acu.edu.au/item/89ywz/european-guidance-for-the-diagnosis-and-management-of-osteoporosis-in-postmenopausal-women
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