Osteoporosis management in the new millennium.

Autor: Wei GS; Department of Medicine, Uniformed Services University of Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. ginawei@medscape.com, Jackson JL, Hatzigeorgiou C, Tofferi JK
Jazyk: angličtina
Zdroj: Primary care [Prim Care] 2003 Dec; Vol. 30 (4), pp. 711-41, vi-vii.
DOI: 10.1016/s0095-4543(03)00090-3
Abstrakt: The prevalence of osteoporosis in all US postmenopausal women is 17%, and it is as high as 30% in women older than 65. All postmenopausal women should be encouraged to have adequate daily calcium and vitamin D intake, to exercise regularly, and to avoid tobacco and excessive alcohol use. Although the clinical impact and cost-effectiveness of osteoporosis screening tools remain to be established, a rational approach based on current evidence involves using National Osteoporosis Foundation guidelines, Simple Calculated Osteoporosis Risk Estimation, or Osteoporosis Risk Assessment Instrument clinical decision rules to decide when a postmenopausal woman should undergo further evaluation.
Databáze: MEDLINE