Response to: ‘Association between osteoporosis and statins therapy’ by Lai

Autor: Caspar Matzhold, Michael Leutner, Peter Klimek, Stefan Thurner, Jürgen Harreiter, Carola Deischinger, Alexandra Kautzky-Willer, Luise Bellach
Rok vydání: 2019
Předmět:
Zdroj: Annals of the Rheumatic Diseases. 80:e181-e181
ISSN: 1468-2060
0003-4967
DOI: 10.1136/annrheumdis-2019-216494
Popis: We read with interest the correspondence of Lai .1 Whether statin therapy impacts the risk of osteoporosis is still a matter of debate. We have recently shown that there is a dose-dependent relationship between statins and diagnosis of osteoporosis; while low-dose statin treatment was related to an underrepresentation of diagnosed osteoporosis when compared with non-statin-treated patients, we found in patients on higher dosages of statins an overrepresentation of diagnosed osteoporosis in the general Austrian population.2 Although osteoporosis is often underdiagnosed until incident fractures, our data are based on diagnoses derived from in-patient treatment. Even though there are data available suggesting that some statins could have protective effects on osteoporosis,3 in the JUPITER trial, an international, randomised, double-blind and placebo-controlled study in which 17 802 patients were investigated, it has been shown that high-potency statin treatment did not reduce the risk of fractures.4 The fact that statin treatment might not only have positive …
Databáze: OpenAIRE