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

被引:332
|
作者
Kanis, J. A. [1 ]
Burlet, N. [2 ]
Cooper, C. [3 ]
Delmas, P. D. [4 ,5 ]
Reginster, J. -Y. [6 ]
Borgstrom, F. [7 ]
Rizzoli, R. [8 ]
机构
[1] Univ Sheffield, Sch Med, WHO, Collaborating Ctr Metab Bone Dis, Sheffield S10 2RX, S Yorkshire, England
[2] IOF, Nyon, Switzerland
[3] Univ Southampton, Epidemiol Res Ctr, MRC, Southampton, Hants, England
[4] Univ Lyon, Lyon, France
[5] INSERM, Res U831, F-69008 Lyon, France
[6] Univ Liege, WHO, Collaborating Ctr Publ Hlth Aspect Rheumat Dis, CHU Ctr Ville, Liege, Belgium
[7] i3 Innovus, Stockholm, Sweden
[8] Univ Hosp Geneva, Serv Bone Dis, WHO, Collaborating Ctr Osteoporosis Prevent, Geneva, Switzerland
关键词
bone mineral density; diagnosis of osteoporosis; fracture risk assessment; health economics; treatment of osteoporosis;
D O I
10.1007/s00198-008-0560-z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Guidance is provided in a European setting on the assessment and treatment of postmenopausal women with or at risk from osteoporosis. Introduction The European Foundation for Osteoporosis and Bone disease (subsequently the International Osteoporosis Foundation) published guidelines for the diagnosis and management of osteoporosis in 1997. This manuscript updates these in a European setting. Methods 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. Results and conclusions A platform is provided on which specific guidelines can be developed for national use.
引用
收藏
页码:399 / 428
页数:30
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