Osteoporosis and its perspective in Pakistan: A review of evidence and issues for addressing fragility fractures

被引：26

作者：

Khan, Aysha Habib ^{[1
]}

Jafri, Lena ^{[1
]}

Ahmed, Sibtain ^{[1
]}

Noordin, Shahryar ^{[2
]}

机构：

[1] Aga Khan Univ, Dept Pathol & Lab Med, Stadium Rd,POB 3500, Karachi, Pakistan

[2] Aga Khan Univ, Dept Surg, Karachi, Pakistan

来源：

ANNALS OF MEDICINE AND SURGERY | 2018年 / 29卷

关键词：

Osteoporosis; Fragility fractures; Risk factor; Fracture risk assessment tools; Pakistan;

D O I：

10.1016/j.amsu.2018.03.019

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Despite major advances in osteoporosis diagnosis and treatment, low rates of investigating and treating osteoporosis in patients with fragility fracture are reported in Pakistan. Cost of therapies, time and cost of resources for diagnosis, concerns about medications and lack of clarity regarding the onus of responsibility to undertake this care, are some of the barriers to osteoporosis identification and treatment. Data from our part of the world on osteoporosis as well as on fragility fractures is sparse. This review addresses the current screening and diagnostic strategies for osteoporosis and reviews the existing literature to highlight the issues prevalent in our society on this major public health problem.

引用

页码：19 / 25

页数：7

共 60 条

[41]

Lowe NM, 2011, J HEALTH POPUL NUTR, V29, P465

[42]

Lydick E, 1998, AM J MANAG CARE, V4, P37

[43]

Mamji M, RISK FACTORS OSTEOPO

[44] Prevalence and significance of vitamin D deficiency and insufficiency among apparently healthy adults [J].

Mansoor, Shireen ;

Habib, Aysha ;

Ghani, Farooq ;

Fatmi, Zafar ;

Badruddin, Salma ;

Mansoor, Sarwat ;

Siddiqui, Imran ;

Jabbar, Abdul .

CLINICAL BIOCHEMISTRY, 2010, 43 (18) :1431-1435

[45]

Masud F., 2007, SMJ Singapore Medical Journal, V48, P207

[46] Screening for osteopenia and osteoporosis: Selection by body composition [J].

Michaelsson, K ;

Bergstrom, R ;

Mallmin, H ;

Holmberg, L ;

Wolk, A ;

Ljunghall, S .

OSTEOPOROSIS INTERNATIONAL, 1996, 6 (02) :120-126

[47]

Naeem ST, 2016, JCPSP-J COLL PHYSICI, V26, P408, DOI 2325

[48] Development of prognostic nomograms for individualizing 5-year and 10-year fracture risks [J].

Nguyen, N. D. ;

Frost, S. A. ;

Center, J. R. ;

Eisman, J. A. ;

Nguyen, T. V. .

OSTEOPOROSIS INTERNATIONAL, 2008, 19 (10) :1431-1444

[49] Validation of OSIRIS®, a prescreening tool for the identification of women with an increased risk of osteoporosis [J].

Reginster, JY ;

Ben Sedrine, W ;

Viethel, P ;

Micheletti, MC ;

Chevallier, T ;

Audran, M .

GYNECOLOGICAL ENDOCRINOLOGY, 2004, 18 (01) :3-8

[50]

Riaz Mehmood, 2008, J Pak Med Assoc, V58, P190

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