ITEMS IN AFP WITH KEYWORD:
Rechecking bone mineral density (BMD) after three years does not add additional prognostic information. Serial BMD testing is not useful in estimating fracture risk and assessing the need for treatment because BMD does not change much within three years.
A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Abaloparatide is a safe and effective medication used to reduce the likelihood of vertebral and nonvertebral fractures in women at high risk. However, it is expensive and requires daily injections. It has not been evaluated for its effect on decreasing hip fractures.
A 57-year-old postmenopausal woman comes to your clinic for a wellness visit. She has no significant medical problems. She broke her left forearm as a child by falling out of a tree but has had no other fractures. She currently smokes one pack of cigarettes per day, rarely drinks one glass of red wi...
Nov 15, 2018 Issue
Screening for Osteoporosis to Prevent Fractures: Recommendation Statement [U.S. Preventive Services Task Force]
The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older.
Oral bisphosphonates significantly reduce clinical fracture risk at four years in women with postmenopausal osteoporosis (T-score less than −2.5). Treatment beyond five years is associated with further reductions in fractures in women with persistent femoral neck T-scores less than −2.5.
Osteoporosis, which most commonly occurs in the hip, spine, and wrist, puts persons at increased risk of fragility and fracture. The American College of Physicians (ACP) has updated its 2008 guideline to include new evidence regarding fracture prevention in adults with low bone mineral density or osteoporosis.
Vertebral compression fractures can lead to chronic pain, disfigurement, height loss, impaired activities of daily living, increased risk of pressure sores, pneumonia, and psychological distress. Find out which patients are most likely to benefit from conservative therapy, and when to consider surgery.
Review the current recommendations on screening for osteoporosis using dual energy x-ray absorptiometry of the hip and lumbar spine. Nonpharmacologic treatment involves fall prevention strategies, multicomponent exercise programs, and smoking cessation. Bisphosphonates are first-line pharmacologic treatment.