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15.10.2018 | Position Paper | Ausgabe 1/2019 Open Access

Osteoporosis International 1/2019

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

Zeitschrift:
Osteoporosis International > Ausgabe 1/2019
Autoren:
J.A. Kanis, C. Cooper, R. Rizzoli, J.-Y. Reginster, on behalf of the Scientific Advisory Board of the European Society for Clinical and Economic Aspects of Osteoporosis (ESCEO) and the Committees of Scientific Advisors and National Societies of the International Osteoporosis Foundation (IOF)
Wichtige Hinweise
The original version of this article was revised due to a retrospective Open Access order.
A correction to this article is available online at https://​doi.​org/​10.​1007/​s00198-019-05184-3.
A correction to this article is available online at https://​doi.​org/​10.​1007/​s00198-020-05303-5.

Abstract

Summary

Guidance is provided in a European setting on the assessment and treatment of postmenopausal women at risk from fractures due to osteoporosis.

Introduction

The International Osteoporosis Foundation and European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis published guidance for the diagnosis and management of osteoporosis in 2013. This manuscript updates these in a European setting.

Methods

Systematic reviews were updated.

Results

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. The update includes new information on the evaluation of bone microstructure evaluation in facture risk assessment, the role of FRAX® and Fracture Liaison Services in secondary fracture prevention, long-term effects on fracture risk of dietary intakes, and increased fracture risk on stopping drug treatment.

Conclusions

A platform is provided on which specific guidelines can be developed for national use.

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