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Diagnosis and Management of Osteoporosis - American Family Physician

Aug 15, 2015 - Osteoporosis-related fractures affect approximately one in two white women and one in five white men in their lifetime. The impact of fractures includes loss of function, significant costs, and increased mortality. The U.S. Preventive Services Task Force recommends using dual energy ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0815/p261.html

Osteoporosis - American Family Physician

May 1, 2019 - This collection features AFP content on osteoporosis and related issues, including calcium supplementation, fracture prevention, hip fracture, radiologic bone assessment, and vitamin D deficiency. This collection features AFP content on osteoporosis and related issues, including calcium...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=20

Hip Fracture: Diagnosis, Treatment, and Secondary Prevention - American Family Physician

Jun 15, 2014 - Hip fractures cause significant morbidity and are associated with increased mortality. Women experience 80% of hip fractures, and the average age of persons who have a hip fracture is 80 years. Most hip fractures are associated with a fall, although other risk factors include decreased ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0615/p945.html

Screening for Osteoporosis to Prevent Fractures: Recommendation Statement - U.S. ...

Nov 15, 2018 - The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2018/1115/od1.html

Abaloparatide (Tymlos) for Osteoporosis - STEPS - American Family Physician

Feb 15, 2019 - 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.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0215/p260.html

Denosumab for Reducing Risk of Fractures in Postmenopausal Women - Medicine by the ...

May 1, 2019 - Denosumab appears to be effective in reducing the risk of vertebral and nonvertebral fractures in postmenopausal women with osteoporosis. Treatment with denosumab does not increase the risk of cancer or death but might increase the risk of infection. However, more studies are required.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0501/od1.html

Treatment of Low BMD and Osteoporosis to Prevent Fractures: Updated Guideline from the ...

Mar 1, 2018 - 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 ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0301/p352.html

Screening for Osteoporosis to Prevent Fractures - Putting Prevention into Practice - ...

Nov 15, 2018 - 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 ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/1115/p593.html

Treating Low Vitamin D Levels Is Ineffective in Postmenopausal Women - POEMs - American...

Feb 15, 2016 - You do not have to treat a low vitamin D level if your patient is a typical community-dwelling postmenopausal woman younger than 75 years. The usual dosage of vitamin D, 800 IU (20 mcg) daily, will not increase levels even after a year of therapy and has little effect on calcium ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0215/p315.html

Vitamin D and Calcium Supplementation to Prevent Fractures in Adults - Putting ...

Jun 1, 2014 - A 55-year-old woman presents to your office for a refill of her blood pressure medication. She is otherwise healthy and does not take other medications. She states that her older sister has been taking vitamin D and calcium supplements for several years to keep her bones strong, and ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0601/p897.html

Pharmacologic Prevention of Osteoporotic Fractures - American Family Physician

Oct 1, 2004 - Osteoporosis is characterized by low bone mineral density and a deterioration in the microarchitecture of bone that increases its susceptibility to fracture. The World Health Organization defines osteoporosis as a bone mineral density that is 2.5 standard deviations or more below the ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1001/p1293.html

ACOG Releases Practice Bulletin on Osteoporosis - Practice Guidelines - American Family...

Aug 15, 2013 - This practice bulletin from the American College of Obstetricians and Gynecologists (ACOG) reviews diagnosis, evaluation, and treatment options for women with osteoporosis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0815/p269.html

Screening for Osteoporosis: Recommendation Statement - U.S. Preventive Services Task ...

May 15, 2011 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for osteoporosis in women 65 years or older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman with no additional risk factors.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2011/0515/p1197.html

Repeat BMD Testing: Little, If Any, Value in Older Men and Women - POEMs - American ...

Dec 15, 2013 - This study found little, if any, additional benefit to repeat BMD screening at four years beyond baseline BMD testing in older men and women. A recent similar study (Gourlay ML, Fine JP, Preisser JS, et al. N Engl J Med. 2012;366(3):225–233) recommended a baseline examination at 65 ...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1215/p864.html

Vitamin D and Calcium Supplementation to Prevent Fractures in Adults - U.S. Preventive ...

Jun 1, 2014 - Advertisement << Previous article Next article >> Jun 1, 2014 Issue U.S. Preventive Services Task Force Vitamin D and Calcium Supplementation to Prevent Fractures in Adults: Recommendation Statement Am Fam Physician. 2014 Jun 1;89(11):online. Related Putting Prevention into...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2014/0601/od1.html

Osteoporosis: Part I. Evaluation and Assessment - American Family Physician

Mar 1, 2001 - Osteoporosis afflicts 75 million persons in the United States, Europe and Japan and results in more than 1.3 million fractures annually in the United States. Because osteoporosis is usually asymptomatic until a fracture occurs, family physicians must identify the appropriate timing and ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0301/p897.html

IOM Releases Report on Dietary Refernce Intakes for Calcium and Vitamin D - Practice ...

Jun 1, 2011 - The Institute of Medicine (IOM) assessed current information on potential health outcomes associated with calcium and vitamin D.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0601/p1352.html

Screening for Osteoporosis - Putting Prevention into Practice - American Family Physician

May 15, 2011 - Case study: A 59-year-old black woman presents for a routine well visit. She reports that her 60th birthday is in a few days, and asks if she should make an appointment to be screened for osteoporosis. She also asks whether her husband, who is 66 years of age, should be screened as well.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2011/0515/p1201.html

Osteoporosis: Part II. Nonpharmacologic and Pharmacologic Treatment - American Family ...

Mar 15, 2001 - Family physicians will frequently encounter patients with osteoporosis, a condition that is often asymptomatic until a fracture occurs. Treatment of the fracture can be initiated without further diagnostic testing. Thereafter, treatment of osteoporosis includes (1) prevention of further...

American Family Physician : Article

https://www.aafp.org/afp/2001/0315/p1121.html

Bisphosphonates: Safety and Efficacy in the Treatment and Prevention of Osteoporosis - ...

May 1, 2000 - Osteoporosis affects more than 28 million Americans. With the advent of accessible and affordable diagnostic studies, awareness and recognition of this disease by patients and clinicians are growing. Osteoporotic fractures of the spine and hip are costly and associated with significant ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0501/p2731.html

Prevention of Osteoporosis and Fractures - American Family Physician

Jul 1, 1999 - Osteoporosis and low bone density are associated with a risk of fracture as a result of even minimally traumatic events. The estimated lifetime risk of osteoporotic fracture is as high as 50 percent, especially in white and Asian women. The use of caffeine, tobacco and steroids is ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p194.html

Zoledronic Acid (Reclast) for Osteoporosis - STEPS - American Family Physician

Aug 15, 2008 - Zoledronic acid, in combination with calcium and vitamin D, will reduce the risk of vertebral fractures, and to a lesser extent, hip fractures in women with osteoporosis. It decreases subsequent fractures and mortality in high-risk patients who have had a hip fracture. Zoledronic acid ...

American Family Physician : STEPS

https://www.aafp.org/afp/2008/0815/p508.html

ACP Guidelines on Screening for Osteoporosis in Men - Practice Guidelines - American ...

Oct 1, 2008 - Guidelines on screening for osteoporosis in men are available from the American College of Physicians (ACP). Although osteoporosis is commonly thought of as a disease that affects women, osteoporotic fractures also result in considerable morbidity and mortality in men.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/1001/p882.html

Alendronate for Fracture Prevention in Postmenopause - Cochrane for Clinicians - ...

Sep 1, 2008 - In postmenopausal women, a 10-mg daily dose of alendronate is effective for secondary (number needed to treat [NNT] = 16) and primary (NNT = 50) prevention of vertebral fractures. It is also effective for secondary prevention of nonvertebral fractures, including hip or wrist fractures ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0901/p579.html

Osteoporosis Screening: Mixed Messages in Primary Care - Editorials - American Family ...

Feb 1, 2009 - Advertisement << Previous article Next article >> Feb 1, 2009 Issue Editorials Osteoporosis Screening: Mixed Messages in Primary Care MARGARET GOURLAY, MD, MPH, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina Am Fam Physician. 2009 Feb 1;79(3):189-190....

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0201/p189.html

Predicting Hip Fracture Risk in Older Women - Point-of-Care Guides - American Family ...

Jul 15, 2007 - Approximately one in six women will have a hip fracture during her lifetime, and approximately one in 35 of all women will die of complications from hip fracture.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2007/0715/p273.html

NAMS Updates Recommendations on Diagnosis and Management of Osteoporosis in ...

Nov 1, 2006 - The North American Menopause Society (NAMS) has updated its evidence-based guidelines on the diagnosis, prevention, and treatment of osteoporosis in postmenopausal women to address the need for standards of care as they relate to menopause-associated health conditions.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/1101/p1630.html

Ibandronate (Boniva) for Treatment and Prevention of Osteoporosis in Postmenopausal ...

Jan 15, 2006 - Ibandronate is a bisphosphonate that can be taken daily or monthly. The daily dosage has been shown to decrease vertebral fractures in women with osteoporosis and a history of previous vertebral fractures. Neither formulation has been shown to reduce the risk of hip fracture or other ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0115/p305.html

Raloxifene for Prevention of Osteoporotic Fractures - FPIN's Clinical Inquiries - ...

Jul 1, 2005 - Raloxifene (60 mg daily for three years) will prevent one vertebral fracture, including asymptomatic fractures, for every 46 postmenopausal women with osteoporosis or presence of previous vertebral fractures. Raloxifene has not been shown to prevent nonvertebral fractures. It is unclear...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2005/0701/p132.html

Fracture Prevention in Postmenopausal Women - Clinical Evidence Handbook - American ...

Jun 1, 2005 - What are the effects of treatments to prevent fractures in postmenopausal women?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2005/0601/p2151.html

ACOG Releases Guidelines for Clinical Management of Osteoporosis - Practice Guidelines ...

Mar 15, 2004 - The American College of Obstetricians and Gynecologists (ACOG) recently issued guidelines for the clinical management of osteoporosis in women, including recommendations for screening, prevention, and treatment.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0315/p1558.html

Calcium Supplementation in Postmenopausal Women - Cochrane for Clinicians - American ...

Jun 15, 2004 - Calcium supplementation has a beneficial effect on bone density and may reduce vertebral fractures. It has no clear effect on nonvertebral fractures, although the number of patients studied may be too small to predict this outcome.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0615/p2822.html

Screening for Osteoporosis in Postmenopausal Women - Putting Prevention into Practice -...

Jan 1, 2004 - Case study: PK, a 65-year-old black woman, comes to get her annual influenza vaccination. She says she appreciates your recent visit to her mother, who is recovering from surgery following a hip fracture. PK asks if she should be screened for osteoporosis

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2004/0101/p139.html

Osteoporosis Management: Out of Subspecialty Practice and into Primary Care - ...

Oct 1, 2004 - Advertisement << Previous article Next article >> Oct 1, 2004 Issue Editorials Osteoporosis Management: Out of Subspecialty Practice and into Primary Care MARGARET GOURLAY, M.D., M.P.H., University of North Carolina at Chapel Hill, Department of Family Medicine, Chapel Hill, North...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/1001/p1219.html

Screening for Osteoporosis in Postmenopausal Women: Recommendations and Rationale - ...

Oct 15, 2002 - This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations on screening for osteoporosis and the supporting scientific evidence, and updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, Second Edition.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2002/1015/p1430.html

NIH Releases Statement on Osteoporosis Prevention, Diagnosis, and Therapy - Practice ...

Jul 1, 2002 - Osteoporosis is a disorder of the skeletal system characterized by weakened bone strength, which results in an increased risk of fracture. The National Institutes of Health (NIH) has released a consensus statement on the prevention, diagnosis, and therapy of osteoporosis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2002/0701/p161.html

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