About 50 percent of Americans older than 50 are at risk for osteoporotic fracture
Philadelphia, May 9, 2017 -- The American College of Physicians (바카라 사리트) recommends in an published today in Annals of Internal Medicine that physicians treat women with osteoporosis with bisphosphonates (alendronate, risedronate, or zoledronic acid) or denosumab, a biologic agent.
“Physicians should prescribe generic drugs to treat patients with osteoporosis whenever possible and they should discuss the importance of medication adherence, especially for bisphosphonates,” said Jack Ende, MD, M바카라 사리트, president, 바카라 사리트.
The American Academy of Family Physicians has endorsed 바카라 사리트’s guideline.
Osteoporosis is a systemic skeletal disease characterized by decreasing bone mass and deterioration of bone tissue that leads to an increased risk for bone fragility and fracture, especially in the hip, spine, and wrist. An estimated 54 million men and women in the United States have low bone density or osteoporosis. About 50 percent of Americans older than 50 are at risk for osteoporotic fracture.
바카라 사리트's guideline focuses on the comparative benefits and risks of short- and long-term drug treatments for low bone density or osteoporosis, including prescriptions, calcium, vitamin D, and estrogen.
The evidence suggests that physicians should treat women with osteoporosis with drug therapy for five years. Continuing treatment after the initial five years may be beneficial for some patients and may be appropriate after reassessing the risks and benefits of continuing therapy.
바카라 사리트 recommends against bone density monitoring during the five-year treatment period because the evidence does not show any benefit for monitoring during treatment. 바카라 사리트 also recommends against using menopausal estrogen therapy or menopausal estrogen plus progestin therapy or raloxifene for the treatment of osteoporosis in women. Estrogen treatment is associated with serious harms such as increased risk for cerebrovascular accidents and venous thromboembolic events that outweigh the potential benefits.
Physicians should make the decision whether to treat osteopenic women 65 years of age or older who are at a high risk for fracture based on a discussion of patient preferences; fracture risk profile; and the benefits, harms, and costs of medications.
The evidence does not support frequent monitoring of women with normal bone density for osteoporosis; the data showed that most women with normal bone density measurements did not progress to osteoporosis within 15 years.
바카라 사리트 recommends that physicians offer drug treatment with bisphosphonates to reduce the risk for vertebral fracture in men with osteoporosis.
“The evidence specifically for men is sparse,” Dr. Ende said. “However, the data did not suggest that outcomes associated with drug treatment would differ between men and women if based on similar bone mineral density, so treatment for men may be appropriate.”
“Treatment of Low Bone Density or Osteoporosis to Prevent Fractures in Men and Women” is based on a systematic review of randomized, controlled trials; systematic reviews; large observational studies (for adverse events); and case reports (for rare events). Clinical outcomes evaluated were fractures and adverse events.
바카라 사리트’s clinical practice guidelines are developed through a based on an extensive review of the highest quality evidence available, including randomized control trials and data from observational studies. 바카라 사리트 also identifies gaps in evidence and direction for future research through its guidelines development process.
바카라 사리트’s previous recommendations for treating low bone density and osteoporosis to prevent fractures were published in “” in 2008. 바카라 사리트’s 2017 guideline presents additional available evidence on treatments, including new medications and biologic agents, to prevent fractures in men and women with low bone density or osteoporosis since publication of the 2008 guideline.
About the American College of Physicians
The American College of Physicians is the largest medical specialty organization in the United States with members in more than 145 countries worldwide. 바카라 사리트 membership includes 148,000 internal medicine physicians (internists), related subspecialists, and medical students. Internal medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness. Follow 바카라 사리트 on and .