Hamdy Ronald C, Baim Sanford, Broy Susan B, Lewiecki E Michael, Morgan Sarah L, Tanner S Bobo, Williamson Howard F
Department of Geriatric Medicine and Gerontology, Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA.
South Med J. 2010 Oct;103(10):1009-15; quiz 1016. doi: 10.1097/SMJ.0b013e3181f0e8d6.
Osteoporosis is a common skeletal disease that weakens bones and increases the risk of fractures. It affects about one half of women over the age of 60, and one third of older men. With appropriate care, osteoporosis can be prevented; and when present, it can be easily diagnosed and managed. Unfortunately, many patients with osteoporosis are not recognized or treated, even after sustaining a low-trauma fracture. Even when treatment is initiated, patients may not take medication correctly, regularly, or for a sufficient amount of time to receive the benefit of fracture risk reduction. Efforts to improve compliance and treatment outcomes include longer dosing intervals and parenteral administration. Clinical practice guidelines for the prevention and treatment of osteoporosis have been developed by the National Osteoporosis Foundation (NOF) but may not be fully utilized by clinicians who must deal with numerous healthcare priorities. We present an algorithm to help streamline the work of busy clinicians so they can efficiently provide state-of-the-art care to patients with osteoporosis.
骨质疏松症是一种常见的骨骼疾病，会削弱骨骼并增加骨折风险。它影响着约一半60岁以上的女性以及三分之一的老年男性。通过适当护理，骨质疏松症可以预防；一旦出现，也能够轻易诊断和管理。不幸的是，许多骨质疏松症患者即便发生了低创伤性骨折，仍未被识别或得到治疗。即使开始治疗，患者可能也无法正确、规律地服药，或者服药时间不足，无法获得降低骨折风险的益处。提高依从性和治疗效果的措施包括延长给药间隔和采用肠胃外给药。美国国家骨质疏松症基金会（NOF）制定了骨质疏松症预防和治疗的临床实践指南，但临床医生可能并未充分利用这些指南，因为他们必须处理众多医疗保健优先事项。我们提出一种算法，以帮助繁忙的临床医生简化工作，从而能够高效地为骨质疏松症患者提供最先进的护理。
