Ewald Dan
Northern Rivers General Practice Network and a general practitioner, New South Wales.
Aust Fam Physician. 2012 Mar;41(3):104-8.
Osteoporosis causes a large and growing health burden in Australia. Effective treatments are available, but these are inconsistently implemented. There is some inconsistency in expert advice on who should be recommended to have bone densitometry.
This review draws on the available high level evidence for what works in prevention and discusses the rationale for using absolute risk estimations for decision making.
Effective interventions for the prevention and early intervention of osteoporosis have not been delivered as widely as they should be. Efforts should be focused on offering treatment to those groups with the highest risk of fracture, particularly those that have had a fragility fracture. There is synergy in the lifestyle recommendations for bone health with other aspects of health, so these should be addressed as thoroughly as possible.
骨质疏松症给澳大利亚带来了巨大且不断增加的健康负担。虽然有有效的治疗方法，但这些方法的实施并不一致。关于应推荐哪些人进行骨密度测量的专家建议也存在一些不一致之处。
本综述借鉴了关于有效预防措施的现有高级证据，并讨论了使用绝对风险估计进行决策的基本原理。
骨质疏松症预防和早期干预的有效干预措施并未得到应有的广泛应用。应努力为骨折风险最高的人群提供治疗，特别是那些发生过脆性骨折的人群。关于骨骼健康的生活方式建议与健康的其他方面具有协同作用，因此应尽可能全面地加以解决。
