骨质疏松症：筛查、诊断、评估和治疗的最新进展。
Osteoporosis: An Update on Screening, Diagnosis, Evaluation, and Treatment.
出版信息
Orthopedics. 2023 Jan-Feb;46(1):e20-e26. doi: 10.3928/01477447-20220719-03. Epub 2022 Jul 25.
Abstract
Osteoporosis screening, diagnosis, and treatment have gained much attention in the health care community over the past 2 decades. During this time, creation of multispecialty awareness programs (eg, "Own the Bone," American Orthopedic Association; "Capture the Fracture," International Osteoporosis Foundation) and improvements in diagnostic protocols have been evident. Significant advances in technology have elucidated elements of genetic predisposition for decreased bone mineral density in the aging population. Additionally, several novel drug therapies have entered the market and provide more options for primary care and osteoporosis specialists to medically manage patients at risk for fragility fractures. Despite this, adherence to osteoporosis screening and treatment protocols has been surprisingly low by health care practitioners, including orthopedic surgeons. Continued awareness and education of this skeletal disorder is crucial to effectively care for our aging population. [. 2023;46(1):e20-e26.].
摘要
在过去的 20 年里，骨质疏松症的筛查、诊断和治疗在医疗保健领域受到了广泛关注。在此期间，多学科意识计划（如“拥有骨骼”，美国骨科协会；“捕捉骨折”，国际骨质疏松基金会）的创建和诊断方案的改进已经很明显。技术的重大进步阐明了老龄化人口中骨密度降低的遗传易感性因素。此外，几种新的药物治疗方法已经进入市场，为初级保健医生和骨质疏松症专家提供了更多的选择，以便对有脆性骨折风险的患者进行医学管理。尽管如此，包括骨科医生在内的医疗保健从业者对骨质疏松症筛查和治疗方案的依从性却低得惊人。持续提高对这种骨骼疾病的认识和教育对于有效照顾我们的老年人口至关重要。[. 2023;46(1):e20-e26.].
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