We recommend maintaining peak bone mass for all patients. To achieve and maintain maximum bone density, patients should have medical history and risks for osteoporosis reviewed when they present to their clinician's office. Secondary Hyperparathyroidism: “Patients with normocalcemic hyperparathyroidism may present with low bone density, osteoporosis, or a fragility fracture. Many of these patients will probably evolve into having hyperparathyroidism” AAFP 2013. References N Engl J Med 2011;365(25):2389-2397. Primary Hyperparathyroidism.
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This activity highlights the role of the interprofessional team in the management of patients with osteoporosis. Objectives: Outline the causes of secondary osteoporosis. In cases of secondary osteoporosis, the loss of bone mass is caused by certain lifestyle behaviors, diseases, or medications. Some of the most common causes of secondary osteoporosis in men include exposure to glucocorticoid medications, hypogonadism (low levels of testosterone), alcohol abuse, smoking, gastrointestinal disease, hypercalciuria, and immobilization. Osteoporosis that is caused or exacerbated by other disorders or medication exposures is referred to as "secondary" osteoporosis. This article describes the major causes and provides a framework for the diagnostic investigation of patients with suspected of having secondary osteoporosis.
doi: 10.1530/EJE-17-0417.
6 Selected factors that are associated with fracture or low BMD are listed in Table 2001-03-01 · setting. Secondary forms of osteoporosis are listed in Table 1.8 If secondary osteoporosis is suspected, appropriate diagnostic work-up could identify a different management course. This collection features AFP content on osteoporosis and related issues, including calcium supplementation, fracture prevention, hip fracture, radiologic bone assessment, and vitamin D deficiency. Se hela listan på aafp.org Secondary osteoporosis is less common than primary osteoporosis.
Sometimes premenopausal women have osteoporosis for no known reason. This is called idiopathic osteoporosis. The term “idiopathic” just means that the osteoporosis is unexplained and we cannot find a cause for it. By 2022, it is estimated that 6.2 million Australians older than 50 years of age will have osteoporosis or osteopenia, a rise of 31% from 2012.
Objectives: Outline the causes of secondary osteoporosis. Osteoporosis update Diagnosis & Management from: AAFP, NOF, AACE, Uptodate 2017 Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If you continue browsing the site, you agree to the use of cookies on this website. Secondary osteoporosis resulting from specific clinical disorders may be potentially reversible, and thus continuous efforts to find and adequately treat the secondary causes of skeletal fragility
Risk factors for osteoporosis include female gender, non-Hispanic white ethnicity, smoking, and low BMI. Secondary prevention of fractures is an important component of care following a hip fracture.
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Men and women of any age with conditions known to be secondary causes of osteoporosis No Every 2–10 years depending on initial T-score See p.
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In patients with newly diagnosed osteoporosis, suggested laboratory tests to identify secondary causes include serum 25-hydroxyvitamin D, calcium, creatinine, and thyroid-stimulating hormone. Evaluation for Secondary Osteoporosis Primary osteoporosis is related to aging and loss of gonadal function. Secondary osteoporosis is caused by other health conditions (Table 4).2 Up to 30% of osteo-
Secondary osteoporosis results from chronic conditions that contribute significantly to accelerated bone loss.
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Read the full article. Get Secondary forms of osteoporosis are listed in Table 1. 8 If secondary osteoporosis is suspected, appropriate diagnostic work-up could identify a different management course. For example, if a Primary vs.
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In addition, secondary osteoporosis should be considered if the bone density Z-score is -2.5 or less. Consider the f … 2018-06-26 · In the United States, the estimated prevalence of osteoporosis among the community-dwelling population 50 years and older in 2010 was 10.3% (10.2 million adults), based on National Health and Nutrition Examination Survey data. 1 After age 50 years, the prevalence of osteoporosis is greater in women than in men (15.4% vs 4.3%, respectively).