Osteoporosis affects an estimated 75 million people in Europe,the United States, and Japan.1 It is a preventable and treatablecondition, yet many people with osteoporosis remain unrecognizedand untreated. The purpose of this review is to consider theevidence that treatments for postmenopausal osteoporosis areeffective and safe.
Definition of Osteoporosis
Definitions of osteoporosis have usually been conceptual andtherefore difficult to apply to individual patients. For example,a Consensus Development Conference defined osteoporosis as "asystemic skeletal disease characterised by low bone mass andmicroarchitectural deterioration with a consequent increasein bone fragility and susceptibility to fracture."1 A WorkingGroup of . . . [Full Text of this Article]
Risk Factors
Diagnostic Evaluation
Pathophysiology of Osteoporosis
Evaluation of Drug Efficacy
Current Therapies
Estrogen-Replacement Therapy
Bisphosphonates
Calcium and Vitamin D
Calcitonin
Fluoride
Future Treatments
Raloxifene
Parathyroid Hormone
Other Therapies
Therapeutic Choices
Source Information
From the Division of Clinical Sciences, University of Sheffield, Sheffield, United Kingdom.
Address reprint requests to Dr. Eastell at the Section of Medicine, Division of Clinical Sciences, Clinical Sciences Centre, Northern General Hospital, Herries Rd., Sheffield S5 7AU, United Kingdom.
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