[Preventive bone mineral density measurement in postmenopausal women. Differentiation of treatment of recommendations Guidelines of the Umbrella Organization for Osteology ("Dachverband Osteologie")]. / Präventive Knochendichtemessung bei postmenopausalen Frauen. Differenzierung der Therapieempfehlungen der Leitlinien des Dachverbandes Osteologie (DVO).
Unfallchirurg
; 116(7): 596-601, 2013 Jul.
Article
in De
| MEDLINE
| ID: mdl-22367521
ABSTRACT
BACKGROUND:
Osteopenia (OP) or osteoporosis (OST) was diagnosed by bone densitometry (DXA) in postmenopausal women free of known skeletal disorders and without acute fracture. DVO guidelines were applied to define therapeutic indication.METHODS:
The study included 94 women aged 59-81 years. Fracture or operation ≤12 months, malignant tumor, ovariectomy, and drugs such as cortisone, strontium, fluorides, bisphosphonates, SERMs, estrogens, and steroids were exclusion criteria. The lowest T-score at the spine, femoral neck, or total hip was decisive. The indication for therapy was determined by evaluating age, BMD, and other risk factors.RESULTS:
Using the WHO criteria 22.3% (n=21) had normal BMD, 52.1% (n=49) had OP, and 25.6% (n=24) had OST. According to "Dachverband Osteologie" (DVO) guidelines, 28 women (29.8%) of the whole group needed therapy. Of the 28 women receiving therapy, 9 had OP and 19 had OST. Therapy was indicated in 18.4% for OP and 79.2% for OST.CONCLUSION:
A preventive measurement of BMD with DXA provides a benefit for postmenopausal women. Combinatory assessment and consideration of other risk factors allows identification of women who might benefit from early treatment.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Absorptiometry, Photon
/
Osteoporosis, Postmenopausal
/
Mass Screening
/
Practice Guidelines as Topic
/
Bone Density Conservation Agents
/
Osteology
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limits:
Aged
/
Aged80
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Female
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Humans
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Male
/
Middle aged
Country/Region as subject:
Europa
Language:
De
Journal:
Unfallchirurg
Journal subject:
TRAUMATOLOGIA
Year:
2013
Document type:
Article