Osteoporosis postmenopáusica: relevancia de la búsqueda estructurada de causas secundarias / A search for secondary causes of osteoporosis or low mineral density in postmenopausal women
Rev. méd. Chile
; 150(5): 597-602, mayo 2022. tab, graf
Article
en Es
| LILACS
| ID: biblio-1409855
Biblioteca responsable:
CL126.2
ABSTRACT
BACKGROUND:
A secondary cause can be found in up to one third of women with osteoporosis, potentially modifying their therapeutic approach.AIM:
To determine the prevalence of secondary causes and risk factors for decreased bone mineral density (BMD) and osteoporosis. Material andMethods:
We included postmenopausal women with a diagnosis of osteoporosis or low BMD who consulted for the first time in an endocrinology clinic between October 2018 and March 2020. A complete medical history, physical examination and a standardized laboratory assessment to identify secondary causes were performed.RESULTS:
During the study period, 114 women were evaluated, 30 of them with low BMD and 84 with osteoporosis. After obtaining a medical history and a structured laboratory screening, at least one secondary cause was found in 50% of patients with osteoporosis and in 67% of those with low BMD. Most patients with no identified secondary cause had at least one risk factor for fragility fractures.Conclusions:
A structured evaluation that includes medical history and standardized laboratory study in postmenopausal women with osteoporosis or low BMD, is a valuable tool to identify secondary causes of osteoporosis.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
LILACS
Asunto principal:
Osteoporosis
/
Fracturas Óseas
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
/
Male
Idioma:
Es
Revista:
Rev. méd. Chile
Asunto de la revista:
MEDICINA
Año:
2022
Tipo del documento:
Article
País de afiliación:
Chile