Evaluation of care delivery by a novel multidisciplinary bone health clinic for patients at risk of glucocorticoid-induced osteoporosis

ConclusionOur novel GIOP clinic model successfully fills a gap in osteoporosis care by providing multidisciplinary intervention in key components of GIOP preventive care to an underserved patient population. Further studies are required to assess the real-world long-term outcomes of our model.
Source: Archives of Osteoporosis - Category: Orthopaedics Source Type: research

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Med Clin North Am. 2021 Nov;105(6):1117-1134. doi: 10.1016/j.mcna.2021.05.016. Epub 2021 Sep 8.ABSTRACTOsteoporosis is a metabolic bone disease characterized by low bone mass and microarchitectural deterioration of bone tissue leading to an increased risk of fragility fractures. Central dual-energy X-ray absorptiometry measurements are the gold standard for determining bone mineral density. A well-balanced diet containing adequate amounts of calcium and vitamin D, exercise, smoking cessation, and limited alcohol intake are important to maintain bone health. Pharmacologic agents should be recommended in postmenopausal women...
Source: The Medical Clinics of North America - Category: General Medicine Authors: Source Type: research
ABSTRACTThe aim of this study was to monitor long-term changes in bone mineral density (BMD) after menopause and factors affecting BMD. The study population consisted of a random sample of 3222 women from the Kuopio Osteoporosis Risk Factor and Prevention (OSTPRE) study, of which 62.1% were postmenopausal at the beginning of the study. This group of women underwent dual-energy X-ray absorptiometry (DXA) measurements at the femoral neck every 5  years from baseline (in 1989) up to 25-year follow-up. They also responded to risk-factor questionnaires at 5-year intervals. During the 25-year follow-up, the baseline cohor...
Source: Journal of Bone and Mineral Research - Category: Orthopaedics Authors: Tags: Original Article Source Type: research
ConclusionPsoriasis is associated with a decrease in the bone mineral density more in males, with higher incidence of osteopenia rather than osteoporosis. The decrease in BMD increases with increasing age, duration of psoriasis and PASI score, decreases with increasing BMI, while the clinical variants of psoriasis didn ’t seem to affect the BMD of psoriatic patients.
Source: QJM - Category: Internal Medicine Source Type: research
ConclusionsOur results indicate that tobacco use in late adolescence could be detrimental to bone accretion and may be a signal of increased fracture risk in adult life.
Source: Archives of Orthopaedic and Trauma Surgery - Category: Orthopaedics Source Type: research
Asian Spine J. 2021 Sep 28. doi: 10.31616/asj.2021.0099. Online ahead of print.ABSTRACTSTUDY DESIGN: Cross-sectional study using radiological measurements.PURPOSE: To analyze the relationship between type 2 diabetes mellitus (DM) and bone mineral density (BMD) in postmenopausal women and to assess risk factors of osteoporotic vertebral compression fracture (OVCF) in postmenopausal diabetic women.OVERVIEW OF LITERATURE: Type 2 DM has negative effects on the quality of bone. Patients with type 2 DM have increased risk of hip and other fractures, but their vertebral fracture risk is controversial. There is a positive correlat...
Source: Asian Spine Journal - Category: Orthopaedics Authors: Source Type: research
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