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Secondary Fracture ...
Secondary Fracture Prevention : Consensus Clinical Recommendations from a Multistakeholder Coalition
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- Conley, Robert B. (författare)
- Center for Medical Technology Policy
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- Adib, Gemma (författare)
- Osteoporosis Centre, Damascus
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- Adler, Robert A. (författare)
- Hunter Holmes McGuire VA Medical Center
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- Åkesson, Kristina E. (författare)
- Lund University,Lunds universitet,Ortopedi - klinisk och molekylär osteoporosforskning,Forskargrupper vid Lunds universitet,Orthopedics - Clinical and Molecular Osteoporosis Research,Lund University Research Groups,Skåne University Hospital
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- Alexander, Ivy M. (författare)
- University of Connecticut
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- Amenta, Kelly C. (författare)
- Mercyhurst University
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- Blank, Robert D. (författare)
- Medical College of Wisconsin,Garvan Institute of Medical Research
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- Brox, William Timothy (författare)
- University of California, San Francisco
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- Carmody, Emily E. (författare)
- University of Rochester
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- Chapman-Novakofski, Karen (författare)
- University of Illinois at Urbana-Champaign
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- Clarke, Bart L. (författare)
- Mayo Clinic Minnesota
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- Cody, Kathleen M. (författare)
- American Bone Health
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- Cooper, Cyrus (författare)
- University of Southampton
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- Crandall, Carolyn J. (författare)
- University of California, Los Angeles
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- Dirschl, Douglas R. (författare)
- University of Chicago
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- Eagen, Thomas J. (författare)
- National Council on Aging
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- Elderkin, Ann L. (författare)
- American Society for Bone and Mineral Research
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- Fujita, Masaki (författare)
- International Osteoporosis Foundation, Switzerland
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- Greenspan, Susan L. (författare)
- University of Pittsburgh
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- Halbout, Philippe (författare)
- International Osteoporosis Foundation, Switzerland
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- Hochberg, Marc C. (författare)
- Baltimore Veterans Administration Medical Center,University of Maryland
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- Javaid, Muhammad (författare)
- University of Oxford
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- Jeray, Kyle J. (författare)
- Prisma Health
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- Kearns, Ann E. (författare)
- Mayo Clinic Minnesota
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- King, Toby (författare)
- United States Bone and Joint Initiative (USBJI)
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- Koinis, Thomas F. (författare)
- Duke Primary Care Oxford
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- Koontz, Jennifer Scott (författare)
- University of Kansas,Newton Medical Center
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- Kužma, Martin (författare)
- University Hospital in Bratislava
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- Lindsey, Carleen (författare)
- Bristol Physical Therapy, LLC
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- Lorentzon, Mattias (författare)
- University of Gothenburg,Sahlgrenska University Hospital,Australian Catholic University
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- Lyritis, George P. (författare)
- Hellenic Osteoporosis Foundation
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- Michaud, Laura Boehnke (författare)
- University of Texas MD Anderson Cancer Center
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- Miciano, Armando (författare)
- Nevada Rehabilitation Institute
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- Morin, Suzanne N. (författare)
- McGill University
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- Mujahid, Nadia (författare)
- Brown University
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- Napoli, Nicola (författare)
- Sapienza University of Rome,Washington University in St. Louis
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- Olenginski, Thomas P. (författare)
- Geisinger Health System
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- Puzas, J. Edward (författare)
- University of Rochester Medical Center
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- Rizou, Stavroula (författare)
- Hellenic Osteoporosis Foundation
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- Rosen, Clifford J. (författare)
- Maine Medical Center Research Institute,Tufts University
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- Saag, Kenneth (författare)
- University of Alabama
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- Thompson, Elizabeth (författare)
- National Osteoporosis Foundation
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- Tosi, Laura L. (författare)
- Children’s National Health System, Washington
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- Tracer, Howard (författare)
- Agency for Healthcare Research and Quality
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- Khosla, Sundeep (författare)
- Mayo Clinic Minnesota
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- Kiel, Douglas P. (författare)
- Harvard University
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(creator_code:org_t)
- 2020
- 2020
- Engelska.
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Ingår i: Journal of Orthopaedic Trauma. - 0890-5339. ; 34:4, s. 125-141
- Relaterad länk:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Osteoporosis-related fractures are undertreated, due in part to misinformation about recommended approaches to patient care and discrepancies among treatment guidelines. To help bridge this gap and improve patient outcomes, the American Society for Bone and Mineral Research assembled a multistakeholder coalition to develop clinical recommendations for the optimal prevention of secondary fractureamong people aged 65 years and older with a hip or vertebral fracture. The coalition developed 13 recommendations (7 primary and 6 secondary) strongly supported by the empirical literature. The coalition recommends increased communication with patients regarding fracture risk, mortality and morbidity outcomes, and fracture risk reduction. Risk assessment (including fall history) should occur at regular intervals with referral to physical and/or occupational therapy as appropriate. Oral, intravenous, andsubcutaneous pharmacotherapies are efficaciousandcanreduce risk of future fracture.Patientsneededucation,however, about thebenefitsandrisks of both treatment and not receiving treatment. Oral bisphosphonates alendronate and risedronate are first-line options and are generally well tolerated; otherwise, intravenous zoledronic acid and subcutaneous denosumab can be considered. Anabolic agents are expensive butmay be beneficial for selected patients at high risk.Optimal duration of pharmacotherapy is unknown but because the risk for second fractures is highest in the earlypost-fractureperiod,prompt treatment is recommended.Adequate dietary or supplemental vitaminDand calciumintake shouldbe assured. Individuals beingtreatedfor osteoporosis shouldbe reevaluated for fracture risk routinely, includingvia patienteducationabout osteoporosisandfracturesandmonitoringfor adverse treatment effects.Patients shouldbestronglyencouraged to avoid tobacco, consume alcohol inmoderation atmost, and engage in regular exercise and fall prevention strategies. Finally, referral to endocrinologists or other osteoporosis specialists may be warranted for individuals who experience repeated fracture or bone loss and those with complicating comorbidities (eg, hyperparathyroidism, chronic kidney disease).
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
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Till lärosätets databas
- Av författaren/redakt...
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Conley, Robert B ...
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Adib, Gemma
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Adler, Robert A.
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Åkesson, Kristin ...
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Alexander, Ivy M ...
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Amenta, Kelly C.
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visa fler...
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Blank, Robert D.
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Brox, William Ti ...
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Carmody, Emily E ...
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Chapman-Novakofs ...
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Clarke, Bart L.
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Cody, Kathleen M ...
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Cooper, Cyrus
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Crandall, Caroly ...
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Dirschl, Douglas ...
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Eagen, Thomas J.
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Elderkin, Ann L.
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Fujita, Masaki
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Greenspan, Susan ...
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Halbout, Philipp ...
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Hochberg, Marc C ...
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Javaid, Muhammad
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Jeray, Kyle J.
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Kearns, Ann E.
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King, Toby
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Koinis, Thomas F ...
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Koontz, Jennifer ...
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Kužma, Martin
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Lindsey, Carleen
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Lorentzon, Matti ...
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Lyritis, George ...
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Michaud, Laura B ...
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Miciano, Armando
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Morin, Suzanne N ...
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Mujahid, Nadia
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Napoli, Nicola
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Olenginski, Thom ...
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Puzas, J. Edward
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Rizou, Stavroula
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Rosen, Clifford ...
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Saag, Kenneth
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Thompson, Elizab ...
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Tosi, Laura L.
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Tracer, Howard
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Khosla, Sundeep
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Kiel, Douglas P.
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Ortopedi
- Artiklar i publikationen
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Journal of Ortho ...
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Lunds universitet