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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
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- Adler, Robert A. (författare)
- Veterans Health Administration
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- Åkesson, Kristina E. (författare)
- Lund University,Lunds universitet,Ortopedi,Forskargrupper vid Lunds universitet,Orthopedics,Lund University Research Groups
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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 Medical Center
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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)
- Slotervaart Hospital
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- Javaid, Muhammad (författare)
- University of Oxford
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- Jeray, Kyle J. (författare)
- Greenville Hospital System
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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)
- Newton Medical Center,University of Kansas School of Medicine
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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)
- Sahlgrenska Academy,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
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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)
- Washington University in St. Louis,University Campus Bio-Medico
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- Olenginski, Thomas P. (författare)
- Geisinger Health System
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- Puzas, J. Edward (författare)
- University of Rochester
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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 School of Medicine
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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 Medical School
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(creator_code:org_t)
- 2020
- 2020
- Engelska 17 s.
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Ingår i: Orthopaedic Nursing. - 0744-6020. ; 39:3, s. 145-161
- 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 fracture among 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, and subcutaneous pharmacotherapies are efficacious and can reduce risk offuture fracture. Patients need education, however, about the benefits and risks 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 but may be beneficial for selected patients at high risk. Optimal duration of pharmacotherapy is unknown but because the riskfor second fractures is highest in the early post-fracture period, prompt treatment is recommended. Adequate dietary or supplemental vitamin D and calcium intake should be assured. Individuals being treated for osteoporosis should be reevaluated for fracture risk routinely, including via patient education about osteoporosis and fractures and monitoring foradverse treatment effects. Patients should be strongly encouraged to avoid tobacco, consume alcohol in moderation at most, 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). (c) 2019 American Society for Bone and Mineral Research.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Nyckelord
- aging
- anabolics
- antiresorptives
- osteoporosis
- secondary fracture prevention
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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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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Orthopaedic Nurs ...
- Av lärosätet
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Lunds universitet