Living Medical
Textbook
From Projects In Knowledge
 
Osteoporosis
Fracture Prevention and Therapeutic Management Edition
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Chapter 1
Overview of Osteoporosis

Last Reviewed: May 20, 2010
Chapter 2
Identifying Patients at Risk for Osteoporosis and Fractures

Last Reviewed: May 20, 2010
Chapter 3
Assessment of Fracture Risk Using FRAX®

Last Reviewed: May 20, 2010
Chapter 4
Treatment of Osteoporosis

Last Reviewed: May 20, 2010
Chapter 5
Management of the Postfracture Patient

Last Reviewed: May 20, 2010
Chapter 6
Monitoring

Last Reviewed: May 20, 2010


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Table of Contents

Chapter 6 - Monitoring

Patients may not respond to osteoporosis therapy for a variety of reasons, including poor adherence and undiagnosed secondary medical conditions. Monitoring enables the clinician to identify those patients who are continuing to lose bone mass while on therapy and address the factors compromising response. In this chapter, Dr. E. Michael Lewiecki describes the rationale and specifics of effective monitoring.
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Chapter 5 - Management of the Postfracture Patient

Join Dr. Cheryl L. Lambing for Chapter 5 of the Osteoporosis Living Medical Textbook™ as she outlines postfracture management for patients with osteoporosis-related fractures. Whether of the wrist, hip, or spine, all fractures represent an increased risk for disability and future fracture. Know the steps of the recovery process for your patients with fractures: acute treatment, medical evaluation, and rehabilitation.
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Chapter 4 - Treatment of Osteoporosis

Effective osteoporosis treatment plans include a bone-active agent as well as a number of nutritional, environmental, and lifestyle modifications. Together, these pharmacologic and nonpharmacologic interventions help to build or maintain bone mass and prevent fracture. Join Drs. Paul D. Miller and Jeri W. Nieves for chapter 4 of the Osteoporosis Living Medical Textbook™ as they survey the pharmacologic and nonpharmacologic intervention options to assist clinicians in individualizing treatment plans uniquely suited to the needs of each patient.
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Chapter 3 - Assessment of Fracture Risk Using FRAX®

FRAX® is a new web-based tool designed by the World Health Organization to help clinicians worldwide accurately estimate fracture risk in their patients with osteopenia, or low bone mass. The tool, while a powerful statistical predictor, is not without limitations and caveats, however. Join Dr. Marjorie M. Luckey in the written chapter and audio podcast discussion as she guides you through the use of FRAX in clinical practice.
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Chapter 2 - Identifying Patients at Risk for Osteoporosis and Fractures

Which patients in your practice are at risk for osteoporosis and fracture? Dr. Marjorie M. Luckey helps you recognize risk factors that go beyond postmenopausal status and age. Use tools already at hand—medical history, physical examination, and laboratory testing—to uncover potential secondary causes of osteoporosis. Determine which patients need bone mineral density testing, and interpret dual energy X-ray absorptiometry (DXA) results with confidence.
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Chapter 1 - Overview of Osteoporosis

After reviewing the epidemiology of osteoporosis and its associated disease burden, Dr. E. Michael Lewiecki summarizes the physiology of bone remodeling to lay a foundation for understanding the role of current and emerging therapies. In this six-part web-based reference tool, noted experts present up-to-date information about this serious—and growing—health concern. This is part of the Osteoporosis Compendium.
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CME INFORMATION

ACTIVITY GOAL

The goal of this CME/CE activity is to address gaps in competence and practice performance by:

  • Stressing the importance of early screening and diagnosis of patients with or at risk for developing osteoporosis and fractures
  • Identifying the pathways involved in the pathophysiology of osteoporosis and fractures
  • Providing updates on current and emerging therapies with regard to mechanism of action, efficacy, safety, treatment regimen requirements for compliance, and their role in providing fracture prevention/reduction
  • Providing online patient education materials
  

TARGET AUDIENCE
This activity is designed for primary care physicians, including internists, family practitioners, gynecologists, and other clinicians involved in the care of patients with or at risk of developing osteoporosis and fractures.
  

LEARNING OBJECTIVES
  • Assess the epidemiology of osteoporosis and its associated disease burden to improve screening and diagnosis of osteoporosis in at-risk individuals and those who have already experienced a fragility fracture.

  • Evaluate the bone remodeling process to determine the role of therapy in addressing the imbalance between bone resorption and formation in individuals with bone loss and osteoporosis.

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Peer Reviewed
This activity is supported by an educational donation provided by Amgen.

EDITORIAL BOARD
CONTRIBUTING EDITOR
Cheryl L. Lambing, MD
Cheryl L. Lambing, MD Assistant Clinical Professor
Department of Family Medicine
University of California, Los Angeles
Ventura County Medical Center Multi-Campus Site
Family Medicine Residency
Ventura, California
 
CONTRIBUTING EDITOR
E. Michael Lewiecki, MD, FACP, FACE
E. Michael Lewiecki, MD, FACP, FACE Director
New Mexico
   Clinical Research &
   Osteoporosis Center
Clinical Assistant Professor
University of New Mexico
   School of Medicine
Albuquerque, New Mexico
 
CONTRIBUTING EDITOR
Marjorie M. Luckey, MD
Marjorie M. Luckey, MD Medical Director
Osteoporosis Center
Saint Barnabas Medical Center
Livingston, New Jersey
 
CONTRIBUTING EDITOR
Paul D. Miller, MD
Paul D. Miller, MD Distinguished Clinical Professor of Medicine
University of Colorado Medical Center
Colorado Center for Bone Research
Lakewood, Colorado
 
CONTRIBUTING EDITOR
Jeri W. Nieves, PhD
Jeri W. Nieves, PhD Associate Professor of Clinical Epidemiology
Mailman School of Public Health
Columbia University
New York, New York
 
 
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