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Titolo:
How to diagnose the presence of osteoporosis and assess the risk of fracture
Autore:
Prince, RL;
Indirizzi:
Univ Western Australia, Dept Med, Sir Charles Gairdner Hosp, Perth, WA 6009, Australia Univ Western Australia Perth WA Australia 6009 Perth, WA 6009, Australia
Titolo Testata:
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY
fascicolo: 3, volume: 15, anno: 2001,
pagine: 345 - 358
SICI:
1521-6942(200107)15:3<345:HTDTPO>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
BONE-MINERAL DENSITY; HIP FRACTURE; ELDERLY WOMEN; POSTMENOPAUSAL WOMEN; VERTEBRAL FRACTURES; COLLES FRACTURE; INTERVENTION; COMMUNITY; TURNOVER; TRAUMA;
Keywords:
bone density; DEXA; ultrasound; fracture risk; fracture epidemiology; osteoporosis aetiology;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Prince, RL Univ Western Australia, Dept Med, Sir Charles Gairdner Hosp, Perth, WA 6009, Australia Univ Western Australia Perth WA Australia 6009 6009, Australia
Citazione:
R.L. Prince, "How to diagnose the presence of osteoporosis and assess the risk of fracture", BEST PR R C, 15(3), 2001, pp. 345-358

Abstract

The approach to the diagnosis of osteoporosis has undergone a radical change in recent years. Osteoporosis is defined as a state of microarchitectural deterioration of the skeleton predisposing that skeleton to fragility fracture. In this sense it is a risk factor for disease in the same way as hypertension is a risk factor. Previously it was considered that bone density measurements using X-ray technology was the best non-invasive method of measuring the microarchitectural deterioration which thus came to define the disease. With the advent of new technology and a more logical approach to risk evaluation this simple approach is no longer appropriate. This chapter takes a stepwise approach to assessing the likelihood of osteoporosis on the basis of clinical factors and then suggests a method of integrating this information with a bone density measure to achieve a prediction of future fracture probability. Methods of diagnosing the cause of the osteoporosis are also outlined. Finally, application of these techniques in clinical care is discussed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 05:30:19