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Managing osteoporosis: Challenges and strategies
Cleveland Clinic Journal of Medicine, 08/05/09
Lewiecki ME – This paper is a review of unmet needs in the management of osteoporosis and strategies to improve clinical outcomes.
- Osteoporosis is underdiagnosed. Patients discharged from the hospital after hip fractures are commonly not diagnosed with or treated for osteoporosis although the risk of future fractures is very high.
- The Fracture Risk Assessment Tool (FRAX) estimates the 10–year probability of fracture on the basis of clinical risk factors for fracture and the bone mineral density of the femoral neck. The combination of bone mineral density and clinical risk factors predicts fracture risk better than either alone.
- A drug holiday, for 1 year or perhaps longer, may be considered for patients on alendronate (Fosamax) who are no longer at high risk of fracture. On the other hand, given the evidence of increased risk of clinical vertebral fracture and hip fracture after bisphosphonates are discontinued, a drug holiday is probably not a reasonable choice in patients at high risk of fracture.
- Patient education and regular contact with a health care provider may improve compliance and persistence with therapy.
Today in Family Medicine...keeping you current
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Novel Therapies for Pemphigus Vulgaris: An Overview
Drugs & Aging, 09/21/09
Skin fusion on the fingers and toes of an adolescent girl
The Clinical Advisor, 09/09/09
FDA Approves Gardasil to Prevent Genital Warts in Males. Agency Also Approves Bivalent HPV Vaccine for Girls, Young Women
American Family Physician, 10/21/09
Today in General Medicine...keeping you current
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Novel Therapies for Pemphigus Vulgaris: An Overview
Drugs & Aging, 09/21/09
Homocysteine lowering interventions for preventing cardiovascular events
Cochrane Reviews, 10/19/09
Antithrombotic medication for stroke prevention
Expert Review of Cardiovascular Therapy , 10/20/09
Today in Orthopedics...keeping you current
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Effect of biomagnetic therapy versus physiotherapy for treatment of knee osteoarthritis: A randomized controlled trial
Journal of Rehabilitation Medicine, 11/20/09
Bisphosphonate therapy: When not to monitor BMD
The Journal of Family Practice, 11/02/09
Osteoarthritis: A review of treatment options
Geriatrics, 10/21/09
Today in Rheumatology...keeping you current
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Treatment of polymyalgia rheumatica
Archives of Internal Medicine, 11/10/09
Osteonecrosis of the jaw correlated to bisphosphonate therapy in non-oncologic patients: Clinicopathological features of 24 patients
Journal of Rheumatology, 11/09/09
Effect of biomagnetic therapy versus physiotherapy for treatment of knee osteoarthritis: A randomized controlled trial
Journal of Rehabilitation Medicine, 11/20/09
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