Journal of Shandong University (Health Sciences) ›› 2021, Vol. 59 ›› Issue (6): 1-4.doi: 10.6040/j.issn.1671-7554.0.2021.0247

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Diagnosis and management of primary osteoporosis

XING Xiaoping   

  1. Department of Endocrinology, Key Laboratory of Endocrinology, National Health Commission, Peking Union Medical College Hospital, Chinese Academy of Medical Science &
    Peking Union Medical College, Beijing 100730, China
  • Published:2021-06-10

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Abstract: With the emerging era of aging in China, osteoporotic fracture has adversely affected the health and quality of life of the elderly population, bringing huge burden to families and society. Raising awareness of osteoporosis, and understanding the diagnosis and management will greatly help doctors achieve better disease control and reduce the risk of osteoporotic fracture.

Key words: Osteoporosis, Diagnosis, Management

CLC Number: 

  • R681
[1] 中华医学会骨质疏松和骨矿盐疾病分会. 原发性骨质疏松症诊疗指南(2017)[J]. 中华骨质疏松和骨矿盐疾病杂志, 2017, 25(3): 413-443. Chinese Society of Osteoporosis and Bone Mineral Research. Guidelines for the diagnosis and treatment of primary osteoporosis(2017)[J]. Chinese Journal of Osteoporosis and Bone Mineral Research, 2017, 25(3): 413-443.
[2] Camacho PM, Petak SM, Binkley N, et al. American Association of Clinical Endocrinologists/American College of Endocrinology Clinical practice guidelines for the diagnosis and treatment of postmenopausal osteoporosis-2020 Update [J]. Endocr Pract, 2020, 26(Suppl 1): 1-46.
[3] Kanis JA, McCloskey EV, Johansson H, et al. European guidance for the diagnosis and management of osteoporosis in postmenopausal women [J]. Osteoporos Int, 2013, 24(1): 23-57.
[4] Kanis JA, Harvey NC, McCloskey E, et al. Algorithm for the management of patients at low, high and very high risk of osteoporotic fractures [J]. Osteoporos Int, 2020, 31(1): 1-12.
[5] 夏维波. 骨质疏松症高骨折风险患者的识别与防治策略[J]. 中华骨质疏松和骨矿盐疾病杂志, 2020, 13(6): 493-498. XIA Weibo. Identification and management strategies for osteoporosis patients with high fracture risk [J]. Chinese Journal of Osteoporosis and Bone Mineral Research, 2020, 13(6): 493-498.
[6] Cui L, He T, Jiang Y, et al. Predicting the intervention threshold for initiating osteoporosis treatment among postmenopausal women in China: a cost-effectiveness analysis based on real-world data [J]. Osteoporos Int, 2020, 31(2): 307-316.
[7] Barrionuevo P, Kapoor E, Asi N, et al. Efficacy of pharmacological therapies for the prevention of fractures in postmenopausal women: a network meta-analysis [J]. J Clin Endocrinol Metab, 2019, 104(5): 1623-1630.
[8] Eastell R, Rosen CJ, Black DM, et al. Pharmacological management of osteoporosis in postmenopausal women: an endocrine society* clinical practice guideline [J]. J Clin Endocrinol Metab, 2019, 104(5): 1595-1622.
[9] Black DM, Schwartz AV, Ensrud KE, et al. Effects of continuing or stopping alendronate after 5 years of treatment: the Fracture Intervention Trial Long-Term Extension(FLEX): a randomized trial [J]. JAMA, 2006, 296(24): 2927-2938.
[10] Black DM, Reid IR, Boonen S, et al. The effect of 3 versus 6 years of zoledronic acid treatment of osteoporosis: A randomized extension to the horizon-pivotal fracture trial(Pft)[J]. J Bone Miner Res, 2012, 27(2): 243-254.
[11] Anastasilakis AD, Polyzos SA, Yavropoulou MP, et al. Combination and sequential treatment in women with postmenopausal osteoporosis [J]. Expert Opin Pharmacother, 2020, 21(4): 477-490.
[12] Leder BZ, Tsai JN, Uihlein AV, et al. Denosumab and teriparatide transitions in postmenopausal osteoporosis(the DATA-Switch study): Extension of a randomised controlled trial [J]. Lancet, 2015, 386(9999): 1147-1155.
[13] Geusens P, Marin F, Kendler DL, et al. Effects of teriparatide compared with risedronate on the risk of fractures in subgroups of postmenopausal women with severe osteoporosis: the VERO trial [J]. J Bone Miner Res, 2018, 33(5): 783-794.
[14] Langdahl B. Treatment of postmenopausal osteoporosis with bone-forming and antiresorptive treatments: Combined and sequential approaches [J]. Bone, 2020, 139: 115516. doi:10.1016/j.bone.2020.115516.
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