nowson-guidelinesfortreatment-2001.pdf (395.14 kB)
Guidelines for treatment of osteoporosis in men
journal contribution
posted on 2001-08-01, 00:00 authored by T Diamond, P Sambrook, M Williamson, L Flicker, Caryl NowsonCaryl Nowson, M Fiatarone-Singh, S Lord, L Ferris, S O`Neil, A MacLennanBACKGROUND: Osteoporosis is associated with significant morbidity and mortality in men. Published randomised controlled trials assessing the benefits of therapy in men with osteoporosis are limited, but those available need to be used to develop management guidelines.
OBJECTIVE: To present evidence based guidelines for the treatment of osteoporosis in men.
DISCUSSION: It is estimated that 30-60% of men presenting with spinal fractures have another illness contributing to their bone disease. Therefore assessment and treatment of coexisting medical conditions is a vital part of management of osteoporosis. While primary prevention of fractures remains crucial, treatment to ensure further fractures do not occur is equally important. Alendronate is the treatment of choice for men with osteoporosis and fractures, with cyclical etidronate an appropriate alternative and testosterone replacement therapy is indicated in hypogonadal men presenting with osteoporosis.
OBJECTIVE: To present evidence based guidelines for the treatment of osteoporosis in men.
DISCUSSION: It is estimated that 30-60% of men presenting with spinal fractures have another illness contributing to their bone disease. Therefore assessment and treatment of coexisting medical conditions is a vital part of management of osteoporosis. While primary prevention of fractures remains crucial, treatment to ensure further fractures do not occur is equally important. Alendronate is the treatment of choice for men with osteoporosis and fractures, with cyclical etidronate an appropriate alternative and testosterone replacement therapy is indicated in hypogonadal men presenting with osteoporosis.
History
Journal
Australian family physicianVolume
30Issue
8Pagination
787 - 791Publisher
Royal Australian College of General PractitionersLocation
Sydney, N.S.W., AustraliaISSN
0300-8495Language
engNotes
Copyright to Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners.Publication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2001, Australian Family PhysicianUsage metrics
Categories
No categories selectedKeywords
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC