Osteoporosis: how long to treat?

Published on January 19, 2015   49 min
0:00
Hello, my name is Robert Adler, and I'm from the Veterans Hospital in Richmond, Virginia. I teach at Virginia Commonwealth University where I'm in the Department of Medicine as well as Epidemiology and Community Health. My topic today is how long to treat osteoporosis. And I thank Professor Juliet Compston for the opportunity to discuss this most challenging subject.
0:30
Here are my disclosures on the next slide.
0:34
And on the next slide, the topics that I will cover today. First of all, I'm going to talk about why this is such an important subject because fractures are really quite common. And then I'll go over the treatments that we have emphasizing bisphosphonates because they've been the mainstay of our osteoporosis treatment. I will review the few long-term studies we have, and then talk about the importance of individualizing assessment and treatment in your patients.
1:06
In the next slide, I show just how common osteoporotic fractures are. This is data from the States, but it's applicable to many other countries. And then in a given year, a woman has a much greater chance of having an osteoporotic fracture than developing a new onset heart disease or breast cancer.
1:30
And even in men, as shown in the next slide, osteoporotic fracture is more common than many other disorders that are of more general concern, such as prostate cancer or stroke.
1:46
And indeed, in the States, there are over two million fractures a year. Two million osteoporotic fractures. I'm not talking about traumatic crack. And if you look at our overall results of treatment, we can prevent about half of those fractures if we could identify those patients at risk and treat them, because that's what our treatment can do.
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Osteoporosis: how long to treat?

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