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Hello. This is Robert Adler.
I am Chief of Endocrinology at
the Richmond Veterans
Affairs Medical Center
in Richmond Virginia in the US.
I'm also Professor of
Internal Medicine at Virginia
Commonwealth University.
The topic today is how long
to treat osteoporosis.
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Here are my disclosures.
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Our objectives today
are to provide
an approach to long-term
treatment of osteoporosis with
bisphosphonates and also to
provide some information
about denosumab and
anabolic osteoporosis
treatment as well and provide
a potential new way to approach
osteoporosis treatment.
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Here are some facts
that are I think
underappreciated. There are
more than two million
osteoporotic fractures
in the US every year.
Around the world as
our populations age it'll
be even more fractures.
We know that vertebral fractures
lead to increased
mortality and morbidity.
But hip fractures are even worse
and that an older woman
with a hip fracture has
about a 15-20% chance of dying
within a year after
the fracture and it's
even worse for men.
A older man with a
hip fracture has
a one out of three chance of
being dead within a year.
Of those who survive about half
never regain their previous
level of independence.
Many people believe that
osteoporosis isn't the
reason for their fracture.
They just fell,
but it really is.
Fracture is a sentinel event
and requires attention.
The most commonly
used medications for
