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How long to treat osteoporosis

Published on June 30, 2024   41 min

Other Talks in the Series: Bone in Health and Disease

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0:00
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.
0:25
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.
0:47
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

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