Osteoporosis--the need for a paradigm shift. Annals of the Academy of Medicine, Singapore. [Ann Acad Med Singapore] Journal article

Title	Osteoporosis--the need for a paradigm shift.
Author(s)	Leong KH
Institution	Gleneagles Medical Centre, Singapore.
Source	Ann Acad Med Singapore 1998 Jan; 27(1):100-4.
MeSH	Absorptiometry, Photon Aged Bone Density Estrogen Replacement Therapy Female Fractures, Bone Humans Male Mass Screening Middle Aged Osteoporosis Osteoporosis, Postmenopausal Prognosis Risk Factors Vitamin D
Abstract	Osteoporosis is a potentially devastating illness and causes morbidity and mortality from fragility fractures at the wrist, spine and hip. Currently, the illness can be detected before the fractures occur using dual energy X-ray absorptiometry and many preventive and therapeutic options exist. Efforts should be directed at helping the population at large achieve a healthy peak bone mass and adopt lifestyle habits which benefit bone mass. For those at high risk of fractures or who have already suffered an osteoporotic fracture, many pharmacological agents have been shown to reduce the risk of subsequent fractures. Hormone replacement therapy and bisphosphonates have the best efficacy data at present but there are likely to be more options in the near future. Hence, there is a need for a paradigm shift in that osteoporosis should not be thought of as an illness that starts at the point of fracture. Instead, it should be actively assessed and treated before fractures occur.
Language	eng
Pub Type(s)	Journal Article Review
PubMed ID	9588283

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