[The 'Osteoporosis' guideline of the Dutch College of General Practitioners. The response from internal medicine].
The Dutch College of General Practitioners published well documented guidelines for the management of osteoporosis. It is however incorrect to use the Z-score for the elderly and the T-score for other age groups. The guidelines balance the patient's and the physician's interests and the financial consequences of osteoporosis. They demand certainty about recommending the GP's interventions and accept less certainty where the influence on the GP's activities is limited. The guidelines contain weighed judgements by and for GP's; it is questionable whether they are adequate regarding the interaction with the increasingly well informed patient.
Duursma
S A
SA
Afd. Geriatrie, Universitair Medisch Centrum Utrecht. sa.duursma.bunnik@wxs.nl
D000328:Adult; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007388:Internal Medicine / Q000592:standards*; D008297:Male; D009426:Netherlands; D010024:Osteoporosis / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy; D010817:Physician-Patient Relations; D017410:Practice Guidelines as Topic / Q000592:standards*