Approaches to osteoporosis: screening and implementing treatment in clinical practice.
A number of provider and patient barriers contribute to the underrecognition and undertreatment of osteoporosis. This article guides primary care providers through the assessment of at-risk patients and reviews the criteria for a diagnosis of osteoporosis. Preventive approaches and clinical decision-making surrounding treatment initiation are also reviewed. Finally, strategies to improve patient compliance and persistence with therapy are discussed. Available guidelines and recommendations are emphasized throughout.
Rawlins
Susan
S
Department of Nursing, Drexel University, Philadelphia, PA, USA.
D050071:Bone Density Conservation Agents / Q000627:therapeutic use; D004164:Diphosphonates / Q000627:therapeutic use; D050723:Fractures, Bone / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D008403:Mass Screening / Q000379:methods* / Q000592:standards; D055118:Medication Adherence; D010024:Osteoporosis / Q000150:complications / Q000175:diagnosis / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000379:methods / Q000592:standards; D020849:Raloxifene Hydrochloride / Q000627:therapeutic use; D018570:Risk Assessment
D050071:Bone Density Conservation Agents; D004164:Diphosphonates; D020849:Raloxifene Hydrochloride