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Published on: August 23, 2024
Postmenopausal osteoporosis: Our experience.
R N Mehrotra1, Alok Ranjan, Rahul Lath
1Department of Endocrinology, Neursosurgery, Apollo Hospital, Jubilee Hills, Hyderabad, AP, India.
Indian Journal of Endocrinology and Metabolism
|April 9, 2013
Summary
Osteoporosis treatment in our country shows younger postmenopausal women are affected, often with Vitamin D deficiency. Oral bisphosphonates are common, well-tolerated, and effective for managing bone density.
Area of Science:
- Endocrinology
- Rheumatology
- Geriatrics
Background:
- Limited published data exists on osteoporosis treatment experiences within our country.
- Osteoporosis significantly impacts postmenopausal women, necessitating effective management strategies.
Purpose of the Study:
- To analyze the initial patient cohort undergoing osteoporosis treatment in our clinic.
- To evaluate treatment patterns, patient demographics, and outcomes for osteoporosis management.
Main Methods:
- Retrospective analysis of 50 osteoporosis patients meeting specific diagnostic criteria (T-score < -2.5 or fragility fracture).
- Exclusion criteria included hypercalcemia, renal dysfunction, myeloma, and long-term steroid use.
- Data collected included demographics, fracture history, Vitamin D levels, treatment modalities, and bone mineral density (BMD) changes.
Main Results:
- 34% of patients were under 60, with 47% between 60-70 years.
- 86% exhibited Vitamin D deficiency; 20% had prior fractures.
- Oral bisphosphonates were used in 80% of patients, showing significant BMD improvement in 68% and stability in 24%.
Conclusions:
- Postmenopausal osteoporosis affects younger women in our population, frequently associated with Vitamin D deficiency.
- Oral bisphosphonates are the predominant treatment, demonstrating good tolerability and efficacy in improving bone mineral density.
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