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Osteoporosis treatment and the older patient

Published online by Cambridge University Press:  24 February 2011

Roger H Jay*
Affiliation:
Department of Geriatric Medicine, Freeman Hospital, Newcastle upon Tyne, UK
Sarah L Marrinan
Affiliation:
Department of Geriatric Medicine, Freeman Hospital, Newcastle upon Tyne, UK
*
Address for correspondence: Dr Roger H Jay, Consultant Geriatrician, Level 6, Freeman Hospital, Newcastle upon Tyne NE7 7DN. Email: roger.jay@nuth.nhs.uk

Summary

Osteoporosis is a common, chronic condition. Fracture risk assessment tools are increasingly being used to identify those patients who may benefit from treatment, but in older patients clinical judgement is still essential in deciding whom to treat. The treatment of osteoporosis in older people has seen several important developments in recent years. Whilst bisphosphonates are the mainstay of treatment, several newer medications have proven benefit in terms of increases in bone mineral density and fracture prevention. Additionally, some of the newer therapies have characteristics that particularly lend themselves to use in an older population group. This article focuses upon treatment of osteoporosis in older people with an emphasis on newer drug and therapeutic options.

Type
Clinical geriatrics
Copyright
Copyright © Cambridge University Press 2011

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