Search results for "Fracture risk"
Guidance issued for long-term bisphosphonate use
The authors noted that the risk of atypical femoral fractures is low, with an incidence of up to 50 per 100,000 person-years during the first 5 years of bisphosphonate use, resulting in a clear positive benefit/risk ratio within this time frame.
https://immattersacp.org/weekly/archives/2016/01/26/1.htm
26 Jan 2016
NAFLD treatment starts with weight loss, then other modes
Nonalcoholic fatty liver disease (NAFLD), which accounts for 30% to 40% of chronic liver disease in the U.S. today, is the hepatic manifestation of the metabolic syndrome and is associated with sleep apnea, cardiovascular disease, and diabetes.
https://immattersacp.org/archives/2016/07/NAFLD.htm
1 Jul 2016
Repeat bone mineral density tests during osteoporosis treatment may help identify women at increased fracture risk, study finds
Monitoring bone mineral density in routine clinical practice may identify women with a suboptimal response to osteoporosis treatment who would benefit from closer follow-up, researchers noted.
https://immattersacp.org/weekly/archives/2016/07/19/1.htm
19 Jul 2016
Act early to counter rise in osteoporosis
Recent studies indicate that late-life bone resiliency has been eroding, and newly released guidelines suggest diagnostic and treatment strategies to counteract that slide among women.
https://immattersacp.org/archives/2017/01/osteoporosis-care.htm
1 Jan 2017
‘Geriatric tsunami’ carries elderly obesity
By 2030, more than 20% of the U.S. population is expected to be over the age of 65, according to the U.S. Census Bureau. The expected rise in functional impairment in later years can be staved off with a healthy lifestyle.
https://immattersacp.org/archives/2017/02/elderly.htm
1 Feb 2017
MKSAP Quiz: Evaluation for primary hyperparathyroidism
A 67-year-old man is evaluated for a recent diagnosis of primary hyperparathyroidism after an elevated serum calcium level was incidentally detected on laboratory testing. Medical history is significant only for hypertension, and his only medication is ramipril. Following a physical exam and lab studies, what is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2017/02/14/3.htm
14 Feb 2017
Benefits, harms of osteoporosis medications unclear for patients with CKD
Among several gaps in medical knowledge, there was conflicting or insufficient evidence of the effectiveness of bisphosphonates on fractures and safety in transplant recipients and patients with chronic kidney disease.
https://immattersacp.org/weekly/archives/2017/04/11/4.htm
11 Apr 2017
ACP strongly recommends generic bisphosphonates, denosumab to prevent fractures in women with osteoporosis
The guideline focuses on the comparative benefits and risks of short- and long-term drug treatments for low bone density or osteoporosis, including prescriptions, calcium, vitamin D, and estrogen.
https://immattersacp.org/weekly/archives/2017/05/09/1.htm
9 May 2017
ACR guideline recommends customized approach for prevention of glucocorticoid-induced osteoporosis
Recommendations include treating only with calcium and vitamin D in adults at low fracture risk, and adding an additional osteoporosis medication (oral bisphosphonate preferred) in adults at moderate to high fracture risk.
https://immattersacp.org/weekly/archives/2017/06/20/2.htm
20 Jun 2017
MKSAP Quiz: Severe back pain following a minor fall
A 63-year-old man is evaluated for severe mid-upper back pain following a minor fall 1 day ago. He also notes progressive fatigue of 6 months' duration and a 6.8-kg (15-lb) weight loss. Following a physical exam, cardiopulmonary examination, and radiographs, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/10/03/3.htm
3 Oct 2017