Journal: | Revista médica de Chile |
Database: | PERIÓDICA |
System number: | 000454997 |
ISSN: | 0034-9887 |
Authors: | Jiménez, Macarena1 Henríquez, Camila1 Miranda, Francisca1 Olmedo, Macarena1 Ivanovic Zuvic, Danisa1 Florenzano, Pablo1 |
Institutions: | 1Pontificia Universidad Católica de Chile, Facultad de Medicina, Santiago de Chile. Chile |
Year: | 2022 |
Season: | May |
Volumen: | 150 |
Number: | 5 |
Pages: | 597-602 |
Country: | Chile |
Language: | Español |
Document type: | Artículo |
Approach: | Analítico, descriptivo |
English abstract | Background: A secondary cause can be found in up to one third of women with osteoporosis, potentially modifying their therapeutic approach. Aim: To determine the prevalence of secondary causes and risk factors for decreased bone mineral density (BMD) and osteoporosis. Material and Methods: We included postmenopausal women with a diagnosis of osteoporosis or low BMD who consulted for the first time in an endocrinology clinic between October 2018 and March 2020. A complete medical history, physical examination and a standardized laboratory assessment to identify secondary causes were performed. Results: During the study period, 114 women were evaluated, 30 of them with low BMD and 84 with osteoporosis. After obtaining a medical history and a structured laboratory screening, at least one secondary cause was found in 50% of patients with osteoporosis and in 67% of those with low BMD. Most patients with no identified secondary cause had at least one risk factor for fragility fractures. Conclusions: A structured evaluation that includes medical history and standardized laboratory study in postmenopausal women with osteoporosis or low BMD, is a valuable tool to identify secondary causes of osteoporosis |
Disciplines: | Medicina |
Keyword: | Metabolismo y nutrición, Diagnóstico, Densidad mineral ósea, Osteoporosis, Postmenopausia |
Keyword: | Metabolism and nutrition, Diagnosis, Osteoporosis, Bone mineral density, Postmenopause |
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