Revue: | Revista médica de Chile |
Base de datos: | PERIÓDICA |
Número de sistema: | 000454997 |
ISSN: | 0034-9887 |
Autores: | Jiménez, Macarena1 Henríquez, Camila1 Miranda, Francisca1 Olmedo, Macarena1 Ivanovic Zuvic, Danisa1 Florenzano, Pablo1 |
Instituciones: | 1Pontificia Universidad Católica de Chile, Facultad de Medicina, Santiago de Chile. Chile |
Año: | 2022 |
Periodo: | May |
Volumen: | 150 |
Número: | 5 |
Paginación: | 597-602 |
País: | Chile |
Idioma: | Español |
Tipo de documento: | Artículo |
Enfoque: | Analítico, descriptivo |
Resumen en inglés | 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 |
Disciplinas: | Medicina |
Palabras clave: | Metabolismo y nutrición, Diagnóstico, Densidad mineral ósea, Osteoporosis, Postmenopausia |
Keyword: | Metabolism and nutrition, Diagnosis, Osteoporosis, Bone mineral density, Postmenopause |
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