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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/18765

Title: Secondary osteoporosis and metabolic bone disease in patients 50 years and older with osteoporosis or with a recent clinical fracture: a clinical perspective
Authors: Bours, Sandrine P. G.
van den Bergh, Joop
van Geel, Tineke A. C. M.
Geusens, Piet P.M.M.
Issue Date: 2014
Citation: CURRENT OPINION IN RHEUMATOLOGY, 26 (4), p. 430-439
Abstract: Purpose of review The purpose of this review is to provide guidance to clinicians about which laboratory tests should be performed in patients with osteoporosis or with a recent fracture. Recent findings Newly diagnosed secondary osteoporosis and other metabolic bone diseases (SECOB) have been found in 5-48% of patients with osteoporosis. In patients with a recent fracture, new SECOB is found in 10-47% of patients with osteoporosis, and in 26-51% if all patients with a fracture regardless of bone mineral density (BMD) are screened. More than one SECOB can be found in the same patient, even when they have already known SECOB. In primary hyperparathyroidism, hyperthyroidism, hypercortisolism, and multiple myeloma, both SECOB and its treatment have an impact on BMD and fractures. For other SECOBs, no treatment is available, or there are no data about the effect of treatment of the SECOB on BMD and fractures. Summary We recommend performing the following tests in all patients with osteoporosis or a recent clinical fracture: calcium, phosphate, creatinine, albumin, erythrocyte sedimentation rate in all patients, 24 h urine calcium in men and serum testosterone in men less than 70 years. On indication, additional tests can be performed.
Notes: [Bours, Sandrine P. G.] Atrium Med Ctr, Dept Rheumatol, Heerlen, Netherlands. [Bours, Sandrine P. G.; van den Bergh, Joop P. W.; Geusens, Piet P. M. M.] Maastricht Univ, Med Ctr, Dept Internal Med, Subdiv Rheumatol, NL-6202 AZ Maastricht, Netherlands. [van den Bergh, Joop P. W.] VieCuri Med Ctr, Dept Internal Med, Venlo, Netherlands. [van den Bergh, Joop P. W.; Geusens, Piet P. M. M.] Univ Hasselt, Hasselt, Belgium. [van Geel, Tineke A. C. M.] Maastricht Univ, Dept Gen Practice, NL-6202 AZ Maastricht, Netherlands.
URI: http://hdl.handle.net/1942/18765
DOI: 10.1097/BOR.0000000000000074
ISI #: 000337287300012
ISSN: 1040-8711
Category: A1
Type: Journal Contribution
Validation: ecoom, 2015
Appears in Collections: Research publications

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