SciELO - Scientific Electronic Library Online

vol.51 suppl.1The impact of methods for estimating bone health and the global burden of bone diseaseEpidemiology of osteoporosis in Latin America 2008 author indexsubject indexarticles search
Home Page  

Services on Demand




Related links


Salud Pública de México

Print version ISSN 0036-3634


MCCLUNG, Michael. The clinical and epidemiologic consequences of redefining treatment criteria: who should be treated?. Salud pública Méx [online]. 2009, vol.51, suppl.1, pp.s46-s51. ISSN 0036-3634.

Bone mineral density (BMD) is the tool for diagnosing osteoporosis in older adults. However, BMD alone is not sufficient for deciding who should be given treatment at either the individual patient or the public health level. Robust, scientifically validated algorithms that combine BMD with other clinical risk factors provide more accurate assessment of fracture probability. New guidelines for managing osteoporosis are now based on the assessment of absolute fracture risk, not simply on bone mineral density values. Accordingly, treatment resources will be redirected away from young postmenopausal women with low BMD and low fracture risk toward older adults at moderate or high risk for fracture. It is expected that, with these algorithms, the cost and effectiveness of medical care for patients with osteoporosis will be improved.

Keywords : bone density; fracture risk; osteoporosis treatment.

        · abstract in Spanish     · text in English     · English ( pdf )