Osteoporosis: Difference between revisions

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==Prognosis==
==Prognosis==
{| class="wikitable" align="right"
|+ Hip fractures per 1000 patient-years<ref name="pmid17846439">{{cite journal |author=Cranney A, Jamal SA, Tsang JF, Josse RG, Leslie WD |title=Low bone mineral density and fracture burden in postmenopausal women |journal=CMAJ |volume=177 |issue=6 |pages=575–80 |year=2007 |pmid=17846439 |doi=10.1503/cmaj.070234}}</ref>
! WHO category !! Age 50-64  !! Age > 64 || Overall
|-
| Normal || 5.3 || 9.4 || 6.6
|-
| [[Osteopenia]] || 11.4 || 19.6 || 15.7
|-
| Osteoporosis || 22.4 || 46.6 || 40.6
|}
Although osteoporosis patients have an increased mortality rate due to the complications of fracture, most patients die ''with'' the disease rather than ''of'' it.
Hip fractures can lead to decreased mobility and an additional risk of numerous complications (such as [[deep venous thrombosis]] and/or [[pulmonary embolism]], [[pneumonia]]). The 6-month mortality rate following hip fracture is approximately 13.5%, and a substantial proportion (almost 13%) of people who have suffered a hip fracture need total assistance to mobilize after a hip fracture.<ref>{{cite journal |author=Hannan EL, Magaziner J, Wang JJ, ''et al'' |title=Mortality and locomotion 6 months after hospitalization for hip fracture: risk factors and risk-adjusted hospital outcomes |journal=JAMA |volume=285 |issue=21 |pages=2736–42 |year=2001 |pmid=11386929 |doi=}}</ref>
Vertebral fractures, while having a smaller impact on mortality, can lead to severe chronic pain of neurogenic origin, which can be hard to control, as well as deformity. Though rare, multiple vertebral fractures can lead to such severe hunch back ([[kyphosis]]) that the resulting pressure on internal organs can impair one's ability to breathe.
Apart from risk of death and other complications, osteoporotic fractures are associated with a reduced health-related quality of life.<ref>{{cite journal |author=Brenneman SK, Barrett-Connor E, Sajjan S, Markson LE, Siris ES |title=Impact of recent fracture on health-related quality of life in postmenopausal women |journal=J. Bone Miner. Res. |volume=21 |issue=6 |pages=809–16 |year=2006 |pmid=16753011 |doi=10.1359/jbmr.060301}}</ref>


==Prevention==
==Prevention==

Revision as of 13:37, 21 July 2012

For patient information click here

Osteoporosis
ICD-10 M80-M82
ICD-9 733.0
DiseasesDB 9385
MeSH D010024

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