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雑誌文献

medicina60巻2号

2023年02月発行

文献概要

特集 慢性疾患診療のお悩みポイントまとめました—高血圧からヘルスメンテナンスまで 骨粗鬆症

骨粗鬆症の治療は超高齢者でも導入すべきですか? 薬の使い分けはありますか?

著者: 原田拓1

所属機関: 1練馬光が丘病院総合救急診療科総合診療部門

ページ範囲:P.376 - P.379

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Point
◎骨粗鬆症は一次予防も二次予防も過小診断と過小治療が多い.
◎股関節骨折や椎体骨折はQOLや機能に与える影響が強く,予後が1〜2年くらいの人でも予防投与が選択肢に挙がる.
◎経口ビスホスホネート製剤投与時に押さえておくべきポイントは,腎機能と食道疾患と坐位保持と内服方法の4点である.

参考文献

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4)骨粗鬆症の予防と治療のガイドライン作成委員会(編):骨粗鬆症の予防と治療のガイドライン2015年版,ライフサイエンス出版,2015
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13)Cotte FE, et al:Adherence to monthly and weekly oral bisphosphonates in women with osteoporosis. Osteoporos Int 21:145-155, 2010
14)Kishimoto H, et al:Compliance and persistence with daily, weekly, and monthly bisphosphonates for osteoporosis in Japan;Analysis of data from the CISA. Arch Osteoporos 10:231, 2015
15)Adler RA, et al:Managing osteoporosis in patients on long-term bisphosphonate treatment;Report of a Task Force of the American Society for Bone and Mineral Research. J Bone Miner Res 31:16-35, 2016
16)Black DM, et al:Once-yearly zoledronic acid for treatment of postmenopausal osteoporosis. N Engl J Med 356:1809, 2007
17)Coronado-Zarco R, et al:Nonpharmacological interventions for osteoporosis treatment;Systematic review of clinical practice guidelines. Osteoporos Sarcopenia 5:69-77, 2019
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掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1189

印刷版ISSN:0025-7699

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