AOCPMR 2022 Mid-Year Meeting-306289

Video Transcription

Video Summary

Dr. Robin Kramer delivered a lecture on osteoporosis, emphasizing its prevalence, particularly among women over 50, and the importance of early detection and treatment. She highlighted that neurologic and muscular diseases can lead to osteoporosis, with conditions like stroke and spinal cord injuries significantly contributing. A key point was that fractures, particularly in the hip and spine, should prompt bone density testing. Dr. Kramer underscored that most fractures occur in osteopenic women due to the microarchitecture of bones, not just bone density. She recommended using the FRAX tool to assess fracture risk and justify testing and therapy. Treatment should be tailored, starting with oral bisphosphonates like alendronate, shifting to alternatives based on risk factors. Dr. Kramer stressed patient education, advocating for lifestyle changes including adequate calcium and vitamin D intake, regular exercise, and fall prevention strategies. She explained drug holidays after bisphosphonate use to minimize risks like atypical femur fractures. Finally, Dr. Kramer encouraged utilizing tools like the Mayo Clinic's decision aid to better manage osteoporosis and enhance patient understanding and compliance.

Keywords

osteoporosis

women over 50

early detection

bone density testing

FRAX tool

oral bisphosphonates

lifestyle changes

neurologic diseases

patient education