Treatment Consideration in Postmenopausal Osteoporosis Patients at Imminent Fracture Risk

Osteoporosis is the most common metabolic bone disease and constitutes a major public health problem all over the world. Most international clinical practice guidelines have conventionally positioned the class of antiresorptive drugs, the bisphosphonates, as the first-line medical therapy for the ma...

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Main Author: Tai Pang Ip
Format: Article
Language:English
Published: World Scientific Publishing 2022-06-01
Series:Journal of Clinical Rheumatology and Immunology
Subjects:
Online Access:https://www.worldscientific.com/doi/10.1142/S266134172230004X
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author Tai Pang Ip
author_facet Tai Pang Ip
author_sort Tai Pang Ip
collection DOAJ
description Osteoporosis is the most common metabolic bone disease and constitutes a major public health problem all over the world. Most international clinical practice guidelines have conventionally positioned the class of antiresorptive drugs, the bisphosphonates, as the first-line medical therapy for the management of postmenopausal osteoporosis. With the clinical development of more potent antiresorptive drugs as well as bone-forming drugs, more therapeutic options with different mechanisms of action, therapeutic efficacies, and adverse effect profiles are currently available. Bone-forming drugs have demonstrated a faster and better protection to patients with osteoporosis such that clinical management decisions should position their prioritized use in patients with a very high fracture risk. This article provides a review on the preferential selection of bone-forming drugs for management of postmenopausal osteoporosis in patients with imminent fracture risk.
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spelling doaj.art-f42bcf9084d9466ba84b480f753dbe7b2022-12-22T02:32:55ZengWorld Scientific PublishingJournal of Clinical Rheumatology and Immunology2661-34172661-34252022-06-0122Supp01101910.1142/S266134172230004XTreatment Consideration in Postmenopausal Osteoporosis Patients at Imminent Fracture RiskTai Pang Ip0Department of Medicine, Tung Wah Hospital, Hong Kong, ChinaOsteoporosis is the most common metabolic bone disease and constitutes a major public health problem all over the world. Most international clinical practice guidelines have conventionally positioned the class of antiresorptive drugs, the bisphosphonates, as the first-line medical therapy for the management of postmenopausal osteoporosis. With the clinical development of more potent antiresorptive drugs as well as bone-forming drugs, more therapeutic options with different mechanisms of action, therapeutic efficacies, and adverse effect profiles are currently available. Bone-forming drugs have demonstrated a faster and better protection to patients with osteoporosis such that clinical management decisions should position their prioritized use in patients with a very high fracture risk. This article provides a review on the preferential selection of bone-forming drugs for management of postmenopausal osteoporosis in patients with imminent fracture risk.https://www.worldscientific.com/doi/10.1142/S266134172230004XOsteoporosisImminent Fracture RiskAntiresorptive DrugsBone-Forming Drugs
spellingShingle Tai Pang Ip
Treatment Consideration in Postmenopausal Osteoporosis Patients at Imminent Fracture Risk
Journal of Clinical Rheumatology and Immunology
Osteoporosis
Imminent Fracture Risk
Antiresorptive Drugs
Bone-Forming Drugs
title Treatment Consideration in Postmenopausal Osteoporosis Patients at Imminent Fracture Risk
title_full Treatment Consideration in Postmenopausal Osteoporosis Patients at Imminent Fracture Risk
title_fullStr Treatment Consideration in Postmenopausal Osteoporosis Patients at Imminent Fracture Risk
title_full_unstemmed Treatment Consideration in Postmenopausal Osteoporosis Patients at Imminent Fracture Risk
title_short Treatment Consideration in Postmenopausal Osteoporosis Patients at Imminent Fracture Risk
title_sort treatment consideration in postmenopausal osteoporosis patients at imminent fracture risk
topic Osteoporosis
Imminent Fracture Risk
Antiresorptive Drugs
Bone-Forming Drugs
url https://www.worldscientific.com/doi/10.1142/S266134172230004X
work_keys_str_mv AT taipangip treatmentconsiderationinpostmenopausalosteoporosispatientsatimminentfracturerisk