Postmenopausal Osteoporosis: A Review of Latest Guidelines

Endocrinol Metab Clin North Am. 2024 Dec;53(4):497-512. doi: 10.1016/j.ecl.2024.08.008. Epub 2024 Oct 5.

Abstract

Osteoporosis is characterized by increased bone turnover and reduced bone mass, leading to skeletal fragility and heightened fracture risk. It is a growing public health concern with expectations for a continued significant rise of fractures by 50% in 2030. Diagnosis is typically based on body mineral density with a T-score of -2.5 or lower indicating osteoporosis. Treatment duration varies, and is determined by careful monitoring of fracture risk and timing for potential drug holidays. Emerging therapies and ongoing research continue to evolve the landscape of osteoporosis management, aiming to reduce fracture risk and improve patient outcomes.

Keywords: American Association of Clinical Endocrinolo-gists; American College of Endocrinology; Dual-energy X-ray absorptiometry; FRAX; Fragility fracture; Osteopenia; Postmenopausal osteoporosis; Treatment guidelines.

Publication types

  • Review

MeSH terms

  • Bone Density
  • Bone Density Conservation Agents / therapeutic use
  • Female
  • Humans
  • Osteoporosis, Postmenopausal* / diagnosis
  • Osteoporosis, Postmenopausal* / therapy
  • Osteoporotic Fractures / etiology
  • Osteoporotic Fractures / prevention & control
  • Practice Guidelines as Topic

Substances

  • Bone Density Conservation Agents