Download Shared care for osteoporosis by Cyrus Cooper, John Harrison, Roger Smith PDF

By Cyrus Cooper, John Harrison, Roger Smith

The purpose of this ebook is to enhance the administration of sufferers with, or prone to advance, osteoporosis it really is meant as a realistic advisor for all well-being pros taken with shared sufferer care

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Shared care for osteoporosis

The purpose of this e-book is to enhance the administration of sufferers with, or more likely to increase, osteoporosis it really is meant as a pragmatic consultant for all well-being execs interested in shared sufferer care

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In other European countries, increases are still being observed. 5 Projections for numbers of hip fractures woridwide in 1990 • , 2 0 2 5 • 2 0 5 0 • . (Derived from ref. ) and T h e r e are three b r o a d explanations for these trends. First, they might represent s o m e increasingly prevalent current risk factor for osteoporosis or falling. T i m e trends for a n u m b e r o f such risk factors, including oophorectomy, oestrogen smoking, a l c o h o l c o n s u m p t i o n replacement therapy, cigarette and dietary calcium intake, do not match those o b s e r v e d for hip fractures.

Metabolic bone diseases The correct diagnosis o f osteoporosis requires an understanding o f other metabolic b o n e diseases. T h e s e are largely e x p l a i n e d b y the normal physiology o f b o n e . T h e y may b e inherited or acquired and Shared care f o r osteoporosis common or rare, and are usefully classified into the classic metabolic b o n e diseases (osteoporosis, osteomalacia, Paget's disease, parathyroid b o n e disease and neoplastic b o n e disease) and the more recently identified disorders o f b o n e matrix (such as osteogenesis imperfecta, achondroplasia and Marfan's syndrome), the biochemical basis o f which is n o w k n o w n .

A b o v e the age o f 35 years, overall fracture incidence in w o m e n climbs steeply, s o that female rates b e c o m e twice t h o s e in m e n . 3 million fractures in the USA e a c h year have b e e n attributed to osteoporosis, presuming that 7 0 % o f all fractures in persons aged 4 5 years or over are due to low bone mass . 4 The three sites most closely associated with osteoporosis are the hip, spine and distal forearm. 2), suggesting different causes . 5 Hip fracture Hip fractures may involve the subcapital, trans-cervical, inter- and subtrochanteric regions o f the proximal femur.

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