From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.
In November 1998, Susan L. Greenspan, MD, discussed a 73-year-old woman
with osteoporosis.1 The patient, Mrs Z, had
lost about 7.5 cm in height and had 3 clinical fractures prior to her diagnosis
of osteoporosis. Dr Greenspan discussed risk factors, medications, and diseases
associated with this condition. She focused on guidelines for prevention and
treatment as well as recommendations for bone mass measurements. For Mrs Z
and other elderly women, Dr Greenspan emphasized the importance of adequate
intake of calcium and vitamin D, along with weight-bearing exercise and prevention
of falls. She also detailed approved treatment options such as hormone replacement
therapy, alendronate, calcitonin, and raloxifene. She stressed that osteoporosis
is "not an inevitable process of aging" and that much can be done to both
prevent and treat this common condition. We asked the patient and her physician
to comment on the year that has passed.
Hartman EE, Daley J. A 73-Year-Old Woman With Osteoporosis, 1 Year Later. JAMA. 2000;283(4):531. doi:10.1001/jama.283.4.531