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Clinical Crossroads Update
January 26, 2000

A 73-Year-Old Woman With Osteoporosis, 1 Year Later

Author Affiliations

From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 2000;283(4):531. doi:10.1001/jama.283.4.531

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.