Treatment of postmenopausal osteoporosis
BMJ 2003; 327 doi: https://doi.org/10.1136/bmj.327.7411.355 (Published 14 August 2003) Cite this as: BMJ 2003;327:355- A Cranney, assistant professor
- Department of Medicine (Rheumatology), Queen's University, Kingston, ON, Canada K7L 3N6
Osteoporotic fractures in older women constitute a major cause of disability, mortality, and economic burden.1 The incidence of fractures related to osteoporosis will increase worldwide over the next three decades as the proportion of women over the age of 65 increases.2 It is therefore important that we identify efficacious treatments that will reduce the incidence of osteoporotic fractures. In the past, randomised controlled trials have focused on the surrogate outcome of bone mineral density. The limitation of relying on a surrogate outcome was highlighted by the results of earlier trials, in which increases in bone density did not translate into decreased risk of fracture.3 As a result of stricter standards that required evidence of efficacy against fractures for drug approval, we now have large randomised trials with prevention of fractures as an outcome. Data from these trials provide information on the strength of the evidence for efficacy of the different treatments.
Evidence based reviews of treatments for postmenopausal osteoporosis have confirmed which treatments reduce the risk of fractures in women with osteoporosis.4–6 Most currently used drugs are antiresorptive agents that reduce osteoclast …
Log in
Log in using your username and password
Log in through your institution
Subscribe from £173 *
Subscribe and get access to all BMJ articles, and much more.
* For online subscription
Access this article for 1 day for:
£38 / $45 / €42 (excludes VAT)
You can download a PDF version for your personal record.