Læknablaðið

Volume

Læknablaðið - 15.02.2002, Page 18

Læknablaðið - 15.02.2002, Page 18
FRÆÐIGREINAR / BEINÞYNNING Meðhöndla aðra áhættuþætti (tafla II og III) Barksterameðferöin er þegar hafin Akvörðun um að hefja meðferð með barksterum DEXA-mæling í upphafl meöferöar (tafla IV) DEXA-mæling (tafla IV) Bisfosfónöt (tafla V) Forvörn eöa meðferð (tafla VI) Ihuga bisfosfónöt ja DEXA-mæling > 3% beintap á ári ef barksterameðferö er haldið áfram Staöreyndir - sterar og bein ■ (tafla I) WHO T-gildi Beingisnun -1,0 til -2,5 Beinþynning < -2,5 ATH ef barksterameöferð beinþynning viö T-gildi < -1,5 Sérhæfö lyfjameðferð ef T-gildi er < -1,5 Lífsstíll Kalk og D-vítamín Hormónauppbótarmeðferð Endurmeta steraskammta ja Endurskoöa meöferö Endurtekin DEXA-mæling Meöhöndlun samkvæmt almennum ráðleggingum um beinþynningu 18. Consensus Development Conference. Diagnosis, prophylaxis, and treatment of osteoporosis. Am J Med 1992; 6: 852-7. 19. Homik J, Suarez-Almazor ME, Shea B, Cranney A, Wells G, et al. Calcium and vitamin D for corticosteroid-induced osteo- porosis (Cochrane Review). In: The Cochrane Library, 3, 2001. Oxford: Update Software 20. Sambrook P, Birmingham J, Kelly P, Kempler S, Nguyen T, Pocock N, et al. Prevention of corticsosteroid osteoporosis: A comparison of calcium, calcitriol and calcitonin. N Engl J Med 1993; 328:1747-52. 21. Saag KG, Emkey R, Schnitzer TJ, Brown JP, Hawkins F, Goemaere S, et al. Alendronate for the prevention and treat- ment of glucocorticoid-induced osteoporosis. Glucocorticoid- induced Osteoporosis Intervention Study Group. N Engl J Med 1998; 339: 292-9. 22. Adachi JD, Bensen WG, Brown J, Hanley D, Hodsman A, Josse R, et al. Intermittent cyclical etidronate therapy in the prevention of corticosteroid-induced osteoporosis. N Engl J Med 1997; 337: 382-7. 23. Cohen S, Levy RM, Keller M, Boling E, Emkey RD, Green- wald M, et al. Risedronate therapy prevents corticosteroid- induced bone loss: a twelve-month, multicenter, randomized, double-blind, placebo-controlled, parallel-group study. Arth- ritis Rheum 1999; 42: 2309-18. 24. Boutsen Y, Jamart J, Esselinckx W, Stoffel M, Devogelaer J. Primary prevention of glucoocorticoid-induced osteoporosis with internmittent intravenous pamindronate: A randomised trial. Calcif Tissue Int 1997; 61: 266-71. 25. Homik J, Cranney A, Shea B, Tugwell P, Wells G, Adachi R, et al. Bisphosphonates for steroid induced osteoporosis. [systematic review] Cochrane Musculoskeletal Group. Cochrane Database of Systematic Reviews 2001; 3. 26. Wallach S, Cohen S, Reid DM, Hughes RA, Hosking DJ, Laan RF, et al: Efffects of risedronate treatment on bone density and vertibral fracture in patients on corticosteroid therapy. Calcif tissue Int 2000; 67: 277-85. 27. Adachi JD, Saag KG, Delmas PD, Liberman UA, Emkey RD. Seeman E, et al: Two-year effects of alendronate on bone mineral density and vertbral fracture in patients receiving glucocorticosteroids: A randomized, double-blind, placebo- controlled extension trial. Arthritis Rheum 2001; 44: 202-11. 28. Lukert BP, Johnson BE, Robinson RG. Estrogen and proges- terone replacement therapy reduces glucocorticoid-induced bone loss. J Bone Miner Res 1992: 7; 1063-9. 29. Hall GM, Daniels M, Doyle DV, Spector TD. Effect of hormone replacement therapy on bone mass in rheumatoid arthritis patients treated with and without steroids. Arthritis Rheum 1994; 37: 1499-505. 30. Reid IR, Wattie DJ, Evans MC, Stapleton JP. Testosterone therapy in glucocorticoid - treated men. Arch Int Med 1996; 156:1173-7. 31. Cranney A, Welch V, Adachi JD, Homik J, Shea B, Suarez- Almazor ME, et al. Calcitonin for preventing and treating corticosteroid-induced osteoporosis (Cochrane Review). The Cochrane Library 2001; 3. 32. LaCroix AZ, Ott SM, Ichikawa L, Scholes D, Barlow WE. Low-dose hydrochlorothiazide and preservation of bone mineral density in older adults. A randomized, double-blind, placebo-controlled trial. Ann Intern Med 2000; 133: 516-26. 33. Lane NE, Roe B, Genant HK, Arnaud C. Parathyroid hor- mone treatment reverses glucocorticoid-induced osteoporosis: results of a randomized controlled trial. J Clin Invest 1998; 102:1627-33. 34. Schnitzer T, Bone HG, Crepaldi G, Adami S, McClung M, Kiel D, et al. Therapeutic equivalence of alendronate 70 mg once- weekly and alendronate 10 mg daily in the treatment of osteoporosis. Alendronate Once-Weekly Study Group. Aging (Milano). 2000; 12:1-12. 106 Læknablaðið 2002/88

x

Læknablaðið

Direct Links

If you want to link to this newspaper/magazine, please use these links:

Link to this newspaper/magazine: Læknablaðið
https://timarit.is/publication/986

Link to this issue:

Link to this page:

Link to this article:

Please do not link directly to images or PDFs on Timarit.is as such URLs may change without warning. Please use the URLs provided above for linking to the website.