Avtor/Urednik		Boyanov, Mihail; Czerwínski, Edward; Shinkov, A.; Palička, V.; Lakatos, P.; Poiana, C.; Payer, Juraj; Killinger, Z.; Kocjan, Tomaž; Lesnyak, O.; Holzer, Gerold; Resch, H.
Naslov		Patterns in the diagnosis and treatment of osteoporosis in men
Tip		članek
Vol. in št.		Letnik 44, št. 2
Leto izdaje		2017
Obseg		str. 36-43
ISSN		0324-1750 - Acta Medica Bulgarica
Jezik		eng
Abstrakt		To assess the current practice patterns in the diagnosis and treatment of male osteoporosis based on questionnaires. Questionnaires were presented and fi lled out by osteoporosis experts from Austria, Bulgaria, the Czech Republic, Hungary, Poland, Romania, Slovakia, Slovenia and Russia. The questions included focused on the proportion of male referrals to DXA, the main reasons for referral, the preferred measurement sites and reference database, the defi nition of male osteoporosis, needed laboratory investigations, data on calcium and vitamin D supplementation as well as on treatment modalities and their reimbursement rate. Men comprised 5 to 10% of all DXA referrals. The main reasons for referral were low back pain and fractures. Most of the respondents used the International male reference database. The diagnosis of osteoporosis was based mainly on a T-score below -2.5 after the age of 50, but a few respondents added fractures as a necessary condition. Only 1/3 of men visiting DXA sites are expected to have normal BMD. A consensus for the use of laboratory investigations in male osteoporosis is practically lacking. Treatment modalities include alendronate, risedronate, zoledronate, denosumab, rhPTH and strontium (with some restrictions for the latter three). Data on treatment adherence and persistence are generally lacking except for Austria, Romania and Slovakia. The levels of reimbursement vary a lot across countries. Osteoporosis in men is an under-recognized problem in CEE countries, leading to a tremendous gap in the diagnosis and treatment.
Proste vsebinske oznake		osteoporosis men Central and Eastern Europe osteoporoza moški srednja in vzhodna Evropa