ACOG Practice Bulletin N. 129. Osteoporosis.
美国妇产科医师学会(ACOG）对2004年1月第50号骨质疏松症临床指南的更新版！Osteoporosis has a fivefold greater prevalence in women than in men. In the United States, although women only havetwice the fracture rate of men, they sustain 80% of hip fractures because older women far outnumber older men. In2005, the cost for direct care of the estimated 2 million osteoporosis-related fractures was projected to be $17 billion,with hip fractures accounting for approximately 72% of the cost (1). Morbidity and loss of function can occur with allfractures and consequently present a significant burden to the patient, the family, and society. Morbidity and mortalityare especially high with hip fractures. Of women older than 80 years who have had a hip fracture, only 56% couldwalk independently after 1 year (2). Approximately 3–6% of women die of complications while hospitalized for hipfracture, an outcome often correlated with comorbidity and age (2, 3). Many aspects of gynecology and obstetrics canaffect bone health. Obstetrician–gynecologists have the opportunity to play a key role in the prevention of osteoporosisand osteoporotic fractures. The purpose of this practice bulletin is to review the diagnosis, evaluation, and treatmentof osteoporosis.