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  • Title: [Diagnosis and treatment of postmenopausal osteoporosis after a Colles' fracture].
    Author: Morote S, Kanterewicz E, Villanueva A, García MJ, Carballido E, Yáñez A.
    Journal: Aten Primaria; 2000 Apr 15; 25(6):422-4. PubMed ID: 10857234.
    Abstract:
    OBJECTIVES: To investigate whether the presence of Colles fracture leads to diagnostic studies or treatment of osteoporosis in postmenopausal women. DESIGN: Retrospective study with follow-up of incident cases. SETTING: Hospital General de Vic and Primary Care Centre Osona. Vic. Barcelona. PARTICIPANTS AND METHODS: We studied 80 postmenopausal women with Colles' fracture during 1995-1996. The clinical records were systematically reviewed and treatment with antiosteoporotic drugs before and after Colles' fracture were compared. MEASUREMENTS AND MAIN RESULTS: Diagnostic studies were found in 3 (3.8%) patients. 6 patients (7.5%) took antiosteoporotic drugs before the fracture while 21 (26.3%, p < 0.001) did so after it. CONCLUSIONS: A recent Colles' fracture induces few osteoporosis diagnostic studies. However, it leads to a significant increase in the use of antiosteoporotic drugs. OBJETIVO: Conocer si la fractura de Colles (FC) en pacientes posmenopáusicas se utiliza para diagnosticar o tratar una posible osteoporosis subyacente. DISEÑO: Estudio retrospectivo de seguimiento de casos incidentes. EMPLAZAMIENTO: Hospital General de Vic y Centro de Asistencia Primaria Osona, Vic. Barcelona. PACIENTES Y MÉTODOS: Se incluyeron 80 mujeres posmenopáusicas con FC durante 1995-1996. Mediante revisión de las historias clínicas se valoraron las pruebas diagnósticas y se compararon los tratamientos antiosteoporóticos pre y post-FC. MEDICIONES Y RESULTADOS PRINCIPALES: En 3 casos (3,8%) se había iniciado estudio diagnóstico de osteoporosis. Seis pacientes (7,5%) recibían tratamiento antiosteoporótico antes de la FC. Después de ésta el porcentaje se había incrementado hasta un 26,3% (p < 0,001). CONCLUSIONES: La FC se utiliza en un número muy bajo de pacientes posmenopáusicas para sospechar osteoporosis, aunque su presencia aumenta el uso de fármacos antiosteoporóticos.
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