OSTEOPOROSIS
- Osteoporosis: a comprehensive review - http://www.emedicine.com/med/topic1693.htm
- Osteoporosis: from radiological perspective - http://www.emedicine.com/radio/topic503.htm
- Secondary Osteoporosis - http://www.emedicine.com/pmr/topic95.htm
- Juvenile Osteoporosis - http://www.emedicine.com/ped/topic1683.htm
- American Association of Clinical Endocrinologists medical guidelines for clinical practice for the prevention and treatment of postmenopausal osteoporosis - http://www.guideline.gov/summary/summary.aspx?doc_id=4157&nbr=003185&string=osteoporosis
- Management of Osteoporosis: Position Statement of the North American Menopause Society - http://www.guideline.gov/summary/summary.aspx?doc_id=3179&nbr=002405&string=osteoporosis
- Scottish Intercollegiate Guidelines Network (SIGN): Management of osteoporosis: A national clinical guideline - http://www.guideline.gov/summary/summary.aspx?doc_id=3876&nbr=003085&string=osteoporosis
- Osteoporosis and Spinal Cord Injury - http://www.emedicine.com/pmr/topic96.htm
- Nonoperative Treatment of Osteoporotic Compression Fractures - http://www.emedicine.com/pmr/topic238.htm
- Osteoporosis in Solid Organ Transplantation - http://www.emedicine.com/med/topic3481.htm
- American Gastroenterological Association medical position statement: guidelines on osteoporosis in gastrointestinal diseases - http://www.guideline.gov/summary/summary.aspx?doc_id=3697&nbr=002923&string=osteoporosis
- American Gastroenterological Association medical position statement: osteoporosis in hepatic disorders - http://www.guideline.gov/summary/summary.aspx?doc_id=4583&nbr=003373&string=osteoporosis
- Menopause: a comprehensive review - http://www.emedicine.com/med/topic3289.htm
Measures:
Lab Studies:
- American Association of Clinical Chemistry: Calcium - http://www.labtestsonline.org/understanding/analytes/calcium/glance.html
- Calgary Laboratory Services: Calcium, Free or Ionized - http://www.calgarylabservices.com/LabTests/AlphabeticalListing/C/Calcium-Free-or-Ionized.htm
- American Association of Clinical Chemistry: Phosphate - http://www.labtestsonline.org/understanding/analytes/phosphorus/glance.html
- American Association of Clinical Chemistry: Alkaline phosphatase (ALP) - http://www.labtestsonline.org/understanding/analytes/alp/glance.html
- Bone-Specific Alkaline Phosphatase - http://www.cdhb.govt.nz/chlabs/endo/balp.htm
- Bone-Specific Alkaline Phosphatase - http://www.labcorp.com/datasets/labcorp/html/chapter/mono/sr016600.htm
- American Association of Clinical Chemistry:
Magnesium - http://www.labtestsonline.org/understanding/analytes/magnesium/glance.html - American Association of Clinical Chemistry:
Creatinine - http://www.labtestsonline.org/understanding/analytes/creatinine/glance.html
Additional tests that may be asked to rule out 'secondary osteoporosis':
- American Association of Clinical Chemistry: Total T4 and Free T4 - http://www.labtestsonline.org/understanding/analytes/t4/glance.html
- American Association of Clinical Chemistry: Total T3 and Free T3 - http://www.labtestsonline.org/understanding/analytes/t3/glance.html
- American Association of Clinical Chemistry: Thyroid-stimulating hormone (TSH) - http://www.labtestsonline.org/understanding/analytes/tsh/glance.html
- Royal College of Pathologists of Australasia: Parathyroid hormone (PTH) - serum - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=537
- American Association of Clinical Chemistry:
Testosterone - http://www.labtestsonline.org/understanding/analytes/testosterone/glance.html - Royal College of Pathologists of Australasia: 24 hrs Calcium - urine - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=9
- Royal College of Pathologists of Australasia: Rheumatoid Factor (RF) - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=347
- Royal College of Pathologists of Australasia: Synovial fluid examination - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=217
- Royal College of Pathologists of Australasia: Bence Jones protein - urine - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=411
- Royal College of Pathologists of Australasia: Erythrocyte sedimentation rate (ESR) - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=249
- Medline Plus: Protein electrophoresis - serum - http://www.nlm.nih.gov/medlineplus/ency/article/003540.htm
- Medline Plus: Immunoelectrophoresis - serum - http://www.nlm.nih.gov/medlineplus/ency/article/003541.htm
- Medline Plus: Bone marrow biopsy - http://www.nlm.nih.gov/medlineplus/ency/article/003934.htm
- Royal College of Pathologists of Australasia: Vitamin D (1,25-dihydroxy) - serum - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=648
- Royal College of Pathologists of Australasia: Calcitonin - plasma or serum - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=423
- Royal College of Pathologists of Australasia: Albumin - plasma or serum - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=365
- American Association of Clinical Chemistry:
Celiac Disease Tests (also known as Gluten-Sensitive Enteropathy Tests) - http://www.labtestsonline.org/understanding/analytes/celiac_disease/glance.html - American Association of Clinical Chemistry:
Estrogen - http://www.labtestsonline.org/understanding/analytes/estrogen/glance.html - American Association of Clinical Chemistry: Follicle-stimulating hormone (FSH) - http://labtestsonline.org/understanding/analytes/fsh/test.html
Biochemical markers of bone turnover
- Royal College of Pathologists of Australasia: Osteocalcin - serum - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=767
- Royal College of Pathologists of Australasia: Collagen crosslink fragments (Deoxypyridinoline; Pyridinoline ) - urine - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=459
- N-telopeptide (NTx) - http://www.calgarylabservices.com/LabTests/AlphabeticalListing/N/N-telopeptide-NTx.htm
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C-Terminal Telopeptide, β-CTX, β-Crosslaps - http://www.cdhb.govt.nz/chlabs/endo/ctel.htm
- Medline Plus: TRAP - Tartrate Resistant Acid Phosphatase - http://www.nlm.nih.gov/medlineplus/ency/article/003667.htm
- Royal College of Pathologists of Australasia: Hydroxyproline - urine - http://www.rcpamanual.edu.au/sections/pathologytest.asp?s=33&i=712
Radiological Studies:
Overview:
-
American College of Radiology (ACR): Appropriateness Criteria for different radiological investigations in an osteoporotic patient - http://www.acr.org/s_acr/bin.asp?TrackID=&SID=1&DID=11796&CID=1206&VID=2&DOC=File.PDF
Bone Mineral Density (BMD): Different Testing Modalities:
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International Society for Clinical Densitometry (ISCD): Official Positions 2005 Updated - http://www.iscd.org/Visitors/pdfs/ISCD_OP2005_000.pdf
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Precision Assessment and Radiation Safety for Dual energy X-ray Absorptiometry (DXA): White Paper of the International Society for Clinical Densitometry - http://www.iscd.org/Visitors/pdfs/RadiationSafetyWhitePaperWebPosting2005-06.pdf
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ISCD: Canadian Physician pocket guide to BMD testing - http://www.iscd.org/Visitors/pdfs/ISCD-CANADIANPanelOfficialPositions-BMDcard.pdf
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American College of Rheumatology Position Statement: Bone Density Measurement - http://www.rheumatology.org/publications/position/BoneDensityMeasurement.pdf
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Mayo Clinic: Bone Mineral Density (BMD) Test: an overview - http://www.mayoclinic.com/health/bone-density-tests/WO00024
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AMA: Recommendations for BMD Measurement and Techniques for Testing - http://www.ama-cmeonline.com/osteo_mgmt/module02/02intro/index.htm
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ACR Practice Guideline for the Performance of Adult Dual or Single X-Ray Absorptiometry (DXA/pDXA/SXA) - http://www.acr.org/s_acr/bin.asp?TrackID=&SID=1&DID=12213&CID=543&VID=2&DOC=File.PDF
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Medline Plus: Lumbosacral spine CT - http://www.nlm.nih.gov/medlineplus/ency/article/003787.htm
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ACR Practice Guideline for the Performance of Radiography of the Extremities - http://www.acr.org/s_acr/bin.asp?TrackID=&SID=1&DID=12221&CID=543&VID=2&DOC=File.PDF
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Radiogrammetry of Cortical Bone - http://bjr.birjournals.org/cgi/content/abstract/49/587/912
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ACR: Positron Emission Tomography (PET Imaging) - http://www.radiologyinfo.org/content/petomography.htm
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Medline Plus: Bone scan - http://www.nlm.nih.gov/medlineplus/ency/article/003833.htm
Osteoporosis in Men, Premenopausal Women, and Children:
- Diagnosis of osteoporosis in men, premenopausal women, and children - http://www.guideline.gov/summary/summary.aspx?doc_id=6567&nbr=004129&string=osteoporosis
Osteoporosis Risk Questionnaire:
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Harvard School of Public Health: Osteoporosis Risk Questionnaire - http://www.yourdiseaserisk.harvard.edu/hccpquiz.pl?lang=english&func=start&quiz=osteoporosis
Prevention:
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WHO: Prevention and Management of Osteoporosis - http://whqlibdoc.who.int/trs/WHO_TRS_921.pdf
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National Osteoporosis Foundation: Physician's guide to prevention and treatment of osteoporosis - http://www.guideline.gov/summary/summary.aspx?doc_id=3862&nbr=003073&string=osteoporosis
- American College of Rheumatology: Recommendations for the prevention and treatment of glucocorticoid-induced osteoporosis: 2001 update - http://www.guideline.gov/summary/summary.aspx?doc_id=2934&nbr=002160&string=osteoporosis
Screening:
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Screening for Osteoporosis: Recommendations and Rationale - http://www.guideline.gov/summary/summary.aspx?doc_id=3417&nbr=002643&string=osteoporosis
Rehabilitation of the Patient with Osteoporosis:
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National Osteoporosis Foundation: Health professional's guide to rehabilitation of the patient with osteoporosis - http://www.guideline.gov/summary/summary.aspx?doc_id=3863&nbr=003074&string=osteoporosis
Nutrition Management:
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Osteoporosis: Nutrition management for older adults - http://www.guideline.gov/summary/summary.aspx?doc_id=4231&nbr=003236&string=osteoporosis
Recommended Resource Link:
NIH ORBD-NRC (National Institute of Health: Osteoporosis and Related Bone Disease: National Resource Center) - http://www.osteo.org/osteolinks.asp
Document Provenance and History
Document Author: Dr. Fazal Danish
Document Created: 05th May 2006
Document Edits: