Management of osteoporosis in postmenopausal women: 2010 position statement of The North American Menopause Society

Osteoporosis becomes a serious health threat for aging postmenopausal women by predisposing them to an increased risk of fracture. Osteoporotic fractures are associated with substantial morbidity and mortality in post- menopausal women, especially older women.

In response to the need to define standards of clinical practice in North America as they relate to menopause-associated health conditions, The North American Menopause Society (NAMS) has created this evidence-based position statement. The objective of this position statement is to provide guidance on the prevention, diagnosis, and treatment of osteoporosis in post-menopausal women to physicians, physician assistants, nurse practitioners, nurses, and other healthcare professionals caring for postmenopausal women, especially those in the clinical practice fields of obstetrics and gynecology, internal medicine, family medicine, and geriatrics.

After reading this position statement, participants should be able to describe the effect of menopause and aging on bone health; identify risk factors that contribute to fracture risk; discuss the assessments of risk factors for fracture and how to rule out secondary causes of osteoporosis; identify nonpharmacologic and lifestyle approaches to prevent bone loss and fractures; review the effects of various therapeutic agents on preventing osteoporotic fracture; understand their effects on bone density and turnover; develop individual treatment strategies to reduce morbidity and improve quality of life based on results of clinical trials; and understand the clinical effects of discontinuing different antiresorptive and anabolic therapies.

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