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Topics:
Rheumatology
•
Osteoporosis
What is your approach to management of severe osteoporosis in patients with advanced kidney disease?
Do you consider anabolic agents and if so, what is your approach to monitoring?
Related Questions
Would atypical fractures of the hip in a parent (treated with bisphosphonate) be considered when calculating the FRAX score for a patient with osteopenia?
What treatment would you consider for severe osteoporosis in a patient with multiple fractures, AVN of jaw from denosumab, history of stroke and who has completed a PTH analog?
When considering pharmacologic treatments recommended by the 2022 glucocorticoid induced osteoporosis guidelines, do you use NNT/NNH to select between each treatment option by risk categories (e.g., moderate, high, very high)?
What is your approach to management of methotrexate osteopathy?
How do you approach significant change in BMD in premenopausal patient on tamoxifen?
What is your approach to a patient on long-term denosumab who now requires multiple invasive dental procedures?
Would you start anabolic bone therapy in an patient with Ehlers Danlos, low bone density and no fracture history who is found to have "spongy soft bone" during spine surgery?
Would you transition from denosumab to anabolic agents in patients who are in urgent need for extensive dental work?
For postmenopausal osteoporosis, would you give denosumab after a course of teriparatide and romosozumab to women who had an atypical femoral fracture while on bisphosphonate therapy a few years earlier?
Do you use bisphosphonates in combination with SERMs in female patients with progressive decline in bone density despite being on a SERM for post-menopausal symptoms other than osteoporosis?