Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Kirchgatterer, A; Wenzl, HH; Aschl, G; Hinterreiter, M; Stadler, B; Hinterleitner, TA; Petritsch, W; Knoflach, P.
Examination, prevention and treatment of osteoporosis in patients with inflammatory bowel disease: recommendations and reality.
Acta Med Austriaca. 2002; 29(4):120-123
Doi: 10.1046/j.1563-2571.2002.02018.x
Web of Science
PubMed
FullText
FullText_MUG
- Co-Autor*innen der Med Uni Graz
- Hinterleitner Thomas
- Petritsch Wolfgang
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- Abstract:
- Patients with inflammatory bowel disease (IBD) are at increased risk of developing osteopenia and osteoporosis. Our aim was to evaluate the current practices of examination, prevention and treatment of osteoporosis in IBD patients in a routine clinical setting. A total of 154 consecutive patients with IBD (63 female, 91 male; 36 ulcerative colitis, 115 Crohn's disease, 3 indeterminate colitis), referred to two gastroenterological units for scheduled follow-up examinations, were included. Patient charts were evaluated regarding bone densitometry already performed and any prophylactic or therapeutic interventions in cases of low bone mineral density. Bone mineral density (BMD) measurements had been performed only in 38 patients (25%). BMD was abnormally low in 27 of the examined patients (71%), 20 of whom had osteopenia and seven had osteoporosis. Among the subgroup of patients on long-term steroid therapy (77 patients), 30 had been referred to bone densitometry during the course of disease, and 21 of them were found to have low bone mineral density. Preventive measures were prescribed in 12 patients (9% of the whole study population). In the majority of the patients with low bone mineral density, calcium and vitamin D were used as treatment. Despite the high prevalence of osteopenia and osteoporosis in patients with IBD, only a minority of these patients were included in a structured program in accordance with modern guidelines for diagnosing and preventing this extraintestinal complication in a routine clinical setting.
- Find related publications in this database (using NLM MeSH Indexing)
- Absorptiometry, Photon -
- Adult -
- Bone Density -
- Bone Diseases, Metabolic - etiology
- Female -
- Follow-Up Studies -
- Humans -
- Inflammatory Bowel Diseases - complications
- Male -
- Osteoporosis - diagnosis Osteoporosis - etiology Osteoporosis - prevention & control Osteoporosis - therapy
- Practice Guidelines as Topic -
- Steroids - therapeutic use
- Time Factors -
- Find related publications in this database (Keywords)
- adherence to guidelines
- bone mineral density
- Crohn's disease
- inflammatory bowel disease
- osteoporosis
- ulcerative colitis