Osteoporosis. Consensus statement

The Danish Medical Research Council and the Danish Hospital Institute
Record ID 31996008354
Authors' objectives:

To provide an overview of activities and problems concerning osteoporosis, and thereby forward the diffusion of expert knowledge to the public.

Authors' results and conclusions: Afflicting mainly women, osteoporosis is a reduction in bone mass to an extent where fractures can easily occur. There is a high degree of consensus about appropriate surgical methods. However, results are poor, especially for the oldest groups of patients. Thirty percent continue to experience pain one year after operation. Treatment of crush fractures of the vertebrate is problematic, since there is no alternative to bed rest and pain killers. Only ten percent of crush fractures in the spine are treated in hospitals and approximately 50 percent of all cases do not present symptoms. Although rehabilitation is of great importance, the quality of it is not always adequate. A Danish study showed wide variations between four hospital departments. Early discharge tended to give poorer results.
Authors' recomendations: Osteoporosis was documented to be an important social problem. Diet, physical activity and treatment with estrogen, and to some extent other drugs, reduce the loss of bone mass. With no well-documented studies of the long-term effects of the various treatments of osteoporosis, the panel does not support a screening strategy. Danish calculations based on estrogen treatment offered to a high risk group show that a screening programme would lead to extra costs even though estrogen therapy would lead to fewer fractures and a reduction in hospital bed days. Treatment with estrogen increases the risk of breast cancer in women by 20-30 percent after approximately eight years of treatment. Other output or dissemination activity: Impact not evaluated.
Project Status: Completed
URL for project: http://www.dsi.dk/
Year Published: 1995
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Denmark
MeSH Terms
  • Bone Density
  • Estrogen Replacement Therapy
  • Hip Fractures
  • Mass Screening
  • Menopause
  • Osteoporosis
Organisation Name: Danish Institute for Health Services Research
Contact Address: DSI, PO Box 2595, 2100 Copenhagen, Denmark Tel: +45 35 29 8400; Fax: +45 35 29 8499
Contact Name: hhj@dsi.dk
Contact Email: hhj@dsi.dk
Copyright: Danish Institute for Health Services Research (DSI)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.