Med. praxi. 2025;22(1):36-43 | DOI: 10.36290/med.2024.040

Primary osteoporosis in the general practitioner's office: treatment and prevention

prof. MUDr. Jan Štěpán, DrSc.

Revmatologický ústav, Praha

General practitioners and gynecologists provide treatment with oral aminobisphosphonates in people who, according to their medical history and results of clinical, laboratory, and bone densitometry examinations have primary (involutionary or postmenopausal) osteoporosis, or have suffered a low-traumatic fracture but do not have a very high risk of fractures. Patients who are diagnosed or suspected of secondary osteoporosis and patients with a very high risk of fractures in primary osteoporosis are referred to outpatient specialists. In particular, however, general practitioners and gynecologists have an unmistakable position in the early prevention of primary and secondary osteoporosis, which remains a decisive measure for reducing the incidence of low-traumatic fractures due to the cost of screening, diagnosis, and treatment of the disease in a large population of people over 50 years of age. The article mentions the population-based program for early detection of osteoporosis, recommended procedures, and practical aspects of the treatment of primary osteoporosis using oral aminobisphosphonates.

Keywords: primary osteoporosis, secondary osteoporosis, aminobisphosphonates.

Received: September 10, 2024; Accepted: September 27, 2024; Published: February 20, 2025  Show citation