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Role of biochemical markers in the management of osteoporosis

Ebeling, P and Åkesson, Kristina LU (2001) In Best Practice & Research: Clinical Rheumatology 15(3). p.385-400
Abstract
Several serum and urine biochemical markers of bone resorption and formation have been developed. Biochemical bone markers have been used as intermediate end-points in all major studies of anti-osteoporotic therapies. Bone resorption markers, in particular, may add an independent, predictive value to the assessment of bone loss and fracture risk. There are also potential advantages in monitoring anti-osteoporotic treatment in the short-term in addition to bone densitometry, to rapidly identify non-responders to therapy, or non-compliance. Despite these recent advances, until now bone markers have simply been very useful research tools, with their clinical utility being limited by intra-individual and diurnal variability. However, the... (More)
Several serum and urine biochemical markers of bone resorption and formation have been developed. Biochemical bone markers have been used as intermediate end-points in all major studies of anti-osteoporotic therapies. Bone resorption markers, in particular, may add an independent, predictive value to the assessment of bone loss and fracture risk. There are also potential advantages in monitoring anti-osteoporotic treatment in the short-term in addition to bone densitometry, to rapidly identify non-responders to therapy, or non-compliance. Despite these recent advances, until now bone markers have simply been very useful research tools, with their clinical utility being limited by intra-individual and diurnal variability. However, the probability of the true bone mineral density response to hormone replacement therapy for the individual patient may be predicted using algorithms based on a spectrum of cut-off bone marker levels with varying false positive and negative rates. Thus, the transition of biochemical bone markers into everyday clinical practice may be rapidly approaching. (Less)
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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
biochemical bone markers, fracture risk, therapy, bone density, non-responders
in
Best Practice & Research: Clinical Rheumatology
volume
15
issue
3
pages
385 - 400
publisher
Elsevier
external identifiers
  • scopus:0034879092
ISSN
1532-1770
DOI
10.1053/berh.2001.0156
language
English
LU publication?
yes
id
4f2db317-ae5c-4a36-a172-13348bc0bfc9 (old id 1136739)
alternative location
http://europepmc.org/abstract/MED/11485336
date added to LUP
2016-04-01 12:26:09
date last changed
2023-09-02 07:36:36
@article{4f2db317-ae5c-4a36-a172-13348bc0bfc9,
  abstract     = {{Several serum and urine biochemical markers of bone resorption and formation have been developed. Biochemical bone markers have been used as intermediate end-points in all major studies of anti-osteoporotic therapies. Bone resorption markers, in particular, may add an independent, predictive value to the assessment of bone loss and fracture risk. There are also potential advantages in monitoring anti-osteoporotic treatment in the short-term in addition to bone densitometry, to rapidly identify non-responders to therapy, or non-compliance. Despite these recent advances, until now bone markers have simply been very useful research tools, with their clinical utility being limited by intra-individual and diurnal variability. However, the probability of the true bone mineral density response to hormone replacement therapy for the individual patient may be predicted using algorithms based on a spectrum of cut-off bone marker levels with varying false positive and negative rates. Thus, the transition of biochemical bone markers into everyday clinical practice may be rapidly approaching.}},
  author       = {{Ebeling, P and Åkesson, Kristina}},
  issn         = {{1532-1770}},
  keywords     = {{biochemical bone markers; fracture risk; therapy; bone density; non-responders}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{385--400}},
  publisher    = {{Elsevier}},
  series       = {{Best Practice & Research: Clinical Rheumatology}},
  title        = {{Role of biochemical markers in the management of osteoporosis}},
  url          = {{http://dx.doi.org/10.1053/berh.2001.0156}},
  doi          = {{10.1053/berh.2001.0156}},
  volume       = {{15}},
  year         = {{2001}},
}