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Clinical Orthopaedics and Related Research®

Published in:

01-07-2011 | Symposium: AAOS/ORS/ABJS Musculoskeletal Healthcare Disparities Research Symposium

Sex and Gender Considerations in Male Patients With Osteoporosis

Authors: Christopher J. Dy, MD, MSPH, Lauren E. LaMont, MD, Quang V. Ton, MD, Joseph M. Lane, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 7/2011

Abstract

Background

Osteoporosis remains underrecognized and undertreated in both men and women, but men who sustain fragility fractures experience greater morbidity and mortality. While men exhibit advanced comorbidity at the time of hip fracture presentation, there are distinct sex- and gender-specific factors related to the pathophysiology and treatment of osteoporosis that further influence morbidity and mortality.

Questions/purposes

With a selective review of the literature, we evaluated sex- and gender-based differences contributing to increased morbidity and mortality in men with osteoporosis.

Where are we now?

Sex-specific differences in bone biology and morphology may affect the pathophysiology of osteoporosis, choice of pharmacotherapy, and surgical implant selection. Additionally, estrogen metabolism may play a key role in both fracture prevention and healing. Gender-based differences in recommendations for screening and prevention between men and women may influence the severity at which osteoporosis is recognized. Primary, secondary, and tertiary prevention efforts in men lag behind those of women. This may be due to a lack of consensus regarding screening guidelines for osteoporosis in men but may be attributed to lack of awareness in the physician and patient about osteoporosis and its potentially debilitating consequences.

Where do we need to go?

These disparities are a call to action for healthcare providers to raise awareness for early prevention and treatment of this potentially debilitating disease, particularly in men.

How do we get there?

Continued prospective research on the differences between men and women diagnosed with osteoporosis is needed, as well as sex-specific stratification of data in all studies on osteoporosis.

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Title: Sex and Gender Considerations in Male Patients With Osteoporosis
Authors: Christopher J. Dy, MD, MSPH
Lauren E. LaMont, MD
Quang V. Ton, MD
Joseph M. Lane, MD
Publication date: 01-07-2011
Publisher: Springer-Verlag
Published in: Clinical Orthopaedics and Related Research® / Issue 7/2011
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-011-1849-3

At a glance: The STEP trials

Springer Medicine

Sex and Gender Considerations in Male Patients With Osteoporosis

Abstract

Background

Questions/purposes

Where are we now?

Where do we need to go?

How do we get there?

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Questions/purposes

Where are we now?

Where do we need to go?

How do we get there?

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