European guidance for the diagnosis and management of osteoporosis in postmenopausal women

Osteoporos Int. 2008 Apr;19(4):399-428. doi: 10.1007/s00198-008-0560-z. Epub 2008 Feb 12.


Guidance is provided in a European setting on the assessment and treatment of postmenopausal women with or at risk from osteoporosis.

Introduction: The European Foundation for Osteoporosis and Bone disease (subsequently the International Osteoporosis Foundation) published guidelines for the diagnosis and management of osteoporosis in 1997. This manuscript updates these in a European setting.

Methods: The following areas are reviewed: the role of bone mineral density measurement for the diagnosis of osteoporosis and assessment of fracture risk; general and pharmacological management of osteoporosis; monitoring of treatment; assessment of fracture risk; case finding strategies; investigation of patients; health economics of treatment.

Results and conclusions: A platform is provided on which specific guidelines can be developed for national use.

Publication types

  • Practice Guideline
  • Review

MeSH terms

  • Adult
  • Bone Density / physiology*
  • Europe
  • Female
  • Femur Neck / injuries
  • Fractures, Bone / economics
  • Fractures, Bone / prevention & control*
  • Hormone Replacement Therapy / economics
  • Humans
  • Lumbar Vertebrae / injuries
  • Middle Aged
  • Osteoporosis, Postmenopausal / diagnosis*
  • Osteoporosis, Postmenopausal / economics
  • Osteoporosis, Postmenopausal / therapy*
  • Risk Assessment / economics
  • Risk Assessment / methods
  • Women's Health / economics