Estrogen and bone: have we completed a full circle?

被引:4
作者
de Villiers, T. J. [1 ,2 ]
机构
[1] Mediclin Panorama, Int Menopause Soc, ZA-7500 Cape Town, South Africa
[2] Univ Stellenbosch, Dept Obstet & Gynecol, Cape Town, South Africa
关键词
BONE; ESTROGEN; OSTEOPOROSIS; OSTEOPENIA; ANTI-FRACTURE EFFICACY; POSTMENOPAUSAL WOMEN; REPLACEMENT THERAPY; HORMONE-THERAPY; MINERAL DENSITY; PLUS PROGESTIN; FRACTURE; RISK; OSTEOPOROSIS; PREVENTION; BENEFITS;
D O I
10.3109/13697137.2014.953047
中图分类号
R71 [妇产科学];
学科分类号
100211 [妇产科学];
摘要
Estrogen therapy was considered first-line therapy for the prevention and treatment of postmenopausal osteoporosis in 1984. Evidence from a large, randomized clinical trial in 2002 proved the efficacy of estrogen in the prevention of all types of osteoporosis-related fractures. Ironically, estrogen was relegated to second-line therapy, based on perceived safety concerns. The historical background to these decisions is presented. It is argued that this decision is not a reasonable reflection of the available evidence, especially in comparison to other available drugs
引用
收藏
页码:4 / 7
页数:4
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