2010NAMS绝经后妇女骨质疏松症的管理

Menopause:TheJournalofTheNorthAmericanMenopauseSocietyVol.17,No.1,pp.23/24DOI:10.1097/gme.0b013e3181cdd4a7*2010byTheNorthAmericanMenopauseSociety5Textprintedonacid-freepaperNAMScontinuingmedicaleducationactivityManagementofosteoporosisinpostmenopausalwomen:2010positionstatementofTheNorthAmericanMenopauseSocietyThispositionstatement,whichbeginsonpage25,hasbeendesignatedacontinuingmedicaleducation(CME)activityfromTheNorthAmericanMenopauseSociety(NAMS).COMMERCIALSUPPORTTheCMEactivityissupportedbyanunrestrictededuca-tionalgrantfromtheAllianceforBetterBoneHealth,acollaborationbetweenWarnerChilcottplcanditsaffiliatesandsanofi-aventis(US).GOALTodemonstrateanincreasein,oraffirmationof,currentknowledgeregardingthemanagementofosteoporosisinpostmenopausalwomen.ACKNOWLEDGMENTSNAMSappreciatesthecontributionsofthefollowingmembersoftheOsteoporosisEditorialBoard:SydneyL.Bonnick,MD,FACP,MedicalDirector,ClinicalResearchCenterofNorthTexas,AdjunctProfessor,DepartmentsofBiologyandKinesiology,UniversityofNorthTexas,Denton,TX;StevenT.Harris,MD,FACP,ClinicalProfessorofMedicine,UniversityofCalifornia,SanFrancisco,SanFrancisco,CA;DavidL.Kendler,MD,FRCPC,AssociateProfessorofMedicine,UniversityofBritishColumbia,Vancouver,BC,Canada;MichaelR.McClung,MD,Director,OregonOsteoporosisCenter,Portland,OR;andStuartL.Silverman,MD,FACP,FACR,AttendingPhysician,Cedars-SinaiMedicalCenter,ClinicalProfessorofMedicineandRheumatology,DavidGeffenSchoolofMedicine,UniversityofCaliforniaatLosAngeles,MedicalDirector,Osteo-porosisMedicalCenterClinicalResearchCenter,BeverlyHills,CA.Thepositionstatementwasreviewedandapprovedbythe2008-2009NAMSBoardofTrustees:JoAnnV.Pinkerton,MD,NCMP(President),ProfessorofObstetricsandGynecology,ViceChairforAcademicAffairs,Director,MidlifeHealth,UniversityofVirginiaHealthSciencesCenter,Charlottesville,VA;CynthiaA.Stuenkel,MD,NCMP(President-Elect),ClinicalProfessorofMedicine,UniversityofCalifornia,SanDiego,LaJolla,CA;StevenR.Goldstein,MD,NCMP(Treasurer),ProfessorofObstetricsandGynecology,NewYorkUniversitySchoolofMedicine,NewYork,NY;ThomasB.Clarkson,DVM(Secretary),ProfessorofCompa-rativeMedicine,WakeForestUniversitySchoolofMedicine,Winston-Salem,NC;ElizabethContestabile,RN,BScN,NCMP,NurseEducator,ShirleyE.GreenbergWomen_sHealthCentre,TheOttawaHospital,RiversideCampus,Ottawa,ON,Canada;RobertR.Freedman,PhD,Professor,DepartmentsofPsychiatryandObstetricsandGynecology,WayneStateUniversitySchoolofMedicine,Detroit,MI;VictorW.Henderson,MD,MS,NCMP,Professor,DepartmentsofHealthResearch&PolicyandofNeurology&NeurologicalSciences,StanfordUniversitySchoolofMedicine,Stanford,CA;RisaKagan,MD,FACOG,CCD,NCMP,ClinicalProfessor,DepartmentofObstetrics,Gynecology,andReproductiveSciences,UniversityofCalifornia,SanFrancisco,EastBayPhysi-ciansMedicalGroup,Berkeley,CA;JoAnnE.Manson,MD,DrPH,ProfessorofMedicineandtheElizabethFayBrighamProfessorofWomen_sHealth,HarvardMedicalSchool,ChiefofPreventiveMedicineandCo-Director,ConnorsCenterforWomen’sHealthandGenderBiology,BrighamandWomen_sHospital,Boston,MA;DianeT.Pace,PhD,FNP-BC,CCD,FAANP,NCMP,AssistantDeanforFacultyPractice,Director,CenterforHealthEvaluationandLifestylePromotion,UniversityofTennesseeHealthScienceCenter,Memphis,TN;JanL.Shifren,MD,NCMP,AssociateProfessorofObstetrics,Gynecology,andReproductiveBiology,HarvardMedicalSchool,Director,MenopauseProgram,VincentObstetricsandLEARNINGOBJECTIVESAfterreadingthispositionstatement,participantsshouldbeableto:&Describetheeffectofmenopauseandagingonbonehealth.Identifyriskfactorsthatcontributetofracturerisk.Discusstheassessmentsofriskfactorsforfractureandhowtoruleoutsecondarycausesofosteoporosis.Identifynonpharmacologicandlifestyleapproachestopreventbonelossandfractures.Reviewtheeffectsofvarioustherapeuticagentsonpreventingosteoporoticfracture;understandtheireffectsonbonedensityandturnover.Developindividualtreatmentstrategiestoreducemor-bidityandimprovequalityoflifebasedonresultsofclinicaltrials.Understandtheclinicaleffectsofdiscontinuingdifferent&&&&&&antiresorptiveandanabolictherapies.TARGETAUDIENCEThiseducationalactivityhasbeendevelopedtomeettheeducationalneedsofhealthcareprofessionalswhoprovidecaretopostmenopausalwomen.ACCREDITATIONTheNorthAmericanMenopauseSociety(NAMS)isac-creditedbytheAccreditationCouncilforContinuingMedicalEducation(ACCME)toprovidecontinuingmedicaleduca-tionforphysicians.NAMSdesignatesthiseducationalacti-vityforamaximumof2AMAPRACategory1Credit(s)i.Physiciansshouldonlyclaimcreditcommensuratewiththeextentoftheirparticipationintheactivity.INSTRUCTIONSProgramparticipantsshouldcompletetheCMEself-assessmentexaminationprovidedonpage55.Menopause,Vol.17,No.1,201023CONTINUINGMEDICALEDUCATIONGynecologyService,MassachusettsGeneralHospital,Boston,Novartis,Procter&Gamble,Wyeth;Speaker_sBureauVEliLilly,Merck,Procter&Gamble,Roche.MA;LeonSperoff,MD,ProfessorofObstetricsandGynecology,OregonHealthandScienceUniversity,Portland,OR;MichelleP.Warren,MD,MedicalDirector,CenterforMenopause,HormonalDisorders,andWomen_sHealth,ProfessorofMedicine,ObstetricsandGynecology,Wye