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UNLABELLED: 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.

Original publication




Journal article


Osteoporos int

Publication Date





399 - 428


Adult, Bone Density, Europe, Female, Femur Neck, Fractures, Bone, Hormone Replacement Therapy, Humans, Lumbar Vertebrae, Middle Aged, Osteoporosis, Postmenopausal, Risk Assessment, Women's Health