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Osteoporosis Update: Proceedings of the 2013 Santa Fe Bone Symposium
Institution:1. New Mexico Clinical Research & Osteoporosis Center, Albuquerque, NM, USA;2. Columbia University College of Physicians and Surgeons, New York City, NY, USA;3. University of Missouri School of Dentistry, Kansas City, MO, USA;4. Cambridge Biomedical Campus, Cambridge, UK;5. Creighton University, Omaha, NE, USA;6. Institute for Aging Research, Hebrew SeniorLife, Beth Israel Deaconess Medical Center, and Harvard Medical School, Boston, MA, USA;7. Colorado Center for Bone Research, Lakewood, CO, USA;8. Park Nicollet Osteoporosis Center, Park Nicollet Clinic, Minneapolis, MN, USA;9. Division of Health Policy & Management, University of Minnesota, Minneapolis, MN, USA;1. Federal University of Paraná, Department of Environmental Engineering, Curitiba, Paraná 81531-980, Brazil;2. Université de Toulouse, UPS, INSA, LMDC (Laboratoire Matériaux et Durabilité des Constructions), 135, avenue de Rangueil, F-31 077 Toulouse Cedex 04, France;3. Duke University, Department of Mechanical Engineering and Materials Science, Durham, NC 27708-0300, USA;1. Department of Dermatology, Alpert Medical School of Brown University, Providence, Rhode Island;2. Center for Dermatoepidemiology, Department of Veterans Affairs Medical Center, Providence, Rhode Island;3. Department of Dermatology, University of California, San Francisco;1. Department of Histology and Embryology, Cerrahpasa Faculty of Medicine, Istanbul University, Turkey;2. Department of Medical Biology, Cerrahpasa Faculty of Medicine, Istanbul University, Turkey
Abstract:The 2013 Santa Fe Bone Symposium included plenary sessions on new developments in the fields of osteoporosis and metabolic bone disease, oral presentations of abstracts, and faculty panel discussions of common clinical conundrums: scenarios of perplexing circumstances where treatment decisions are not clearly defined by current medical evidence and clinical practice guidelines. Controversial issues in the care of osteoporosis were reviewed and discussed by faculty and participants. This is a review of the proceedings of the Santa Fe Bone Symposium, constituting in its entirety an update of advances in the understanding of selected bone disease topics of interest and the implications for managing patients in clinical practice. Topics included the associations of diabetes and obesity with skeletal fragility, the complexities and pitfalls in assessing the benefits and potential adverse effects of nutrients for treatment of osteoporosis, uses of dual-energy X-ray absorptiometry beyond measurement of bone mineral density, challenges in the care of osteoporosis in the very elderly, new findings on the role of osteocytes in regulating bone remodeling, and current concepts on the use of bone turnover markers in managing patients with chronic kidney disease who are at high risk for fracture.
Keywords:Controversy  emerging  osteoporosis  safety  treatment
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