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  1. L. Dulcey1,
  2. J. Theran2,
  3. D. Villamizar3,
  4. E. Espinoza2,
  5. R. Caltagirone1,
  6. H. Gonzalez4,
  7. J. Lopez4,
  8. A. Quintero5,
  9. R. Parales2,
  10. M. Aguas6
  1. 1Los Andes University, Internal Medicine, Bucaramanga, Colombia
  2. 2Bucaramanga University, Medicine, Bucaramanga, Colombia
  3. 3Industrial University of Bucaramanga, Medicine, Bucaramanga, Colombia
  4. 4Santander University, Medicine, Bucaramanga, Colombia
  5. 5Metropolitan University, Medicine, Bucaramanga, Colombia
  6. 4Santander University, Medicine, Bucaramanga, Colombia


Background Osteoporosis is the most common cause of fractures. The lifetime risk of fracture after age 50 is 40% for women and 13% for men.

Objectives Patients with rheumatological diseases are at greater risk for the development of osteoporosis, either due to the natural history of their disease or due to the side effects of the medications used. We proposed to carry out this study.

Methods Retrospective study aimed at determining the presence of risk factors in patients over 50 years of age who attend the Rheumatology service of a hospital in Venezuela during a follow-up from January 2010 to December 2020 in order to know these risk factors and thus generate strategies that allow better orienting the care of these patients.

Results The main group of patients was constituted by the female gender and the ages between 50 and 65 years. The main rheumatological pathology was rheumatoid arthritis, followed by Lupus, Osteoarthritis in 3 place and finally in the last box other entities other than those indicated.

Graph 1. Prevalence of Osteoporosis due to rheumatological pathologies.

Conclusion The 2 main risk factors for the development of osteoporosis were the use of steroids and obesity. The main type of osteoporosis of the 2 categories described was non-severe. The main group of rheumatological patients most associated with osteoporosis were those with rheumatoid arthritis. 12% of the patients with rheumatic disease and osteoporosis did not have appropriate therapy.

References [1]Tella SH, Gallagher JC. Prevention and treatment of postmenopausal osteoporosis. J Steroid Biochem Mol Biol. 2014 Jul;142:155-70. doi: 10.1016/j.jsbmb.2013.09.008.

[2]Gambacciani M, Levancini M. Management of postmenopausal osteoporosis and the prevention of fractures. Panminerva Med. 2014 Jun;56(2):115-31.

[3]McLendon AN, Woodis CB. A review of osteoporosis management in younger premenopausal women. Womens Health (Lond). 2014 Jan;10(1):59-77. doi: 10.2217/whe.13.73.

[4]Eriksen EF, Díez-Pérez A, Boonen S. Update on long-term treatment with bisphosphonates for postmenopausal osteoporosis: a systematic review. Bone. 2014 Jan;58:126-35. doi: 10.1016/j.bone.2013.09.023.

Disclosure of Interests None declared

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