Article information
Resumen
Con la depleción estrogénica se produce un aumento del remodelado óseo, cuyo grado podemos determinar mediante el análisis de los marcadores bioquímicos de remodelado óseo. En los últimos años se ha puesto mucho énfasis en establecer la relación entre estas tasas de remodelado óseo, determinadas a partir de los valores en los marcadores, con la pérdida ósea y la posibilidad de fractura y como indicadores reales del beneficio de la terapia antirresortiva. Como comentaremos a continuación, aunque existen varios estudios que demuestran su capacidad predictora de pérdida ósea y de posibilidad de fractura, el uso más establecido en la actualidad es el de monitorizar el tratamiento y establecer la adhesión (compliance) de la paciente a la terapia
Palabras clave:
Posmenopausia
Terapia antirresortiva
Predicción de pérdida ósea y de fractura
Beneficio del tratamiento
Summary
With estrogenic depletion, bone remodeling increases. The degree of this remodeling can be determined by analysis of biochemical markers of bone turnover. In the last few years, great efforts have been made to establish the relationship between rates of bone remodeling, determined by levels of markers, and bone loss and the possibility of fracture, as well as to establish the role of these markers as faithful indicators of the benefits of antiresorptive therapy. As will be seen, although several studies demonstrate the capacity of these markers to predict bone loss and the possibility of fracture, currently they are more frequently used to monitor therapy and establish patients' compliance with treatment
Keywords:
Postmenopause
Antiresorptive therapy
Prediction of bone loss and fracture
Treatment benefit
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