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<p>Osteoporosis affects approximately 6&#xa0;million people in Germany, both women and men, making it one of the most significant common diseases. Fractures as a&#xa0;typical manifestation of the condition increase with advancing age—a&#xa0;fact that carries particular weight in an increasingly ageing society. In 2019, at least 20% more femoral neck fractures and pertrochanteric fractures were recorded compared to 2009. Evidence-based diagnostics and therapy are therefore indispensable for which S3&#xa0;guideline recommendations (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften [AWMF] 183-001) have been formulated and were updated in September 2023. Diagnosis is based on fracture risk, and while various treatment approaches are available, adequate care structures that ensure reliable management of patients are lacking in many places—particularly in the aftermath of an osteoporotic fracture. This article aims to address the criticism that the current osteoporosis guideline is too complex. In fact, diagnosing and treating fracture risk is now highly standardized and easily put into practice. A&#xa0;second aspect is the neglect of the topic of osteoporosis in men.</p>

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Osteoporose – Plädoyer für eine konsequente Diagnostik und Therapie – auch bei Männern

  • 期刊论文

  • 发表日期：

    2026年6月2日

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  • Friederike Thomasius,
  • Björn Bühring

摘要

Osteoporosis affects approximately 6 million people in Germany, both women and men, making it one of the most significant common diseases. Fractures as a typical manifestation of the condition increase with advancing age—a fact that carries particular weight in an increasingly ageing society. In 2019, at least 20% more femoral neck fractures and pertrochanteric fractures were recorded compared to 2009. Evidence-based diagnostics and therapy are therefore indispensable for which S3 guideline recommendations (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften [AWMF] 183-001) have been formulated and were updated in September 2023. Diagnosis is based on fracture risk, and while various treatment approaches are available, adequate care structures that ensure reliable management of patients are lacking in many places—particularly in the aftermath of an osteoporotic fracture. This article aims to address the criticism that the current osteoporosis guideline is too complex. In fact, diagnosing and treating fracture risk is now highly standardized and easily put into practice. A second aspect is the neglect of the topic of osteoporosis in men.