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Medical Disability Advisor  >  Osteoporosis  >  Prognosis

Osteoporosis


Related Terms


  • Brittle Bone Disease

Differential Diagnoses


Specialists


  • Emergency Medicine Physician
  • Endocrinologist
  • Family Practice Physician
  • Gynecologist
  • Internal Medicine Physician
  • Nephrologist
  • Orthopedic (Orthopaedic) Surgeon
  • Physiatrist
  • Rheumatologist

Comorbid Conditions


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Factors Influencing Duration


Site of fracture (e.g., hip, wrist, etc), type and treatment of fracture, underlying medical conditions, and job requirements will affect the disability period. Individuals diagnosed with osteoporosis are not generally disabled. Treatment of fractures and any underlying disease could create a disability period ranging from several days to permanent disability. Poor physical functioning is related to increased number of fractures and delayed recovery. Length of disability is influenced by the time required for the fracture to heal and job demands. Fractures in younger individuals generally heal faster.

Medical Codes


ICD-9-CM:
733.0 - Osteoporosis
733.00 - Osteoporosis, Unspecified
733.01 - Senile Osteoporosis; Postmenopausal Osteoporosis
733.02 - Idiopathic Osteoporosis
733.03 - Disuse Osteoporosis
733.09 - Osteoporosis, Other; Drug-induced Osteoporosis

Prognosis


There is no single treatment or cure for osteoporosis, although drug therapies are available that slow bone deterioration and increase bone density. Increased bone density reduces risk of fracture and associated pain. Newer therapies substantially decrease the risk of certain fractures from osteoporosis. Prevention is critical in those individuals who are at high-risk.

Recovery from fractures in individuals with osteoporosis can be slow and fraught with complications, leading to a poor outcome. Osteoporosis leads to approximately 1.5 million fractures per year, 70% of which occur in women (Weppner). Among women who have had a fracture of the hip, about 50% will stay in nursing homes during the recovery period, and 14% of all individuals with hip fractures will still be in a nursing home 1 year or longer after the fracture occurred (Jacobs-Kosmin). Only 33% of all individuals who have sustained an osteoporotic fracture return to their pre-fracture level of activity and function (Jacobs-Kosmin). Twenty percent of women and 30% to 50% of men who have sustained a hip fracture secondary to osteoporosis die within 1 year of the fracture (Moyad).

Source: Medical Disability Advisor






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