Osteoporosis and fractures in rheumatoid arthritis - risk factors

Katherine D Wysham; Joshua F Baker; Radhika Narla

doi:10.1016/j.berh.2022.101757

Osteoporosis and fractures in rheumatoid arthritis - risk factors

Best Pract Res Clin Rheumatol. 2022 Sep;36(3):101757. doi: 10.1016/j.berh.2022.101757. Epub 2022 Jun 21.

Authors

Katherine D Wysham¹, Joshua F Baker², Radhika Narla³

Affiliations

¹ VA Puget Sound Health Care System, 1660 South Columbian Way, S-151-A, Seattle, WA, 98108, USA; University of Washington Department of Medicine, 1959 NE Pacific St. Box 356428 Seattle, WA 98195-6428, USA. Electronic address: katherine.wysham@va.gov.
² Corporal Michael J. Crescenz VA Medical Center, 3900 Woodland Ave, Philadelphia, PA 19104, USA; Unversity of Pennsylvania Department of Medicine, 5 White Building, 3600 Spruce Street, Philadelphia, PA, 19104, USA. Electronic address: Joshua.Baker@va.gov.
³ VA Puget Sound Health Care System, 1660 South Columbian Way, S-151-A, Seattle, WA, 98108, USA; University of Washington Department of Medicine, 1959 NE Pacific St. Box 356428 Seattle, WA 98195-6428, USA. Electronic address: rnarla@uw.edu.

PMID: 35739049
DOI: 10.1016/j.berh.2022.101757

Abstract

In this chapter, we emphasize among rheumatoid arthritis (RA) patients, whom and how to screen for osteoporosis. We highlight certain modalities, advancements in technology, secondary osteoporosis workup, and laboratory testing as well as their caveats. Finally, we discuss current guidance on how to direct the laboratory and radiology testing in the context of the individual patient with RA to guide and select from the osteoporosis treatment options currently available.

Keywords: Osteoporosis assessment; Osteoporosis treatment; Rheumatoid arthritis.

Published by Elsevier Ltd.

Publication types

Review

MeSH terms

Arthritis, Rheumatoid* / complications
Arthritis, Rheumatoid* / diagnostic imaging
Bone Density
Fractures, Bone* / etiology
Humans
Osteoporosis* / complications
Osteoporosis* / etiology
Radiography
Risk Factors