In the 154 men was considered a breakthrough

, Osteoporosis can be classified as primary or secondary depending on the presence or absence of known cause. Previous studies have shown that men have secondary causes are common (50%). However, most studies were conducted in one

centers interested in metabolic bone disease, and it is possible that the direction of bias may explain, in particular, >> << high prevalence of secondary causes [

-]. The aim of our lasix for congestive heart failure study was to determine the relative proportions of vertebral fractures due to primary and secondary osteoporosis >> << men in several clinical settings, including teaching and district general hospitals. We also reviewed the main >> << secondary causes of osteoporosis. Descriptive survey method was used. Installation was medical (predominantly rheumatology) clinics in nine hospital

on the north-west England. These include education [

] and district general hospitals []. Consecutive men attending these clinics with radiographically confirmed vertebral fractures were included in the study. For each patient, the doctor have in common that they consider the main cause of fracture (osteoporosis / trauma / other). Fractures due to osteoporosis were classified as either primary or secondary consequence of osteoporosis. If the fracture was

through secondary osteoporosis, the reason (s) of osteoporosis was recorded. One hundred and fifty nine people with vertebral fractures (mean age 60 years. 8 years

SO = 13. 5 years) were included in the study. In the 154 men was considered a breakthrough because of osteoporosis. In the other five >> << fracture was due to injury (two), malignant neoplasm (two) and Paget's disease (one). With 154 cases of osteoporosis, 81 (53%)

considered in connection with primary or idiopathic osteoporosis and 73 (47%) to the main secondary causes. There

no distinction in some patients with secondary causes identified in the study hospital centers (43%) and

district general hospitals (55%) (χ

= 2. << 25 >> P = 0. 13). The most frequent causes were secondary corticosteroids [34 (47%)], an excess of alcohol [10 (14%)] and hypogonadism [7

(10%)]. Eight (11%) patients had other causes, and in 14 (19%) were more than one reason. The average age

those with primary osteoporosis were similar to those of secondary osteoporosis (61 5.

Against 59. 3 years). A recent comprehensive analysis of several studies show that 58% of men leading cause of secondary osteoporosis [-]. In a later study in the UK, Evans

al. [

] Showed that 52% of group 220 people were secondary cause. In our study the frequency of secondary causes was similar >> << (47%). In addition, there was no significant difference in the relative proportions of primary and secondary causes in you

go to hospital centers and those in district general hospitals, providing some assurance that in this study

shift directions not explain the results. Our data confirm the observation in previous studies that most often

underlying secondary causes of osteoporosis excess alcohol, corticosteroids, and hypogonadism [

]. Thus, men who attend hospital clinics with osteoporosis fractures of the spine in the north-west of England, about

50% will be the main cause of secondary osteoporosis. .