It is unclear if this increase is due to real change in the underlying risk for disease, or if it is due to improved diagnostic possibilities and changes in diagnostic criteria. Currently, there is no effective primary prevention option for this disease and strategies are oriented to improved disease management. Osteoporosis Low bone density is strongly associated with an increased risk of fracture among elderly people. Diagnostic and therapeutic management of low bone density represents a challenge. There are many recommendations, but there is no agreement about what represents the best way to diagnostically and therapeutically manage patients with low bone density.
New drugs are expensive.
Hypertension High blood pressure has been known for a long time to increase the risk of cardio-vascular mortality. There is general agreement that high blood pressure should be treated. There is, however, a lack of universally accepted guidelines for management of these patients. Several problems are evident. Patients not coming to the office are not diagnosed.