Egyptian consensus on treat-to-target approach for osteoporosis: a clinical practice guideline from the Egyptian Academy of bone health and metabolic bone diseases
| Autor: | Yasser El Miedany, Hany Aly, Mohammed Hassan Abu-Zaid, S.I. Nasef, Yasmin Adel, Rasha M. Ghaleb, Mervat Eissa, Heba G. Saber, Sahar S Ganeb, Nevine Mohannad, Samar Abd Alhamed Tabra, Osama Farouk, Medhat Mohiy Eldin Ibrahim, Mona Mansour Hasab El Naby, Salwa Galal, Gehan Elolemy, Naglaa Gadallah, Nermeen A Fouad, Basma M Medhat, Henaz Farouk Khaled, Mohamed Mortada, Nihal A. Fathi, Maha El Gaafary, Sally S. Mohamed, Waleed A. Hassan |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Consensus medicine.medical_treatment Osteoporosis Delphi method 030209 endocrinology & metabolism Diseases of the musculoskeletal system Guidelines Bone health Delphi 03 medical and health sciences 0302 clinical medicine Intervention (counseling) medicine Standards of care Rehabilitation business.industry Treat to target Guideline medicine.disease Clinical Practice RC925-935 Family medicine Egypt 030101 anatomy & morphology business |
| Zdroj: | Egyptian Rheumatology and Rehabilitation, Vol 48, Iss 1, Pp 1-16 (2021) |
| ISSN: | 2090-3235 |
| Popis: | Background This study was carried out to achieve an Egyptian expert consensus on a treat-to-target management strategy for osteoporosis using Delphi technique. A scientific committee identified researchers and clinicians with expertise in osteoporosis in Egypt. Delphi process was implemented (2 rounds) to establish a consensus on 15 clinical standards: (1) concept, (2) diagnosis, (3) case identification, (4) whom to treat, (5) who should treat?, (6) case stratification and intervention thresholds, (7) falls risk, (8) investigations, (9) treatment target, (10) management, (11) optimum treatment duration, (12) monitoring, (13) drug holiday, (14) osteoporosis in men, and (15) post-fracture care and fracture liaison service. Results The surveys were sent to an expert panel (n = 25), of whom 24 participated in the two rounds. Respondents were drawn from different governorates and health centres across Egypt including the Ministry of Health. Most of the participants were rheumatologists (76%), followed by internists (8%), orthopaedic doctors (4%), rehabilitation doctors (4%), primary care (4%), and ortho-geriatrics (4%) physicians. Seventy-two recommendations, categorised into 15 sections, were obtained. Agreement with the recommendations (rank 7–9) ranged from 83.4 to 100%. Consensus was reached (i.e. ≥ 75% of respondents strongly agreed or agreed) on the wording of all 15 clinical standards identified by the scientific committee. An algorithm for the management of postmenopausal osteoporosis has been suggested. Conclusion A wide and representative panel of experts established a consensus regarding the management of osteoporosis in Egypt. The developed guidelines provide a comprehensive approach to the assessment and management of osteoporosis for all Egyptian healthcare professionals who are involved in its management. |
| Databáze: | OpenAIRE |
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