Guidelines for the diagnosis, prevention and management of osteoporosis
Autor: | Francesco Bertoldo, Mario Pedrazzoni, Silvano Adami, Ombretta Viapiana, G Osella, Luigi Sinigaglia, Nazzarena Malavolta, Salvatore Minisola, Maurizio Rossini, Sandro Giannini, Andrea Giusti, D. Diacinti, Davide Gatti, Gc Isaia |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
lcsh:Internal medicine
medicine.medical_specialty Cost effectiveness Population Specific risk rheumatology lcsh:Medicine 030209 endocrinology & metabolism Guidelines dual-energy x-ray absorptiometry fractures guidelines osteoporosis risk factors Risk Assessment 03 medical and health sciences 0302 clinical medicine Absorptiometry Photon Meta-Analysis as Topic Bone Density medicine Humans 030212 general & internal medicine lcsh:RC31-1245 Intensive care medicine education Societies Medical education.field_of_study Evidence-Based Medicine business.industry Incidence lcsh:R Evidence-based medicine Systematic review Italy Good clinical practice Physical therapy Secondary osteoporosis Risk assessment business Osteoporotic Fractures |
Zdroj: | Reumatismo, Vol 68, Iss 1, Pp 1-39 (2016) |
Popis: | Osteoporosis poses a significant public health issue. National Societies have developed Guidelines for the diagnosis and treatment of this disorder with an effort of adapting specific tools for risk assessment on the peculiar characteristics of a given population. The Italian Society for Osteoporosis, Mineral Metabolism and Bone Diseases (SIOMMMS) has recently revised the previously published Guidelines on the diagnosis, riskassessment, prevention and management of primary and secondary osteoporosis. The guidelines were first drafted by a working group and then approved by the board of SIOMMMS. Subsequently they received also the endorsement of other major Scientific Societies that deal with bone metabolic disease. These recommendations are based on systematic reviews of the best available evidence and explicit consideration of cost effectiveness. When minimal evidence is available, recommendations are based on leading experts’ experience and opinion, and on good clinical practice. The osteoporosis prevention should be based on the elimination of specific risk factors. The use of drugs registered for the treatment of osteoporosis are recommended when the benefits overcome the risk, and this is the case only when the risk of fracture is rather high as measured with variables susceptible to pharmacological effect. DeFRA (FRAX® derived fracture risk assessment) is recognized as a useful tool for easily estimate the long-term fracture risk. Several secondary forms of osteoporosis require a specific diagnostic and therapeutic management. |
Databáze: | OpenAIRE |
Externí odkaz: |