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Erschienen in: Archives of Osteoporosis 1/2021

01.12.2021 | Review

Challenges and opportunities for quality densitometry in Latin America

verfasst von: Sergio Setsuo Maeda, Ramiro Da Silva LLibre, Henrique Pierotti Arantes, Guilherme Cardenaz de Souza, Francisco Fidencio Cons Molina, Diana Wiluzanski, Jorge Antonio Cedeño Taborda, Claudia Campusano Montaño, Tatiana Maida Vargas, Guillermo Luis Feldmann Lopez, Luis Vidal Neira, Gustavo Adolfo Molina Uribe, Daniel Salica, Ascanio Rafael Bencosme, Sonia Cerdas Perez, Carlos Ramón Rios Acosta, John J. Carey, João Lindolfo Cunha Borges

Erschienen in: Archives of Osteoporosis | Ausgabe 1/2021

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Abstract

Latin America and the Caribbean region account for 8% of the world’s total population. Experts from 18 countries were invited to contribute to this article to provide the best available data on the number, types, and quality of densitometry, DXA experts, the local/national incidence and prevalence of osteoporosis and fragility fractures, and other uses and information on the challenges and opportunities for quality densitometry with examples of local initiatives. Osteoporosis is the primary reason for densitometry in our region, which is not a priority for public health in most countries. Access and quality are major challenges, and there is a clear trend to concentrate on densitometry services in the largest cities. Urgent action is needed to face the rapidly increasing burden of osteoporosis in our region, including robust and up to date epidemiology, access to health professionals, and quality densitometry. Health professionals require better access to training, courses, and other activities at a more local or regional level.
Literatur
2.
Zurück zum Zitat Aziziyeh R, Amin M, Habib M, Garcia Perlaza J, Szafranski K, McTavish RK, Disher T, Lüdke A, Cameron C (2019) The burden of osteoporosis in four Latin American countries: Brazil, Mexico, Colombia, and Argentina. W J Med Econ. 22(7):638–644CrossRef Aziziyeh R, Amin M, Habib M, Garcia Perlaza J, Szafranski K, McTavish RK, Disher T, Lüdke A, Cameron C (2019) The burden of osteoporosis in four Latin American countries: Brazil, Mexico, Colombia, and Argentina. W J Med Econ. 22(7):638–644CrossRef
3.
Zurück zum Zitat Mautalen C, Schianchi A, Sigal D, Gianetti G, Vidan V, Bagur A, González D, Mastaglia S, Oliveri B (2016) Prevalence of osteoporosis in women in Buenos Aires based on bone mineral density at the lumbar spine and femur. J Clin Densitom. 19(4):471–476PubMedCrossRef Mautalen C, Schianchi A, Sigal D, Gianetti G, Vidan V, Bagur A, González D, Mastaglia S, Oliveri B (2016) Prevalence of osteoporosis in women in Buenos Aires based on bone mineral density at the lumbar spine and femur. J Clin Densitom. 19(4):471–476PubMedCrossRef
4.
Zurück zum Zitat Clark P, Cons-Molina F, Deleze M, Ragi S, Haddock L, Zanchetta JR, Jaller JJ, Palermo L, Talavera JO, Messina DO, Morales-Torres J, Salmeron J, Navarrete A, Suarez E, Pérez CM, Cummings SR (2009) The prevalence of radiographic vertebral fractures in Latin American countries: the Latin American Vertebral Osteoporosis Study (LAVOS). Osteoporos Int. 20(2):275–282PubMedCrossRef Clark P, Cons-Molina F, Deleze M, Ragi S, Haddock L, Zanchetta JR, Jaller JJ, Palermo L, Talavera JO, Messina DO, Morales-Torres J, Salmeron J, Navarrete A, Suarez E, Pérez CM, Cummings SR (2009) The prevalence of radiographic vertebral fractures in Latin American countries: the Latin American Vertebral Osteoporosis Study (LAVOS). Osteoporos Int. 20(2):275–282PubMedCrossRef
5.
Zurück zum Zitat Kanis JA, Odén A, McCloskey EV et al (2012) A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int. 23:2239–2256PubMedPubMedCentralCrossRef Kanis JA, Odén A, McCloskey EV et al (2012) A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int. 23:2239–2256PubMedPubMedCentralCrossRef
6.
Zurück zum Zitat Wittich A, Bagur A, Mautalen C, Cristofari A, Escobar O, Carrizo G, Oliveri B (2010) Epidemiology of hip fracture in Tucuman, Argentina. Osteoporos Int. 21(11):1803–1807PubMedCrossRef Wittich A, Bagur A, Mautalen C, Cristofari A, Escobar O, Carrizo G, Oliveri B (2010) Epidemiology of hip fracture in Tucuman, Argentina. Osteoporos Int. 21(11):1803–1807PubMedCrossRef
7.
Zurück zum Zitat Camargo MB, Cendoroglo MS, Ramos LR et al (2005) Bone mineral density and osteoporosis among a predominantly Caucasian elderly population in the city of São Paulo, Brazil. Osteoporos Int 16(11):1451–1460PubMedCrossRef Camargo MB, Cendoroglo MS, Ramos LR et al (2005) Bone mineral density and osteoporosis among a predominantly Caucasian elderly population in the city of São Paulo, Brazil. Osteoporos Int 16(11):1451–1460PubMedCrossRef
8.
Zurück zum Zitat Pinheiro MM, Ciconelli RM, Martini LA, Ferraz MB (2009) Clinical risk factors for osteoporotic fractures in Brazilian women and men: the Brazilian Osteoporosis Study (BRAZOS). Osteoporos Int. 20(3):399–408PubMedCrossRef Pinheiro MM, Ciconelli RM, Martini LA, Ferraz MB (2009) Clinical risk factors for osteoporotic fractures in Brazilian women and men: the Brazilian Osteoporosis Study (BRAZOS). Osteoporos Int. 20(3):399–408PubMedCrossRef
9.
Zurück zum Zitat Domiciano DS, Machado LG, Lopes JB, Figueiredo CP, Caparbo VF, Takayama L, Oliveira RM, Menezes PR, Pereira RMR (2014) Incidence and risk factors for osteoporotic vertebral fracture in low-income community-dwelling elderly: a population-based prospective cohort study in Brazil. The São Paulo Ageing & Health (SPAH) Study. Osteoporos Int. 25(12):2805–2815PubMedCrossRef Domiciano DS, Machado LG, Lopes JB, Figueiredo CP, Caparbo VF, Takayama L, Oliveira RM, Menezes PR, Pereira RMR (2014) Incidence and risk factors for osteoporotic vertebral fracture in low-income community-dwelling elderly: a population-based prospective cohort study in Brazil. The São Paulo Ageing & Health (SPAH) Study. Osteoporos Int. 25(12):2805–2815PubMedCrossRef
10.
Zurück zum Zitat Rodríguez PJA, Valdivia CG, Trincado MP (2007) [Vertebral fractures, osteoporosis and vitamin D levels in Chilean postmenopausal women]. [Article in Spanish]. Rev Med Chil. 135(1):31–36CrossRef Rodríguez PJA, Valdivia CG, Trincado MP (2007) [Vertebral fractures, osteoporosis and vitamin D levels in Chilean postmenopausal women]. [Article in Spanish]. Rev Med Chil. 135(1):31–36CrossRef
11.
Zurück zum Zitat Contreras L, Kirschbaum A, Pumarino H (1991) Epidemiology of fractures in Chile. Rev Med Chile 119(1):92–98PubMed Contreras L, Kirschbaum A, Pumarino H (1991) Epidemiology of fractures in Chile. Rev Med Chile 119(1):92–98PubMed
12.
Zurück zum Zitat García J, Guerrero E, Terront A et al (2014) Costos de fracturas en mujeres con osteoporosis en Colombia. Acta Méd Colombiana 39:46–56 García J, Guerrero E, Terront A et al (2014) Costos de fracturas en mujeres con osteoporosis en Colombia. Acta Méd Colombiana 39:46–56
13.
Zurück zum Zitat Medina-Orjuela A, Rosero-Olarte O, Rueda-Plata P et al (2018) II Consenso Colombiano para el Manejo de la Osteoporosis Posmenopáusica. Rev. Colomb. Reumatol. [Internet] 25(3):184–210 Medina-Orjuela A, Rosero-Olarte O, Rueda-Plata P et al (2018) II Consenso Colombiano para el Manejo de la Osteoporosis Posmenopáusica. Rev. Colomb. Reumatol. [Internet] 25(3):184–210
14.
Zurück zum Zitat Jaller-Raad JJ, Jaller-Char JJ, Lechuga-Ortiz JA, Navarro-Lechuga E, Johansson H, Kanis JA (2013) Incidence of hip fracture in Barranquilla, Colombia, and the development of a Colombian FRAX model. Calcif Tissue Int. 93(1):15–22PubMedCrossRef Jaller-Raad JJ, Jaller-Char JJ, Lechuga-Ortiz JA, Navarro-Lechuga E, Johansson H, Kanis JA (2013) Incidence of hip fracture in Barranquilla, Colombia, and the development of a Colombian FRAX model. Calcif Tissue Int. 93(1):15–22PubMedCrossRef
15.
Zurück zum Zitat Lopez G, Chacon K, Rivero A (2007) Incidencia de fractura de cadera en Costa Rica. Revista Medica de Costa Rica Y Centroamerica 580:125–132 Lopez G, Chacon K, Rivero A (2007) Incidencia de fractura de cadera en Costa Rica. Revista Medica de Costa Rica Y Centroamerica 580:125–132
16.
Zurück zum Zitat López Gavilánez E, Chedraui P, Guerrero Franco K, Marriott Blum D, Palacio Riofrío J, Segale BA (2018) Fracturas osteoporóticas de cadera en adultos mayores en Ecuador 2016. Rev Osteoporos Metab Miner 10(2):63–70 López Gavilánez E, Chedraui P, Guerrero Franco K, Marriott Blum D, Palacio Riofrío J, Segale BA (2018) Fracturas osteoporóticas de cadera en adultos mayores en Ecuador 2016. Rev Osteoporos Metab Miner 10(2):63–70
17.
Zurück zum Zitat Clark P, Tamayo JA, Cisneros F, Rivera FC, Valdés M (2013) Epidemiology of osteoporosis in Mexico. Present and future directions. Rev Invest Clin. 65(2):183–191PubMed Clark P, Tamayo JA, Cisneros F, Rivera FC, Valdés M (2013) Epidemiology of osteoporosis in Mexico. Present and future directions. Rev Invest Clin. 65(2):183–191PubMed
18.
Zurück zum Zitat Johansson H, Clark P, Carlos F, Oden A, McCloskey EV, Kanis JA (2011) Increasing age-and sex-specific rates of hip fracture in Mexico: a survey of the Mexican institute of social security. Osteoporos Int. 22(8):2359–2364PubMedCrossRef Johansson H, Clark P, Carlos F, Oden A, McCloskey EV, Kanis JA (2011) Increasing age-and sex-specific rates of hip fracture in Mexico: a survey of the Mexican institute of social security. Osteoporos Int. 22(8):2359–2364PubMedCrossRef
19.
Zurück zum Zitat Chue de Coto E (1997) The incidence of hip fractures in pre- and postmenopausal women in Panama. Rev Med Panama 22:30–38PubMed Chue de Coto E (1997) The incidence of hip fractures in pre- and postmenopausal women in Panama. Rev Med Panama 22:30–38PubMed
20.
Zurück zum Zitat Becarra-Rojas F, Jupari M (2001) Epidemiology of osteoporosis in Peru. Bone 29:294–313CrossRef Becarra-Rojas F, Jupari M (2001) Epidemiology of osteoporosis in Peru. Bone 29:294–313CrossRef
21.
Zurück zum Zitat Morales-Torres J, Gutiérrez-Ureña S, Osteoporosis committee of PANLAR (2004) The burden of osteoporosis in Latin America. Osteoporos Int 15(625-632):6 Morales-Torres J, Gutiérrez-Ureña S, Osteoporosis committee of PANLAR (2004) The burden of osteoporosis in Latin America. Osteoporos Int 15(625-632):6
22.
Zurück zum Zitat Capunay MP, Vincentelo R, Dorregaray J, Angulo J (2002) Incidencia de fractura de femur proximal atribuible a osteoporosis en una población de Lima. J Clin Rheumatol 8:S49(abstract) Capunay MP, Vincentelo R, Dorregaray J, Angulo J (2002) Incidencia de fractura de femur proximal atribuible a osteoporosis en una población de Lima. J Clin Rheumatol 8:S49(abstract)
23.
Zurück zum Zitat Riera-Espinoza G, Lopez D, Kanis JA (2008) Life-Time risk of hip fracture and incidence rates in Carabobo, Venezuela. Osteoporos Int 19(Suppl 2):S356 Riera-Espinoza G, Lopez D, Kanis JA (2008) Life-Time risk of hip fracture and incidence rates in Carabobo, Venezuela. Osteoporos Int 19(Suppl 2):S356
24.
Zurück zum Zitat Cosman F (2017) Spine fracture prevalence in a nationally representative sample of US women and men aged ≥40 years: results from the National Health and Nutrition Examination Survey (NHANES) 2013-2014---supplementary Presentation. Osteoporos Int. 28(8):2319–2320PubMedCrossRef Cosman F (2017) Spine fracture prevalence in a nationally representative sample of US women and men aged ≥40 years: results from the National Health and Nutrition Examination Survey (NHANES) 2013-2014---supplementary Presentation. Osteoporos Int. 28(8):2319–2320PubMedCrossRef
25.
Zurück zum Zitat Borgström F, Karlsson L, Ortsäter G, Norton N, Halbout P, Cooper C, Lorentzon M, McCloskey EV, Harvey NC, Javaid MK, Kanis JA, International Osteoporosis Foundation (2020) Fragility fractures in Europe: burden, management and opportunities. Arch Osteoporos 15(1):59PubMedPubMedCentralCrossRef Borgström F, Karlsson L, Ortsäter G, Norton N, Halbout P, Cooper C, Lorentzon M, McCloskey EV, Harvey NC, Javaid MK, Kanis JA, International Osteoporosis Foundation (2020) Fragility fractures in Europe: burden, management and opportunities. Arch Osteoporos 15(1):59PubMedPubMedCentralCrossRef
26.
Zurück zum Zitat Leslie WD, Crandall CJ (2019) Population-based osteoporosis primary prevention and screening for quality of care in osteoporosis. Current Osteoporosis Reports Curr Osteoporos Rep. 17(6):483–490PubMedCrossRef Leslie WD, Crandall CJ (2019) Population-based osteoporosis primary prevention and screening for quality of care in osteoporosis. Current Osteoporosis Reports Curr Osteoporos Rep. 17(6):483–490PubMedCrossRef
27.
Zurück zum Zitat Rubin KH, Friis-Holmberg T, Pernille Hermann AP, Abrahamsen B, Brixen K (2013) Risk assessment tools to identify women with increased risk of osteoporotic fracture: complexity or simplicity? A systematic review. J Bone Miner Res. 28(8):1701–1717PubMedCrossRef Rubin KH, Friis-Holmberg T, Pernille Hermann AP, Abrahamsen B, Brixen K (2013) Risk assessment tools to identify women with increased risk of osteoporotic fracture: complexity or simplicity? A systematic review. J Bone Miner Res. 28(8):1701–1717PubMedCrossRef
28.
Zurück zum Zitat Saraví FD (2013) Osteoporosis self-assessment tool performance in a large sample of postmenopausal women of mendoza, Argentina. J Osteoporos 2013:150154PubMedPubMedCentral Saraví FD (2013) Osteoporosis self-assessment tool performance in a large sample of postmenopausal women of mendoza, Argentina. J Osteoporos 2013:150154PubMedPubMedCentral
29.
Zurück zum Zitat Kanis JA, Johnell O (2005) Requirements for DXA for the management of osteoporosis in Europe. Osteoporos Int. 16(3):229–238PubMedCrossRef Kanis JA, Johnell O (2005) Requirements for DXA for the management of osteoporosis in Europe. Osteoporos Int. 16(3):229–238PubMedCrossRef
30.
Zurück zum Zitat Lewiecke EM, Binkley N, Morgan SL, Shuhart CR, Camargos BM, Carey JJ, Gordon CM, Jankowski LG, Lee JK, Leslie WD, International Society for Clinical Densitometry (2016) Best practices for dual-energy X-ray absorptiometry measurement and reporting: International Society for Clinical Densitometry Guidance. J Clin Densitom. 19(2):127–140CrossRef Lewiecke EM, Binkley N, Morgan SL, Shuhart CR, Camargos BM, Carey JJ, Gordon CM, Jankowski LG, Lee JK, Leslie WD, International Society for Clinical Densitometry (2016) Best practices for dual-energy X-ray absorptiometry measurement and reporting: International Society for Clinical Densitometry Guidance. J Clin Densitom. 19(2):127–140CrossRef
31.
Zurück zum Zitat Radominski SC, Bernardo W, Paula AP et al (2017) Brazilian guidelines for the diagnosis and treatment of postmenopausal osteoporosis. Rev Bras Reumatol Engl Ed. 57(Suppl 2):452–466PubMedCrossRef Radominski SC, Bernardo W, Paula AP et al (2017) Brazilian guidelines for the diagnosis and treatment of postmenopausal osteoporosis. Rev Bras Reumatol Engl Ed. 57(Suppl 2):452–466PubMedCrossRef
33.
Zurück zum Zitat Schurman L, Galich AM, González C, González D, Messina OD, Sedlinsky C, Uñas CR, Sánchez A (2017) Argentine guidelines for the diagnosis, prevention and treatment of osteoporosis, 2015. Medicina (B Aires). 77(1):46–60PubMed Schurman L, Galich AM, González C, González D, Messina OD, Sedlinsky C, Uñas CR, Sánchez A (2017) Argentine guidelines for the diagnosis, prevention and treatment of osteoporosis, 2015. Medicina (B Aires). 77(1):46–60PubMed
34.
Zurück zum Zitat Messina OD, Somma LF, Tamborenea MI et al (2016) Guías para el diagnóstico, la prevención y el tratamiento de la osteoporosis inducida por glucocorticoides en el adulto. Actual. Osteol. 12(2):107–125 Messina OD, Somma LF, Tamborenea MI et al (2016) Guías para el diagnóstico, la prevención y el tratamiento de la osteoporosis inducida por glucocorticoides en el adulto. Actual. Osteol. 12(2):107–125
35.
Zurück zum Zitat Pereira RM, Carvalho JF, Paula AP et al (2012) Guidelines for the prevention and treatment of glucocorticoid-induced osteoporosis. Rev Bras Reumatol. 52(4):580–593PubMedCrossRef Pereira RM, Carvalho JF, Paula AP et al (2012) Guidelines for the prevention and treatment of glucocorticoid-induced osteoporosis. Rev Bras Reumatol. 52(4):580–593PubMedCrossRef
36.
Zurück zum Zitat Loures MAR, Zerbini CAF, Danowski JS, Pereira RMR, Moreira C, Paula AP, Castro CHM, Szejnfeld VL, Mendonça LMC, Radominiski SC, Bezerra MC, Simões R, Bernardo WM (2017) Guidelines of the Brazilian Society of Rheumatology for the diagnosis and treatment of osteoporosis in men. Rev Bras Reumatol Engl Ed. 57(Suppl 2):497–514PubMedCrossRef Loures MAR, Zerbini CAF, Danowski JS, Pereira RMR, Moreira C, Paula AP, Castro CHM, Szejnfeld VL, Mendonça LMC, Radominiski SC, Bezerra MC, Simões R, Bernardo WM (2017) Guidelines of the Brazilian Society of Rheumatology for the diagnosis and treatment of osteoporosis in men. Rev Bras Reumatol Engl Ed. 57(Suppl 2):497–514PubMedCrossRef
38.
Zurück zum Zitat Barberán M, Campusano C, Trincado P et al (2018) Recomendaciones para el uso correcto de densitometría ósea en la práctica clínica. Consenso de la Sociedad Chilena de Endocrinología y Diabetes. Revista médica de Chile 146(12):1471–1480CrossRef Barberán M, Campusano C, Trincado P et al (2018) Recomendaciones para el uso correcto de densitometría ósea en la práctica clínica. Consenso de la Sociedad Chilena de Endocrinología y Diabetes. Revista médica de Chile 146(12):1471–1480CrossRef
42.
Zurück zum Zitat (2018) Consenso Venezolano de Menopausia. Rev Obstet Ginecol Venez;78(Supl 1):S81-S99. (2018) Consenso Venezolano de Menopausia. Rev Obstet Ginecol Venez;78(Supl 1):S81-S99.
44.
Zurück zum Zitat Clynes MA, Westbury LD, Dennison EM, Kanis JA, Javaid MK, Harvey NC, Fujita M, Cooper C, Leslie WD, Shuhart CR, International Society for Clinical Densitometry (ISCD) and the International Osteoporosis Foundation (IOF) (2020) Bone densitometry worldwide: a global survey by the ISCD and IOF. Osteoporos Int. 31(9):1779–1786PubMedCrossRefPubMedCentral Clynes MA, Westbury LD, Dennison EM, Kanis JA, Javaid MK, Harvey NC, Fujita M, Cooper C, Leslie WD, Shuhart CR, International Society for Clinical Densitometry (ISCD) and the International Osteoporosis Foundation (IOF) (2020) Bone densitometry worldwide: a global survey by the ISCD and IOF. Osteoporos Int. 31(9):1779–1786PubMedCrossRefPubMedCentral
45.
Zurück zum Zitat Albergaria BH, Chalem M, Clark P, Messina OD, Pereira RMR, Vidal LF (2018) Consensus statement: osteoporosis prevention and treatment in Latin America-current structure and future directions. Arch Osteoporos. 13(1):90PubMedCrossRefPubMedCentral Albergaria BH, Chalem M, Clark P, Messina OD, Pereira RMR, Vidal LF (2018) Consensus statement: osteoporosis prevention and treatment in Latin America-current structure and future directions. Arch Osteoporos. 13(1):90PubMedCrossRefPubMedCentral
Metadaten
Titel
Challenges and opportunities for quality densitometry in Latin America
verfasst von
Sergio Setsuo Maeda
Ramiro Da Silva LLibre
Henrique Pierotti Arantes
Guilherme Cardenaz de Souza
Francisco Fidencio Cons Molina
Diana Wiluzanski
Jorge Antonio Cedeño Taborda
Claudia Campusano Montaño
Tatiana Maida Vargas
Guillermo Luis Feldmann Lopez
Luis Vidal Neira
Gustavo Adolfo Molina Uribe
Daniel Salica
Ascanio Rafael Bencosme
Sonia Cerdas Perez
Carlos Ramón Rios Acosta
John J. Carey
João Lindolfo Cunha Borges
Publikationsdatum
01.12.2021
Verlag
Springer London
Erschienen in
Archives of Osteoporosis / Ausgabe 1/2021
Print ISSN: 1862-3522
Elektronische ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-021-00892-y

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