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Erschienen in: Archives of Osteoporosis 1/2021

26.01.2021 | COVID-19 | Position Paper Zur Zeit gratis

Joint position statement on management of patient with osteoporosis during COVID-19 contingency from the AMMOM, CONAMEGER, FELAEN, FEMECOG, FEMECOT, and ICAAFYD

verfasst von: Francisco Torres-Naranjo, Pilar De la Peña-Rodríguez, Roberto Enrique López-Cervantes, Jorge Morales-Torres, Jorge Morales-Vargas, Hugo Gutiérrez-Hermosillo, Alan Christopher Guzmán-Rico, Roberto Gabriel González-Mendoza, Pedro Nel Rueda Plata, Miguel Flores Castro, Cuauhtémoc Celis Gonzalez, Rolando Espinosa Morales, Sergio Quintero Hernández, Juan Ricardo López-Taylor

Erschienen in: Archives of Osteoporosis | Ausgabe 1/2021

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Abstract

Summary

Infection by SARS-Cov-2 (COVID-19) has affected practically all the world. This joint position statement of Latin American Medical Societies provides an updated guide for the prevention, diagnosis, and treatment of osteoporotic patients in the face of possible clinical scenarios posed by the COVID-19 health crisis.

Background

Infection by SARS-Cov-2 (COVID-19) has affected practically all the world. Characterized by high contagiousness, significative morbidity, and mortality in a segment of those infected, it has overwhelmed health services and forced to redirect resources to the emergency while impacting the attention of acute non-COVID-19 and many chronic conditions.

Objective

The objective of this study is to provide an updated guide for the prevention, diagnosis, and treatment of osteoporotic patients in the face of possible clinical scenarios posed by the COVID-19 health crisis.

Methods

A task force, of bone specialists with a wide range of disciplines in the field of osteoporosis and fragility fracture, was convened with the representation of several professional associations, namely, the Mexican Association of Bone and Mineral Metabolism (AMMOM), the National College of Geriatric Medicine (CONAMEGER), the Latin American Federation of Endocrinology (FELAEN), the Mexican Federation of Colleges of Obstetrics and Gynecology (FEMECOG), the Mexican Federation of Colleges of Orthopedics and Traumatology (FEMECOT), and the Institute of Applied Sciences for Physical Activity and Sports of the University of Guadalajara (ICAAFYD). Clinical evidence was collated, and an evidence report was rapidly generated and disseminated. After finding the gaps in the available evidence, a consensus opinion of experts was made. The resulting draft was reviewed and modified accordingly, in 4 rounds, by the participants.

Results

The task force approved the initial guidance statements, with moderate and high consensus. These were combined, resulting in the final guidance statements on the (1) evaluation of fracture risk; (2) stratification of risk priorities; (3) indications of bone density scans and lab tests; (4) initiation and continuation of pharmacologic therapy; (5) interruptions of therapy; (6) treatment of patients with incident fracture; (7) physical therapy and fall prevention; and (8) nutritional interventions.

Conclusion

These guidance statements are provided to promote optimal care to patients at risk for osteoporosis and fracture, during the current COVID-19 pandemic. However, given the low level of available evidence and the rapidly evolving literature, this guidance is presented as a “living document” and future updates are anticipated.
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Metadaten
Titel
Joint position statement on management of patient with osteoporosis during COVID-19 contingency from the AMMOM, CONAMEGER, FELAEN, FEMECOG, FEMECOT, and ICAAFYD
verfasst von
Francisco Torres-Naranjo
Pilar De la Peña-Rodríguez
Roberto Enrique López-Cervantes
Jorge Morales-Torres
Jorge Morales-Vargas
Hugo Gutiérrez-Hermosillo
Alan Christopher Guzmán-Rico
Roberto Gabriel González-Mendoza
Pedro Nel Rueda Plata
Miguel Flores Castro
Cuauhtémoc Celis Gonzalez
Rolando Espinosa Morales
Sergio Quintero Hernández
Juan Ricardo López-Taylor
Publikationsdatum
26.01.2021
Verlag
Springer London
Schlagwort
COVID-19
Erschienen in
Archives of Osteoporosis / Ausgabe 1/2021
Print ISSN: 1862-3522
Elektronische ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-020-00869-3

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