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01.12.2021 | Position Paper

The Indian Society for Bone and Mineral Research (ISBMR) position statement for the diagnosis and treatment of osteoporosis in adults

verfasst von: Sanjay K. Bhadada, Manoj Chadha, Usha Sriram, Rimesh Pal, Thomas V. Paul, Rajesh Khadgawat, Ameya Joshi, Beena Bansal, Nitin Kapoor, Anshita Aggarwal, Mahendra K. Garg, Nikhil Tandon, Sushil Gupta, Narendra Kotwal, Shriraam Mahadevan, Satinath Mukhopadhyay, Soham Mukherjee, Subhash C. Kukreja, Sudhaker D. Rao, Ambrish Mithal

Erschienen in: Archives of Osteoporosis | Ausgabe 1/2021

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Abstract

Summary

The Indian Society for Bone and Mineral Research (ISBMR) has herein drafted clinical practice guidelines for the diagnosis and management of osteoporosis for the people of India. Implementation of the position statement in clinical practice is expected to improve the overall care of patients with osteoporosis in India.

Purpose

In India, osteoporosis is a major public health problem. However, in the absence of any robust regional guidelines, the screening, treatment, and follow-up of patients with osteoporosis are lagging behind in the country.

Methods

The Indian Society for Bone and Mineral Research (ISBMR), which is a multidisciplinary group of physicians, researchers, dietitians, and epidemiologists and who study bone and related tissues, in their annual meeting, drafted the guidelines for the diagnosis and management of osteoporosis that would be appropriate in a resource constraint setting like India.

Results

Diagnosis of osteoporosis can be made in a patient with minimal trauma fracture without the aid of any other diagnostic tools. In others, bone mineral density measured by dual-energy X-ray absorptiometry remains the modality of choice. Data indicates that osteoporotic fractures occur at an earlier age in Indians than in the West; hence, screening for osteoporosis should begin at an earlier age. FRAX can be used for fracture risk estimation; however, it may underestimate the risk of future fractures in our population and still needs validation. Maintaining optimum serum 25-hydroxyvitamin D levels is essential, which, in most cases, would require regular vitamin D supplementation. Pharmacotherapy should be guided by the presence/absence of vertebral/hip fractures or the severity of risk based on clinical factors, although bisphosphonates remain the first choice in most cases. Regular follow-up is essential to ensure adherence and response to therapy.

Conclusions

Implementation of the position statement in clinical practice is expected to improve the overall care of patients with osteoporosis in India.

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Titel: The Indian Society for Bone and Mineral Research (ISBMR) position statement for the diagnosis and treatment of osteoporosis in adults
verfasst von: Sanjay K. Bhadada
Manoj Chadha
Usha Sriram
Rimesh Pal
Thomas V. Paul
Rajesh Khadgawat
Ameya Joshi
Beena Bansal
Nitin Kapoor
Anshita Aggarwal
Mahendra K. Garg
Nikhil Tandon
Sushil Gupta
Narendra Kotwal
Shriraam Mahadevan
Satinath Mukhopadhyay
Soham Mukherjee
Subhash C. Kukreja
Sudhaker D. Rao
Ambrish Mithal
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/s11657-021-00954-1

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The Indian Society for Bone and Mineral Research (ISBMR) position statement for the diagnosis and treatment of osteoporosis in adults

Abstract

Summary

Purpose

Methods

Results

Conclusions

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Summary

Purpose

Methods

Results

Conclusions

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Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Update Orthopädie und Unfallchirurgie