Korean Guideline for the Prevention and Treatment of Glucocorticoid-induced Osteoporosis
Journal of Bone Metabolism
;
: 195-211, 2018.
Artigo
em Inglês
| WPRIM
| ID: wpr-718153
ABSTRACT
BACKGROUND:
To develop guidelines and recommendations to prevent and treat glucocorticoid (GC)-induced osteoporosis (GIOP) in Korea.METHODS:
The Korean Society for Bone and Mineral Research and the Korean College of Rheumatology have developed this guideline based on Guidance for the Development of Clinical Practice Guidelines ver. 1.0 established by the National Evidence-Based Healthcare Collaborating Agency. This guideline was developed by adapting previously published guidelines, and a systematic review and quality assessment were performed.RESULTS:
This guideline applies to adults aged ≥19 years who are using or plan to use GCs. It does not include children and adolescents. An initial assessment of fracture risk should be performed within 6 months of initial GC use. Fracture risk should be estimated using the fracture-risk assessment tool (FRAX) after adjustments for GC dose, history of osteoporotic fractures, and bone mineral density (BMD) results. All patients administered with prednisolone or an equivalent medication at a dose ≥2.5 mg/day for ≥3 months are recommended to use adequate calcium and vitamin D during treatment. Patients showing a moderate-to-high fracture risk should be treated with additional medication for osteoporosis. All patients continuing GC therapy should undergo annual BMD testing, vertebral X-ray, and fracture risk assessment using FRAX. When treatment failure is suspected, switching to another drug should be considered.CONCLUSIONS:
This guideline is intended to guide clinicians in the prevention and treatment of GIOP.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Osteoporose
/
Reumatologia
/
Vitamina D
/
Prednisolona
/
Densidade Óssea
/
Cálcio
/
Falha de Tratamento
/
Medição de Risco
/
Teriparatida
/
Prática Clínica Baseada em Evidências
Tipo de estudo:
Estudo de etiologia
/
Guia de Prática Clínica
/
Fatores de risco
Limite:
Adolescente
/
Adulto
/
Criança
/
Humanos
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Journal of Bone Metabolism
Ano de publicação:
2018
Tipo de documento:
Artigo
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