Summary of the Thai Osteoporosis Foundation (TOPF) Clinical Practice Guideline on the diagnosis and management of osteoporosis 2021

IF 2.5 Q3 ENDOCRINOLOGY & METABOLISM Osteoporosis and Sarcopenia Pub Date : 2023-06-01 DOI:10.1016/j.afos.2023.06.001

Natthinee Charatcharoenwitthaya , Unnop Jaisamrarn , Thawee Songpatanasilp , Vilai Kuptniratsaikul , Aasis Unnanuntana , Chanika Sritara , Hataikarn Nimitphong , Lalita Wattanachanya , Pojchong Chotiyarnwong , Tanawat Amphansap , Ong-Art Phruetthiphat , Thanut Valleenukul , Sumapa Chaiamnuay , Aisawan Petchlorlian , Varalak Srinonprasert , Sirakarn Tejavanija , Wasuwat Kitisomprayoonkul , Piyapat Dajpratham , Sukanya Chaikittisilpa , Woraluk Somboonporn

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引用次数: 2

Abstract

Objectives

The Thai Osteoporosis Foundation (TOPF) is an academic organization that consists of a multidisciplinary group of healthcare professionals managing osteoporosis. The first clinical practice guideline for diagnosing and managing osteoporosis in Thailand was published by the TOPF in 2010, then updated in 2016 and 2021. This paper presents important updates of the guideline for the diagnosis and management of osteoporosis in Thailand.

Methods

A panel of experts in the field of osteoporosis was recruited by the TOPF to review and update the TOPF position statement from 2016. Evidence was searched using the MEDLINE database through PubMed. Primary writers submitted their first drafts, which were reviewed, discussed, and integrated into the final document. Recommendations are based on reviews of the clinical evidence and experts' opinions. The recommendations are classified using the Grading of Recommendations, Assessment, Development, and Evaluation classification system.

Results

The updated guideline comprises 90 recommendations divided into 12 main topics. This paper summarizes the recommendations focused on 4 main topics: the diagnosis and evaluation of osteoporosis, fracture risk assessment and indications for bone mineral density measurement, fracture risk categorization, management according to fracture risk, and pharmacological management of osteoporosis.

Conclusions

This updated clinical practice guideline is a practical tool to assist healthcare professionals in diagnosing, evaluating, and managing osteoporosis in Thailand.

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泰国骨质疏松基金会(TOPF) 2021年骨质疏松症诊断和管理临床实践指南摘要

目的泰国骨质疏松症基金会（TOPF）是一个学术组织，由管理骨质疏松症的多学科医疗专业人员组成。TOPF于2010年发布了泰国首个诊断和管理骨质疏松症的临床实践指南，随后于2016年和2021年进行了更新。本文介绍了泰国骨质疏松症诊断和管理指南的重要更新。通过PubMed使用MEDLINE数据库检索证据。主要作者提交了他们的初稿，经过审查、讨论并整合到最终文件中。建议基于对临床证据和专家意见的审查。建议采用建议分级、评估、开发和评估分类系统进行分类。结果更新后的指南包括90项建议，分为12个主要主题。本文总结了4个主要主题的建议：骨质疏松症的诊断和评估、骨折风险评估和骨密度测量的适应症、骨折风险分类、根据骨折风险进行管理以及骨质疏松症药物管理。结论本更新的临床实践指南是一个实用的工具，可帮助泰国医疗保健专业人员诊断、评估和管理骨质疏松症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Osteoporosis and Sarcopenia Orthopedics, Sports Medicine and Rehabilitation, Endocrinology, Diabetes and Metabolism, Obstetrics, Gynecology and Women's Health, Geriatrics and Gerontology

自引率

5.00%

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审稿时长

66 days