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Osteoporosis International
Published in: Osteoporosis International 9/2012

01-09-2012 | Position Paper

A framework for the development of guidelines for the management of glucocorticoid-induced osteoporosis

Authors: S. Lekamwasam, J. D. Adachi, D. Agnusdei, J. Bilezikian, S. Boonen, F. Borgström, C. Cooper, A. Diez Perez, R. Eastell, L. C. Hofbauer, J. A. Kanis, B. L. Langdahl, O. Lesnyak, R. Lorenc, E. McCloskey, O. D. Messina, N. Napoli, B. Obermayer-Pietsch, S. H. Ralston, P. N. Sambrook, S. Silverman, M. Sosa, J. Stepan, G. Suppan, D. A. Wahl, J. E. Compston, Joint IOF-ECTS GIO Guidelines Working Group

Published in: Osteoporosis International | Issue 9/2012

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Abstract

Summary

This paper provides a framework for the development of national guidelines for the management of glucocorticoid-induced osteoporosis in men and women aged 18 years and over in whom oral glucocorticoid therapy is considered for 3 months or longer.

Introduction

The need for updated guidelines for Europe and other parts of the world was recognised by the International Osteoporosis Foundation and the European Calcified Tissue Society, which set up a joint Guideline Working Group at the end of 2010.

Methods and results

The epidemiology of GIO is reviewed. Assessment of risk used a fracture probability-based approach, and intervention thresholds were based on 10-year probabilities using FRAX. The efficacy of intervention was assessed by a systematic review.

Conclusions

Guidance for glucocorticoid-induced osteoporosis is updated in the light of new treatments and methods of assessment. National guidelines derived from this resource need to be tailored within the national healthcare framework of each country.
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Metadata
Title
A framework for the development of guidelines for the management of glucocorticoid-induced osteoporosis
Authors
S. Lekamwasam
J. D. Adachi
D. Agnusdei
J. Bilezikian
S. Boonen
F. Borgström
C. Cooper
A. Diez Perez
R. Eastell
L. C. Hofbauer
J. A. Kanis
B. L. Langdahl
O. Lesnyak
R. Lorenc
E. McCloskey
O. D. Messina
N. Napoli
B. Obermayer-Pietsch
S. H. Ralston
P. N. Sambrook
S. Silverman
M. Sosa
J. Stepan
G. Suppan
D. A. Wahl
J. E. Compston
Joint IOF-ECTS GIO Guidelines Working Group
Publication date
01-09-2012
Publisher
Springer-Verlag
Published in
Osteoporosis International / Issue 9/2012
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-012-1958-1

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