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Published in: Archives of Osteoporosis 1/2023

Open Access 01-12-2023 | Bisphosphonate | Consensus Statement

Diagnosis and management of osteoporosis in Saudi Arabia: 2023 key updates from the Saudi Osteoporosis Society

Authors: Yousef Al-Saleh, Riad Sulimani, Shaun Sabico, Fahad M. Alshahrani, Mona A. Fouda, Mohammed Almohaya, Salwa B. Alaidarous, Hazem M. Alkhawashki, Mohammed Alshaker, Hanan Alrayes, Najla Saleh, Nasser M. Al-Daghri

Published in: Archives of Osteoporosis | Issue 1/2023

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Abstract

Summary

The Saudi Osteoporosis Society (SOS) has updated its guidelines for the diagnosis and management of osteoporosis in Saudi Arabia (SA), with emphasis on postmenopausal women. This document is relevant to all healthcare professionals in SA involved in the care of patients with osteoporosis and osteoporosis-related fractures.

Introduction

The SOS launched the first national osteoporosis guidelines in 2015 and spearheaded the Gulf Cooperation Council Countries (GCC) osteoporosis consensus report in 2020 which was under the auspices of the European Society for Clinical and Economic Aspects of Osteoporosis (ESCEO). This paper highlights a major update of the guidelines in the SA setting.

Methods

This guideline is an adaptation of the current guidelines derived from ESCEO, the American Association of Clinical Endocrinologists (AACE), and the GCC osteoporosis consensus report and studies on osteoporosis done in SA. Where accessible, the timeliest systematic review, meta-analysis, and randomized controlled trials were used as evidence.

Results

The present update includes new recommendations for the assessment of osteoporosis taking into consideration the Saudi model of FRAX for fracture probabilities, appropriate doses for the maintenance of vitamin D status and calcium, the use of representative blood analytes for therapy monitoring, the use of romosozumab and sequential therapy in the pharmacological management strategies, and the establishment of fracture liaison services to prevent secondary fractures.

Conclusion

This updated guideline is for all healthcare professionals involved in osteoporosis and post-fracture care and management in SA and harmonized the most up-to-date changes in the field based on evidence-based medicine for use in the local setting.
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Metadata
Title
Diagnosis and management of osteoporosis in Saudi Arabia: 2023 key updates from the Saudi Osteoporosis Society
Authors
Yousef Al-Saleh
Riad Sulimani
Shaun Sabico
Fahad M. Alshahrani
Mona A. Fouda
Mohammed Almohaya
Salwa B. Alaidarous
Hazem M. Alkhawashki
Mohammed Alshaker
Hanan Alrayes
Najla Saleh
Nasser M. Al-Daghri
Publication date
01-12-2023
Publisher
Springer London
Published in
Archives of Osteoporosis / Issue 1/2023
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-023-01242-w

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