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Archives of Osteoporosis
Published in: Archives of Osteoporosis 1/2019

01-12-2019 | Bisphosphonate | Original Article

The 2018 Guidelines for the diagnosis and treatment of osteoporosis in Greece

Authors: Polyzois Makras, Athanasios D. Anastasilakis, George Antypas, Efstathios Chronopoulos, Evangelia G. Kaskani, Aikaterini Matsouka, Dimos K. Patrikos, Konstantinos D. Stathopoulos, Symeon Tournis, George Trovas, Christos Kosmidis

Published in: Archives of Osteoporosis | Issue 1/2019

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Abstract

Summary

We report the updated guidelines for the management of osteoporosis in Greece, which include guidance on fracture risk assessment, diagnosis-pharmacological treatment-follow-up of osteoporosis based on updated information, and national evidence from Greek clinical practice and the healthcare setting.

Purpose

The purpose of this report was to update the Guidelines for the Management of Osteoporosis in Greece that was published in 2011.

Methods

In line with the GRADE system, the working group initially defined the main clinical questions that should be addressed when dealing with the diagnosis and management of osteoporosis in clinical practice in Greece. Following a literature review and discussion on the experience gained from the implementation of the 2011 Guidelines transmitted through the national electronic prescription network, the Hellenic Society for the Study of Bone Metabolism (HSSBM) uploaded an initial draft for an open dialogue with the relevant registered medical societies and associations on the electronic platform of the Greek Ministry of Health. After revisions, the Central Health Council approved the final document.

Results

The 2018 Guidelines provide comprehensive recommendations on the issues of the timing of fracture risk evaluation and dual-energy X-ray absorptiometry (DXA) measurement, interpretation of the DXA results, the diagnostic work-up for osteoporosis, the timing as well as the suggested medications for osteoporosis treatment, and the follow-up methodology employed during osteoporosis treatment.

Conclusions

These updated guidelines were designed to offer valid guidance on fracture risk assessment, diagnosis-pharmacological treatment-follow-up of osteoporosis based on updated information and national evidence from clinical practice and the healthcare setting. Clinical judgment is essential in the management of every individual patient for the purpose of achieving the optimal outcome in the safest possible way.
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Metadata
Title
The 2018 Guidelines for the diagnosis and treatment of osteoporosis in Greece
Authors
Polyzois Makras
Athanasios D. Anastasilakis
George Antypas
Efstathios Chronopoulos
Evangelia G. Kaskani
Aikaterini Matsouka
Dimos K. Patrikos
Konstantinos D. Stathopoulos
Symeon Tournis
George Trovas
Christos Kosmidis
Publication date
01-12-2019
Publisher
Springer London
Published in
Archives of Osteoporosis / Issue 1/2019
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-019-0584-3

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