Review of the guideline of the American College of Physicians on the treatment of osteoporosis

Review of the guideline of the American College of Physicians on the treatment of osteoporosis Summary This review, endorsed by the International Osteoporosis Foundation and the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases, summarizes several failings of the recent guide- lines of the American College of Physicians (ACP) on the treatment of low bone density or osteoporosis to prevent fractures. Introduction The ACP recently issued guidelines for the treatment of low bone density or osteoporosis to prevent fractures. Methods Literature review and critical review of the ACP guidelines. Results The guideline is lacking in scope due to the endorsement of treatment based on T-scores rather than fracture risk assessment and in failure to adequately consider anabolic therapies. Conclusions The ACP guideline appears outdated. . . . . Keywords Bone mineral density Fracture risk FRAX Intervention thresholds Treatment guidelines The American College of Physicians (ACP) recently issued reduce the risk for hip and vertebral fractures in women who guidelines for the treatment of low bone density or osteopo- have known osteoporosis.^ rosis to prevent fractures [1]. ACP recommends that clinicians The recommendations are largely based on a systematic review offer pharmacological treatment to reduce spine and hip frac- of randomized controlled trials. Whereas a review of such evi- ture http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Osteoporosis International Springer Journals

Review of the guideline of the American College of Physicians on the treatment of osteoporosis

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Publisher
Springer Journals
Copyright
Copyright © 2018 by International Osteoporosis Foundation and National Osteoporosis Foundation
Subject
Medicine & Public Health; Orthopedics; Endocrinology; Rheumatology
ISSN
0937-941X
eISSN
1433-2965
D.O.I.
10.1007/s00198-018-4504-y
Publisher site
See Article on Publisher Site

Abstract

Summary This review, endorsed by the International Osteoporosis Foundation and the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases, summarizes several failings of the recent guide- lines of the American College of Physicians (ACP) on the treatment of low bone density or osteoporosis to prevent fractures. Introduction The ACP recently issued guidelines for the treatment of low bone density or osteoporosis to prevent fractures. Methods Literature review and critical review of the ACP guidelines. Results The guideline is lacking in scope due to the endorsement of treatment based on T-scores rather than fracture risk assessment and in failure to adequately consider anabolic therapies. Conclusions The ACP guideline appears outdated. . . . . Keywords Bone mineral density Fracture risk FRAX Intervention thresholds Treatment guidelines The American College of Physicians (ACP) recently issued reduce the risk for hip and vertebral fractures in women who guidelines for the treatment of low bone density or osteopo- have known osteoporosis.^ rosis to prevent fractures [1]. ACP recommends that clinicians The recommendations are largely based on a systematic review offer pharmacological treatment to reduce spine and hip frac- of randomized controlled trials. Whereas a review of such evi- ture

Journal

Osteoporosis InternationalSpringer Journals

Published: Jun 4, 2018

References

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