The Indian Society for Bone and Mineral Research (ISBMR) position statement for the diagnosis and treatment of osteoporosis in adults View Full Text


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Article Info

DATE

2021-06-26

AUTHORS

Sanjay K. Bhadada, Manoj Chadha, Usha Sriram, Rimesh Pal, Thomas V. Paul, Rajesh Khadgawat, Ameya Joshi, Beena Bansal, Nitin Kapoor, Anshita Aggarwal, Mahendra K. Garg, Nikhil Tandon, Sushil Gupta, Narendra Kotwal, Shriraam Mahadevan, Satinath Mukhopadhyay, Soham Mukherjee, Subhash C. Kukreja, Sudhaker D. Rao, Ambrish Mithal

ABSTRACT

The Indian Society for Bone and Mineral Research (ISBMR) has herein drafted clinical practice guidelines for the diagnosis and management of osteoporosis for the people of India. Implementation of the position statement in clinical practice is expected to improve the overall care of patients with osteoporosis in India.PurposeIn India, osteoporosis is a major public health problem. However, in the absence of any robust regional guidelines, the screening, treatment, and follow-up of patients with osteoporosis are lagging behind in the country.MethodsThe Indian Society for Bone and Mineral Research (ISBMR), which is a multidisciplinary group of physicians, researchers, dietitians, and epidemiologists and who study bone and related tissues, in their annual meeting, drafted the guidelines for the diagnosis and management of osteoporosis that would be appropriate in a resource constraint setting like India.ResultsDiagnosis of osteoporosis can be made in a patient with minimal trauma fracture without the aid of any other diagnostic tools. In others, bone mineral density measured by dual-energy X-ray absorptiometry remains the modality of choice. Data indicates that osteoporotic fractures occur at an earlier age in Indians than in the West; hence, screening for osteoporosis should begin at an earlier age. FRAX can be used for fracture risk estimation; however, it may underestimate the risk of future fractures in our population and still needs validation. Maintaining optimum serum 25-hydroxyvitamin D levels is essential, which, in most cases, would require regular vitamin D supplementation. Pharmacotherapy should be guided by the presence/absence of vertebral/hip fractures or the severity of risk based on clinical factors, although bisphosphonates remain the first choice in most cases. Regular follow-up is essential to ensure adherence and response to therapy.ConclusionsImplementation of the position statement in clinical practice is expected to improve the overall care of patients with osteoporosis in India. More... »

PAGES

102

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  • Journal

    TITLE

    Archives of Osteoporosis

    ISSUE

    1

    VOLUME

    16

    Author Affiliations

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11657-021-00954-1

    DOI

    http://dx.doi.org/10.1007/s11657-021-00954-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1139176686

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34176015


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