关键词: FRAX Fracture risk assessment tool Fragility fractures Guidelines Osteoporosis

Mesh : Humans Female Qatar / epidemiology Risk Assessment / methods Male Middle Aged Osteoporotic Fractures / epidemiology Aged Osteoporosis, Postmenopausal / diagnostic imaging complications epidemiology therapy Absorptiometry, Photon / statistics & numerical data Osteoporosis / epidemiology therapy complications diagnosis diagnostic imaging Bone Density Bone Density Conservation Agents / therapeutic use Practice Guidelines as Topic

来  源:   DOI:10.1007/s11657-024-01389-0   PDF(Pubmed)

Abstract:
We present comprehensive guidelines for osteoporosis management in Qatar. Formulated by the Qatar Osteoporosis Association, the guidelines recommend the age-dependent Qatar fracture risk assessment tool for screening, emphasizing risk-based treatment strategies and discouraging routine dual-energy X-ray scans. They offer a vital resource for physicians managing osteoporosis and fragility fractures nationwide.
OBJECTIVE: Osteoporosis and related fragility fractures are a growing public health issue with an impact on individuals and the healthcare system. We aimed to present guidelines providing unified guidance to all healthcare professionals in Qatar regarding the management of osteoporosis.
METHODS: The Qatar Osteoporosis Association formulated guidelines for the diagnosis and management of osteoporosis in postmenopausal women and men above the age of 50. A panel of six local rheumatologists who are experts in the field of osteoporosis met together and conducted an extensive review of published articles and local and international guidelines to formulate guidance for the screening and management of postmenopausal women and men older than 50 years in Qatar.
RESULTS: The guidelines emphasize the use of the age-dependent hybrid model of the Qatar fracture risk assessment tool for screening osteoporosis and risk categorization. The guidelines include screening, risk stratification, investigations, treatment, and monitoring of patients with osteoporosis. The use of a dual-energy X-ray absorptiometry scan without any risk factors is discouraged. Treatment options are recommended based on risk stratification.
CONCLUSIONS: Guidance is provided to all physicians across the country who are involved in the care of patients with osteoporosis and fragility fractures.
摘要:
我们提出了卡塔尔骨质疏松症管理的综合指南。由卡塔尔骨质疏松协会制定,指南推荐了与年龄相关的卡塔尔骨折风险评估工具进行筛查,强调基于风险的治疗策略和不鼓励常规双能X射线扫描。它们为全国范围内管理骨质疏松症和脆性骨折的医生提供了重要资源。
目的:骨质疏松和相关脆性骨折是一个日益严重的公共卫生问题,对个人和医疗系统都有影响。我们旨在提供指南,为卡塔尔所有医疗保健专业人员提供有关骨质疏松症管理的统一指导。
方法:卡塔尔骨质疏松协会制定了绝经后女性和50岁以上男性骨质疏松诊断和治疗指南。由六名当地风湿病学家组成的专家小组在骨质疏松症领域开会,并对已发表的文章以及当地和国际指南进行了广泛的审查,以制定卡塔尔50岁以上绝经后女性和男性的筛查和管理指南。
结果:指南强调使用卡塔尔骨折风险评估工具的年龄依赖性混合模型来筛查骨质疏松症和风险分类。指南包括筛查,风险分层,调查,治疗,和监测骨质疏松症患者。不鼓励使用没有任何风险因素的双能X射线吸收法扫描。根据风险分层推荐治疗方案。
结论:为全国所有参与治疗骨质疏松症和脆性骨折患者的医生提供指导。
公众号