Brazilian guidelines for the diagnosis and treatment of postmenopausal osteoporosis
Rev Bras Reumatol Engl Ed. 2017:57 Suppl 2:452-466.
doi: 10.1016/j.rbre.2017.07.001.
Epub 2017 Aug 21.
[Article in
English,
Portuguese]
Authors
Sebastião Cézar Radominski
1
, Wanderley Bernardo
2
, Ana Patrícia de Paula
3
, Ben-Hur Albergaria
4
, Caio Moreira
5
, Cesar Eduardo Fernandes
6
, Charlles H M Castro
7
, Cristiano Augusto de Freitas Zerbini
8
, Diogo S Domiciano
9
, Laura M C Mendonça
10
, Luciano de Melo Pompei
6
, Mailze Campos Bezerra
11
, Marco Antônio R Loures
12
, Maria Celeste Osório Wender
13
, Marise Lazaretti-Castro
7
, Rosa M R Pereira
9
, Sergio Setsuo Maeda
7
, Vera Lúcia Szejnfeld
7
, Victoria Z C Borba
14
Affiliations
- 1 Universidade Federal do Paraná (UFPR), Curitiba, PR, Brazil. Electronic address: rbr@uol.com.br.
- 2 Associação Médica Brasileira (AMB), Projeto Diretrizes, São Paulo, SP, Brazil.
- 3 Hospital Regional da Asa Norte (HRAN), Brasília, DF, Brazil.
- 4 Universidade Federal do Espírito Santo (UFES), Vitória, ES, Brazil.
- 5 Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
- 6 Faculdade de Medicina do ABC (FMABC), Santo André, SP, Brazil.
- 7 Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
- 8 Centro Paulista de Investigação Clínica (CEPIC), São Paulo, SP, Brazil.
- 9 Universidade de São Paulo (USP), São Paulo, SP, Brazil.
- 10 Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
- 11 Hospital Geral de Fortaleza (HGF), Fortaleza, CE, Brazil.
- 12 Universidade Estadual de Maringá (UEM), Maringá, PR, Brazil.
- 13 Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
- 14 Universidade Federal do Paraná (UFPR), Curitiba, PR, Brazil.
Abstract
Osteoporosis is the leading cause of fractures in the population older than 50 years. This silent disease affects primarily postmenopausal women and the elderly, and the morbidity and mortality rates are high. The main goal of treating osteoporosis is the prevention of fractures. The identification of populations at risk through early diagnosis and treatment is essential. The last Brazilian guideline for the treatment of postmenopausal osteoporosis was elaborated in 2002. Since then, new strategies for diagnosis and risk stratification have been developed, and drugs with novel action mechanisms have been added to the therapeutic arsenal. The Osteoporosis and Osteometabolic Diseases Committee of the Brazilian Society of Rheumatology, in conjunction with the Brazilian Medical Association and other Societies, has developed this update of the guidelines for the treatment of postmenopausal osteoporosis according to the best scientific evidence available. This update is intended for professionals in many medical and health specialties involved in the treatment of osteoporosis, for physicians in general and for health-related organizations.
Keywords:
Diagnosis; Diagnóstico; Diretrizes; Guidelines; Menopausa; Menopause; Mulher; Osteoporose; Osteoporosis; Terapia; Therapy; Woman.
Copyright © 2017. Published by Elsevier Editora Ltda.
MeSH terms
-
Absorptiometry, Photon
-
Accidental Falls / prevention & control
-
Aged
-
Bone Density Conservation Agents / therapeutic use*
-
Brazil
-
Exercise
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Humans
-
Middle Aged
-
Osteoporosis, Postmenopausal / diagnosis*
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Osteoporosis, Postmenopausal / prevention & control
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Osteoporosis, Postmenopausal / therapy*
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Rheumatology
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Societies, Medical
Substances
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Bone Density Conservation Agents