Osteoporosis treatment guidelines

Maricic M. Glucocorticoid-induced osteoporosis treatment options and guidelines. Curr Osteoporos Rep. 2005 3 25-29. 

No single, widely accepted treatment guideline exists for osteoporosis. Several organizations have suggested various treatment approaches, most of which are based more on consensus opinion than evidence-based medical data. 

AACE Osteoporosis Task Force. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the prevention and treatment of postmenopausal osteoporosis ... 

This is a proposal to help the clinician to counsel individual women. This process of individualization is crucial and is the best guarantee of a wise use of the different alternatives presently available for an efficient management of the postmenopausal period. Guidelines are only indications of the best choice for a majority of women, but, as health agents of our patients, we have the responsibility of determining how suitable they are for a given woman and introduce the appropriate corrections. In this context SERMs are an early alternative for osteoporosis prevention and treatment that provide an additive protective effect on the breast and are neutral on cardiovascular risk. 

American College of Rheumatology Task Force on Osteoporosis Guidelines. Recommendations for the prevention and treatment of glucocorticoid-induced osteoporosis. Arthritis Rheum 1996 39(11) 1791-801. 

Hodsman AB, Bauer DC, Dempster DW, Dian L, Hanley DA, Harris ST, Kendler DL, McClung MR, Miller PD, Olszynski WP, Orwoll E, Yuen CK. Parathyroid hormone and teriparatide for the treatment of osteoporosis a review of the evidence and suggested guidelines for its use. Endocrine Rev 2005 26 688-703. 

Adjunctive treatment with calcium + vitamin D should be considered. Once treatment for osteoporosis is started, it is likely that this will need to be continued indefinitely (Scottish Intercollegiate Guidelines Network, 2003). 

Bone and Tooth Society. National Osteoporosis Society, Royal College of Physicians. Glucocorticoid-induced Osteoporosis. Guidelines for Prevention and Treatment. London Royal College of Physicians, 2002. 

Feldstein A, Elmer PJ, Orwoll E, et al. Bone mineral density measurement and treatment for osteoporosis in older individuals with fractures A gap in evidence-based practice guideline implementation. Arch Intern Med 2003 163 2165-2172. 

Division of Metabolism and Endocrine Drug Products (1994) Guidelines for pre-clinical and clinical evaluation of agents used in the prevention and treatment of post-menopausal osteoporosis. Food and Drug Administration, Rockville, MD. 

Adler RA, Hochberg MC. Suggested guidelines for evaluation and treatment of glucocorticoid-induced osteoporosis for the Department of Veterans Affairs. Arch Intern Med 2003 163 2619-2624. 

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