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Polski
Guidelines for the diagnosis and management of osteoporosis in Poland. Update 2022
Affiliations- Department of Rheumatology, National Institute of Geriatrics, Rheumatology, and Rehabilitation, Warsaw, Poland
- Department of Endocrine Disorders and Bone Metabolism, Medical University of Lodz, Poland
- Centre of Postgraduate Medical Education, Bielanski Hospital, Warsaw, Poland
- Department of Paediatrics, Rheumatology, Immunology, and Metabolic Bone Diseases, Medical University of Bialystok, Poland
- Department of Geriatrics and Gerontology, School of Public Health, Medical Centre of Postgraduate Education, Warsaw, Poland
- Department of Orthopaedics and Rehabilitation, Medical University of Lublin, Lublin, Poland
- Laboratory of Locomotor Systems Research, Department of Rehabilitation and Physiotherapy, Medical University of Lublin, Poland
- Mossakowski Medical Research Institute, Polish Academy of Sciences, Warsaw, Poland
- Department of Geriatrics Healthy Ageing Research Centre (HARC) Medical University of Lodz, Poland
- Department of Biochemistry, Radioimmunology and Experimental Medicine, The Children’s Memorial Health Institute, Warsaw, Poland
- Multidisciplinary Osteoporosis Forum, Warsaw, Poland, Poland
- Department of Oncology Polish Mother’s Memorial Hospital — Research Institute, Lodz, Poland
- Committee for Rehabilitation, Physical Culture and Social Integration of the Polish Academy of Sciences, Krupia Wl., Poland
- Department of Nephrology, Transplantation, and Internal Medicine, Medical University of Silesia, Katowice, Poland
open access
Abstract
Guidelines to provide an update of the previously published Polish recommendations for the management of women and men with osteoporosis have been developed in line with advances in medical knowledge, evidence-based data, and new concepts in diagnostic and therapeutic strategies. A Working Group of experts from the Multidisciplinary Osteoporosis Forum and from the National Institute of Geriatrics, Rheumatology, and Rehabilitation in Warsaw performed a thorough comprehensive review of current relevant publications in the field (including all age groups of people and management of secondary osteoporosis), and they evaluated epidemiological data on osteoporosis in Poland and the existing standards of care and costs. A voting panel of all co-authors assessed and discussed the quality of evidence to formulate 29 specific recommendations and voted independently the strength of each recommendation.
This updated practice guidance highlights a new algorithm of the diagnostic and therapeutic procedures for individuals at high and very high fracture risk and presents a spectrum of general management and the use of medication including anabolic therapy. Furthermore, the paper discusses the strategy of primary and secondary fracture prevention, detection of fragility fractures in the population, and points to vital elements for improving management of osteoporosis in Poland.
Abstract
Guidelines to provide an update of the previously published Polish recommendations for the management of women and men with osteoporosis have been developed in line with advances in medical knowledge, evidence-based data, and new concepts in diagnostic and therapeutic strategies. A Working Group of experts from the Multidisciplinary Osteoporosis Forum and from the National Institute of Geriatrics, Rheumatology, and Rehabilitation in Warsaw performed a thorough comprehensive review of current relevant publications in the field (including all age groups of people and management of secondary osteoporosis), and they evaluated epidemiological data on osteoporosis in Poland and the existing standards of care and costs. A voting panel of all co-authors assessed and discussed the quality of evidence to formulate 29 specific recommendations and voted independently the strength of each recommendation.
This updated practice guidance highlights a new algorithm of the diagnostic and therapeutic procedures for individuals at high and very high fracture risk and presents a spectrum of general management and the use of medication including anabolic therapy. Furthermore, the paper discusses the strategy of primary and secondary fracture prevention, detection of fragility fractures in the population, and points to vital elements for improving management of osteoporosis in Poland.
Keywords
osteoporosis; diagnosis; fracture risk; treatment
About this articleTitle
Guidelines for the diagnosis and management of osteoporosis in Poland. Update 2022
Journal
Issue
Article type
Guidelines / Expert consensus
Pages
5-15
Published online
2023-02-22
Page views
1137
Article views/downloads
727
DOI
10.5603/EP.a2023.0012
Pubmed
Bibliographic record
Endokrynol Pol 2023;74(1):5-15.
Keywords
osteoporosis
diagnosis
fracture risk
treatment
Authors
Piotr Głuszko
Ewa Sewerynek
Waldemar Misiorowski
Jerzy Konstantynowicz
Ewa Marcinowska-Suchowierska
Tomasz Blicharski
Mirosław Jabłoński
Edward Franek
Tomasz Kostka
Maciej Jaworski
Elżbieta Karczmarewicz
Ewa Kalinka
Krystyna Księżopolska-Orłowska
Andrzej Więcek
Roman S. Lorenc
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