Abstract
Summary
Osteoporosis management has become more relevant as the life expectancy increases. In Ecuador, approximately 19% of adults over 65 years of age have been diagnosed with osteoporosis. There is no national consensus for the management and prevention of the disease being this proposal the first Ecuadorian consensus.
Introduction
In Ecuador, it is estimated that around 19% of adults over 65 years of age have osteoporosis. Due to the increase in life expectancy in the world population, the evaluation and management of osteoporosis has become more relevant. Currently, there is no national consensus for the management and prevention of the disease. The Ecuadorian Society of Rheumatology presented the project for the elaboration of the first Ecuadorian consensus for the management and prevention of osteoporosis.
Methods
A panel of experts in multiple areas and extensive experience was invited to participate. The consensus was carried out using the Delphi method. Six working dimensions were created: definition and epidemiology of osteoporosis, fracture risk prediction tools, non-pharmacological treatment, pharmacological treatment, calcium and vitamin D, and glucocorticoid-induced osteoporosis.
Results
The first round was held in December 2021, followed by the second round in February 2022 and the third round in March 2022. The data was shared with the specialists at the end of each round. After three rounds of work, a consensus was reached for the management and prevention of osteoporosis.
Conclusion
This is the first Ecuadorian consensus for the management and treatment of postmenopausal osteoporosis.
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References
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Study conception and design: Carlos Rios, Genessis Maldonado, Mario Moreno
Acquisition of data: Genessis Maldonado, Carlos Rios, and Mario Moreno
Analysis and interpretation of data: Carlos Rios, Genessis Maldonado, Mario Moreno, Daniel Osvaldo Messina, Jose Lsuis Neyro, and Daniel Fernández
Drafting of manuscript: Genessis Maldonado, Carlos Rios, Mario Moreno, Roberto Guerrero
Critical revision: Carlos Rios, Mario Moreno, Daniel Osvaldo Messina, Jose Luis Neyro
Experts’ opinion: Carlos Ríos, Sara Vargas, José González, Claudia Vera, Andrés Zuñiga, José Martínez, Mayra Castillo, Raúl Jervis, Rosa Ventura, Sergio Guevara, Gabriela Torres, Franklín Uguña, Mario Moreno
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Rios, C., Maldonado, G., Vargas, S. et al. First Ecuadorian statement consensus for the evaluation and treatment of osteoporosis. Arch Osteoporos 18, 81 (2023). https://doi.org/10.1007/s11657-023-01263-5
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DOI: https://doi.org/10.1007/s11657-023-01263-5