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dc.contributor.author
Brance, María Lorena
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Larroudé, María S.
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Zamora, Natalia V.
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Bagur, Alicia
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Graf, César E.
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Giacoia, Evangelina
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Diehl, María
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Somma, Luis F.
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Schneeberger, Emilce
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Salerni, Helena H.
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Rey, Paula
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Varsavsky, Mariela
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González, Diana C.
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Massari, Fabio
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Sánchez, Julio A.
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Galich, Ana M.
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Berbotto, Guillermo
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García, María L.
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Zanchetta, María Belén
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Martínez Muñoz, Alejandro
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Chavero, Ignacio
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Ramírez Stieben, Luis Agustín
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Maher, María C.
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Abdala, Rubén
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Pérez, Betiana
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De La Vega, María C.
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Mansur, José L.
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Brun, Lucas Ricardo Martín
dc.date.available
2024-08-16T13:17:36Z
dc.date.issued
2023-08
dc.identifier.citation
Brance, María Lorena; Larroudé, María S.; Zamora, Natalia V.; Bagur, Alicia; Graf, César E.; et al.; Argentine Guidelines for Prevention and Treatment of Glucocorticoid-Induced Osteoporosis in Postmenopausal Women and Men aged 50 and older; Lippincott Williams; Jcr - Journal Of Clinical Rheumatology; 29; 5; 8-2023; e59-e70
dc.identifier.issn
1076-1608
dc.identifier.uri
http://hdl.handle.net/11336/242652
dc.description.abstract
Objective: The aim of this study was to provide an evidence-based framework to guide health care professionals treating patients under glucocorticoid (GC) therapy and develop guidelines for the prevention and treatment of glucocorticoid-induced osteoporosis (GIO) in postmenopausal women and men aged ≥50 years. Methods: An expert panel on bone diseases designed a series of clinically meaningful questions following the PICO (Population, Intervention, Comparator, and Outcome) structure. Using GRADE (Grading of Recommendations Assessment, Development, and Evaluation) methodology, we made a systematic literature review, extracted and summarized the effect estimates, and graded the quality of the evidence. The expert panel voted each PICO question and made recommendations after reaching an agreement of at least 70%. Results: Seventeen recommendations (9 strong and 8 conditional) and 8 general principles were developed for postmenopausal women and men aged ≥50 years under GC treatment. Bone mineral density (BMD), occurrence of fragility fractures, probability of fracture at 10 years by Fracture Risk Assessment Tool, and other screening factors for low BMD are recommended for patient evaluation and stratification according to fragility fracture risk. The treatment of patients under GC therapy should include counseling on lifestyle habits and strict control of comorbidities. The goal of GIO treatment is the nonoccurrence of new fragility fractures as well as to increase or maintain BMD in certain clinical situations. This was considered for the therapeutic approach in different clinical scenarios. Conclusions: This GIO guideline provides evidence-based guidance for health care providers treating patients.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Lippincott Williams
dc.rights
info:eu-repo/semantics/restrictedAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
GUIDELINES
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TREATMENT
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GLUCOCORTICOID-INDUCED OSTEOPOROSIS
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POSTMENOPAUSAL WOMEN
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Endocrinología y Metabolismo
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Medicina Clínica
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Argentine Guidelines for Prevention and Treatment of Glucocorticoid-Induced Osteoporosis in Postmenopausal Women and Men aged 50 and older
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2024-07-18T13:42:43Z
dc.journal.volume
29
dc.journal.number
5
dc.journal.pagination
e59-e70
dc.journal.pais
Estados Unidos
dc.journal.ciudad
Philadelphia
dc.description.fil
Fil: Brance, María Lorena. Universidad Nacional de Rosario. Facultad de Ciencias Médicas; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Rosario; Argentina
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Fil: Larroudé, María S.. Centro de Diagnostico Rossi;
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Fil: Zamora, Natalia V.. Gobierno de la Provincia de Buenos Aires. Hospital Interzonal General de Agudos San Jose.; Argentina
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Fil: Bagur, Alicia. Mautalen Salud e Investigación; Argentina
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Fil: Graf, César E.. Instituto Medico Mitre; Argentina
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Fil: Giacoia, Evangelina. Hospital Nacional Profesor Alejandro Posadas.; Argentina
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Fil: Diehl, María. Hospital Italiano. Instituto Universitario. Escuela de Medicina; Argentina
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Fil: Somma, Luis F.. Consultorio de Reumatologia y Osteoporosis; Argentina
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Fil: Schneeberger, Emilce. Instituto de Rehabilitacion Psicofisica (irep) ; Gobierno de la Ciudad Autonoma de Buenos Aires;
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Fil: Salerni, Helena H.. Cicemo; Argentina
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Fil: Rey, Paula. Instituto de Diagnostico E Investigaciones Metabolicas (idim);
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Fil: Varsavsky, Mariela. Hospital Italiano. Instituto Universitario. Escuela de Medicina; Argentina
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Fil: González, Diana C.. Mautalen Salud e Investigación; Argentina
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Fil: Massari, Fabio. Instituto de Diagnostico E Investigaciones Metabolicas (idim);
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Fil: Sánchez, Julio A.. Universidad Nacional de Rosario. Facultad de Ciencias Médicas; Argentina
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Fil: Galich, Ana M.. Hospital Italiano. Instituto Universitario. Escuela de Medicina; Argentina
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Fil: Berbotto, Guillermo. Universidad Nacional de Rosario. Facultad de Ciencias Médicas; Argentina
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Fil: García, María L.. Sanatorio Mendez; Argentina
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Fil: Zanchetta, María Belén. Instituto de Diagnostico E Investigaciones Metabolicas (idim);
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Fil: Martínez Muñoz, Alejandro. Hospital San Miguel Arcangel; Argentina
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Fil: Chavero, Ignacio. Universidad Nacional de Rosario. Facultad de Ciencias Médicas; Argentina
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Fil: Ramírez Stieben, Luis Agustín. Universidad Nacional de Rosario. Facultad de Ciencias Médicas; Argentina
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Fil: Maher, María C.. Instituto de Rehabilitacion Psicofisica (irep) ; Gobierno de la Ciudad Autonoma de Buenos Aires;
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Fil: Abdala, Rubén. Instituto de Diagnostico E Investigaciones Metabolicas (idim);
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Fil: Pérez, Betiana. Hospital Italiano. Instituto Universitario. Escuela de Medicina; Argentina
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Fil: De La Vega, María C.. Centro de Investigaciones Médicas, Buenos Aires.; Argentina
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Fil: Mansur, José L.. Centro de Endocrinología y Osteoporosis; Argentina
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Fil: Brun, Lucas Ricardo Martín. Universidad Nacional de Rosario. Facultad de Ciencias Médicas; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Rosario; Argentina
dc.journal.title
Jcr - Journal Of Clinical Rheumatology
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1097/RHU.0000000000001951
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info:eu-repo/semantics/altIdentifier/url/https://journals.lww.com/jclinrheum/abstract/2023/08000/argentine_guidelines_for_the_prevention_and.8.aspx
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