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Clinical guidelines for the prevention and treatment of osteoporosis: summary statements and recommendations from the Italian Society for Orthopaedics and Traumatology.
Tarantino, Umberto; Iolascon, Giovanni; Cianferotti, Luisella; Masi, Laura; Marcucci, Gemma; Giusti, Francesca; Marini, Francesca; Parri, Simone; Feola, Maurizio; Rao, Cecilia; Piccirilli, Eleonora; Zanetti, Emanuela Basilici; Cittadini, Noemi; Alvaro, Rosaria; Moretti, Antimo; Calafiore, Dario; Toro, Giuseppe; Gimigliano, Francesca; Resmini, Giuseppina; Brandi, Maria Luisa.
Afiliação
  • Tarantino U; Policlinico Tor Vergata Foundation, Orthopaedics and Traumatology, University of Rome Tor Vergata, Rome, Italy.
  • Iolascon G; Department of Medical and Surgical Specialties and Dentistry, Second University of Naples, Naples, Italy.
  • Cianferotti L; Metabolic Bone Diseases Unit, Department of Surgery and Translational Medicine, University Hospital of Florence, University of Florence, Viale Pieraccini, 6, 50139, Florence, Italy.
  • Masi L; Metabolic Bone Diseases Unit, Department of Surgery and Translational Medicine, University Hospital of Florence, University of Florence, Viale Pieraccini, 6, 50139, Florence, Italy.
  • Marcucci G; Metabolic Bone Diseases Unit, Department of Surgery and Translational Medicine, University Hospital of Florence, University of Florence, Viale Pieraccini, 6, 50139, Florence, Italy.
  • Giusti F; Metabolic Bone Diseases Unit, Department of Surgery and Translational Medicine, University Hospital of Florence, University of Florence, Viale Pieraccini, 6, 50139, Florence, Italy.
  • Marini F; Metabolic Bone Diseases Unit, Department of Surgery and Translational Medicine, University Hospital of Florence, University of Florence, Viale Pieraccini, 6, 50139, Florence, Italy.
  • Parri S; Metabolic Bone Diseases Unit, Department of Surgery and Translational Medicine, University Hospital of Florence, University of Florence, Viale Pieraccini, 6, 50139, Florence, Italy.
  • Feola M; Policlinico Tor Vergata Foundation, Orthopaedics and Traumatology, University of Rome Tor Vergata, Rome, Italy.
  • Rao C; Policlinico Tor Vergata Foundation, Orthopaedics and Traumatology, University of Rome Tor Vergata, Rome, Italy.
  • Piccirilli E; Policlinico Tor Vergata Foundation, Orthopaedics and Traumatology, University of Rome Tor Vergata, Rome, Italy.
  • Zanetti EB; Nursing Science, Center of Excellence for Culture and Nursing Research-IPASVI, University of Rome Tor Vergata, Rome, Italy.
  • Cittadini N; Nursing Science, Center of Excellence for Culture and Nursing Research-IPASVI, University of Rome Tor Vergata, Rome, Italy.
  • Alvaro R; Nursing Science, Center of Excellence for Culture and Nursing Research-IPASVI, University of Rome Tor Vergata, Rome, Italy.
  • Moretti A; Department of Medical and Surgical Specialties and Dentistry, Second University of Naples, Naples, Italy.
  • Calafiore D; Department of Medical and Surgical Specialties and Dentistry, Second University of Naples, Naples, Italy.
  • Toro G; Department of Medical and Surgical Specialties and Dentistry, Second University of Naples, Naples, Italy.
  • Gimigliano F; Department of Medical and Surgical Specialties and Dentistry, Second University of Naples, Naples, Italy.
  • Resmini G; Section of Orthopaedics and Traumatology, Centre for the Study of Osteoporosis and Metabolic Bone Disease, Treviglio-Caravaggio Hospital, Bergamo, Italy.
  • Brandi ML; Metabolic Bone Diseases Unit, Department of Surgery and Translational Medicine, University Hospital of Florence, University of Florence, Viale Pieraccini, 6, 50139, Florence, Italy. marialuisa.brandi@unifi.it.
J Orthop Traumatol ; 18(Suppl 1): 3-36, 2017 Nov.
Article em En | MEDLINE | ID: mdl-29058226
ABSTRACT

BACKGROUND:

The Italian Society for Orthopaedics and Traumatology conceived this guidance-which is primarily addressed to Italian orthopedic surgeons, but should also prove useful to other bone specialists and to general practitioners-in order to improve the diagnosis, prevention, and treatment of osteoporosis and its consequences. MATERIALS AND

METHODS:

Literature reviews by a multidisciplinary team.

RESULTS:

The following topics are covered the role of instrumental, metabolic, and genetic evaluations in the diagnosis of osteoporosis; appraisal of the risk of fracture and thresholds for intervention; general strategies for the prevention and treatment of osteoporosis (primary and secondary prevention); the pharmacologic treatment of osteoporosis; the setting and implementation of fracture liaison services for tertiary prevention. Grade A, B, and C recommendations are provided based on the main levels of evidence (1-3). Toolboxes for everyday clinical practice are provided.

CONCLUSIONS:

The first up-to-date Italian guidelines for the primary, secondary, and tertiary prevention of osteoporosis and osteoporotic fractures are presented.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Osteoporose / Fraturas por Osteoporose Tipo de estudo: Diagnostic_studies / Etiology_studies / Guideline / Risk_factors_studies Limite: Female / Humans / Male Idioma: En Revista: J Orthop Traumatol Assunto da revista: ORTOPEDIA / TRAUMATOLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Itália

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Osteoporose / Fraturas por Osteoporose Tipo de estudo: Diagnostic_studies / Etiology_studies / Guideline / Risk_factors_studies Limite: Female / Humans / Male Idioma: En Revista: J Orthop Traumatol Assunto da revista: ORTOPEDIA / TRAUMATOLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Itália