Recommendations for The Diagnosis and Management of Osteoporosis: A Local Perspective

Raef, Hussein; Frayha, Husn H.; El-Shaker, Mohamed; Al-Humaidan, Abdulla; Conca, Walter; Sieck, Ulla V.; Okane, Janine

doi:10.5144/0256-4947.2004.242

Cited by 6 publications

(6 citation statements)

References 27 publications

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“…In 2004, the Osteoporosis Working Group at King Faisal Specialist Hospital and Research Center recommended that once osteoporosis is diagnosed in men, secondary causes need to be excluded. 12 Our study population might appear to be a selective hospital group of patients, but every attempt was made to exclude secondary osteoporosis by means of a detailed history, clinical examination and relevant investigations.…”

Section: Discussionmentioning

confidence: 99%

Osteoporosis among male Saudi Arabs: a pilot study

Sadat-Ali

Al-Elq

2006

Annals of Saudi Medicine

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BACKGROUNDLittle attention has been paid to the problem of male osteopororsis in Saudi Arabia. In this prospective study we assessed the prevalence of male osteoporosis among Saudi Arabs.SUBJECTS AND METHODSWe studied Saudi Arabian males > 50 years of age attending outpatient clinics at King Fahd Hospital of the University, Al-Khobar, between 1 May 2005 and 30 January 2006. We determined body mass index (BMI) and tests were done to rule out secondary osteoporosis. All subjects had a bone mineral density (BMD) measurement of the hip area and the lumbar spine using dual energy X-ray absorptiometry (DEXA). A T-score of ≤−2.5 SD that of young, healthy adults was taken as osteoporotic and scores between −1 to −2.5 SD were taken as osteopenic.RESULTSOne hundred fifteen patients (mean age, 61.8±0.75 years; range, 50 to 76 years) had a mean BMI of 24.7±0.35 (range, 18.5 to 31). Based on hip scans, the prevalence of osteoporosis was 24.3%. Sixty-four percent were osteopenic. Based on scans of the lumbar spine, the prevalence of osteoporosis was 37.4% and 33.9% were osteopenic. Spinal osteoporosis was more common than hip osteoporosis.CONCLUSIONSOur study indicates that the prevalence of osteoporosis among Saudi Arabian males is higher than among Western males. More studies are needed to determine the national prevalence of male osteoporosis. It is recommended that serious measures to be undertaken to prevent male osteoporosis to stop any future epidemic of catastrophic osteoporosis-related fractures.

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Section: Discussionmentioning

confidence: 99%

Osteoporosis among male Saudi Arabs: a pilot study

Sadat-Ali

Al-Elq

2006

Annals of Saudi Medicine

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“…In their previously published recommendations, a fracture index tool was suggested using a few important and easily assessed risk factors. 1 28 The argument made by the group was that a mere BMD assessment is likely to result in overtreatment in a local population, with evidence of lower BMD values but fewer fractures than in a Western population.…”

Section: Using Risk Factors In Selecting Patients For Diagnosis and Therapy: The Fracture Risk Assessment (Frax) Toolmentioning

confidence: 99%

“…The Osteoporosis Working Group realizes that since the publication of the previous recommendations in 2004,1 numerous developments have occurred in the diagnostic strategies and in the management of this common health problem. It also realizes the importance of taking local data into account—whenever possible—when making recommendations for practicing physicians in a certain region.…”

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confidence: 99%

“…The Osteoporosis Working Group of King Faisal Specialist Hospital and Reserch Centre (KFSHRC) met on a number of occasions, to review and update the previous recommendations and guidelines for the diagnosis and management of osteoporosis. The Osteoporosis Working Group realizes that since the publication of the previous recommendations in 2004, 1 numerous developments have occurred in the diagnostic strategies and in the management of this common health problem. It also realizes the importance of taking local data into account—whenever possible—when making recommendations for practicing physicians in a certain region.…”

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Updated Recommendations for the Diagnosis and Management of Osteoporosis: A Local Perspective

Raef

Al-Bugami

Balharith

et al. 2011

Annals of Saudi Medicine

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Postmenopausal osteoporosis and osteoporosis in elderly men are major health problems, with a significant medical and economic burden. Although osteopenia and osteoporosis are more common locally than in the West, fracture rates are generally less than in Western countries. Vitamin D deficiency is common in the region and contributes adversely to bone health. Vitamin D deficiency should be suspected and treated in all subjects with ostopenia or osteoporosis. The use of risk factors to determine fracture risk has been adopted by the World Health Organization and many international societies. Absolute fracture risk methodology improves the use of resources by targeting subjects at higher risk of fractures for screening and management. The King Faisal Specialist Hospital Osteoporosis Working Group recommends screening for women 65 years and older and for men 70 years and older. Younger subjects with clinical risk factors and persons with clinical evidence of osteoporosis or diseases leading to osteoporosis should also be screened. These guidelines provide recommendations for treatment for postmenopausal women and men older than 50 years presenting with osteoporotic fractures for persons having osteoporosis—after excluding secondary causes—or for persons having low bone mass and a high risk for fracture. The Working Group has suggested an algorithm to use at King Faisal Specialist Hospital that is based on the availability, cost, and level of evidence of various therapeutic modalities. Adequate calcium and vitamin D supplement are recommended for all. Weekly alendronate (in the absence of contraindications) is recommended as first-line therapy. Alternatives to alendronate are raloxifene or strontium ranelate. Second-line therapies are zoledronic acid intravenously once yearly, when oral therapy is not feasible or complicated by side effects, or teriparatide in established osteoporosis with fractures.

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“…Recommendations for the diagnosis and management of osteoporosis in Saudi Arabia (SA) can be traced back in 2004 with an updated version in 2011 [ 1 , 2 ]. These recommendations were mainly perspectives from a group of local experts and implemented mostly from their affiliated institutions [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and management of osteoporosis in Saudi Arabia: 2023 key updates from the Saudi Osteoporosis Society

et al. 2023

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Summary The Saudi Osteoporosis Society (SOS) has updated its guidelines for the diagnosis and management of osteoporosis in Saudi Arabia (SA), with emphasis on postmenopausal women. This document is relevant to all healthcare professionals in SA involved in the care of patients with osteoporosis and osteoporosis-related fractures. Introduction The SOS launched the first national osteoporosis guidelines in 2015 and spearheaded the Gulf Cooperation Council Countries (GCC) osteoporosis consensus report in 2020 which was under the auspices of the European Society for Clinical and Economic Aspects of Osteoporosis (ESCEO). This paper highlights a major update of the guidelines in the SA setting. Methods This guideline is an adaptation of the current guidelines derived from ESCEO, the American Association of Clinical Endocrinologists (AACE), and the GCC osteoporosis consensus report and studies on osteoporosis done in SA. Where accessible, the timeliest systematic review, meta-analysis, and randomized controlled trials were used as evidence. Results The present update includes new recommendations for the assessment of osteoporosis taking into consideration the Saudi model of FRAX for fracture probabilities, appropriate doses for the maintenance of vitamin D status and calcium, the use of representative blood analytes for therapy monitoring, the use of romosozumab and sequential therapy in the pharmacological management strategies, and the establishment of fracture liaison services to prevent secondary fractures. Conclusion This updated guideline is for all healthcare professionals involved in osteoporosis and post-fracture care and management in SA and harmonized the most up-to-date changes in the field based on evidence-based medicine for use in the local setting.

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Recommendations for The Diagnosis and Management of Osteoporosis: A Local Perspective

Cited by 6 publications

References 27 publications

Osteoporosis among male Saudi Arabs: a pilot study

Osteoporosis among male Saudi Arabs: a pilot study

Updated Recommendations for the Diagnosis and Management of Osteoporosis: A Local Perspective

Diagnosis and management of osteoporosis in Saudi Arabia: 2023 key updates from the Saudi Osteoporosis Society

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