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Thai Osteoporosis Foundation (TOPF) position statements on management of osteoporosis
T Songpatanasilp1, C Sritara2, W Kittisomprayoonkul3
1Department of Orthopaedics, Phramongkutklao College of Medicine, Bangkok, Thailand.
Insights
Hip fracture incidence and mortality are rising in Thailand. This updated clinical practice guideline offers comprehensive strategies for osteoporosis diagnosis, prevention, and treatment.
Area of Science:
- Gerontology
- Public Health
- Orthopedics
Background:
- Thailand has seen a significant increase in hip fracture incidence (over 31% from 1997-2006) and associated mortality.
- One-year mortality post-hip fracture has also risen, from 18% in 1999 to 21% in 2007.
- Existing clinical practice guidelines (CPGs) for osteoporosis require regular updates to address these growing concerns.
Purpose of the Study:
- To present the latest comprehensive clinical practice guideline for osteoporosis management in Thailand.
- To provide updated recommendations on the diagnosis, prevention, and treatment of osteoporosis.
- To consolidate expert consensus from leading medical bodies in Thailand.
Main Methods:
- Revision of the existing Clinical Practice Guideline (CPG) by a multidisciplinary expert group.
- Inclusion of experts from the Thai Osteoporosis Foundation (TOPF) and four Royal Colleges.
- Collaboration with specialists including Orthopaedic Surgeons, Gynecologists/Obstetricians, Physiatrists, Radiologists, Endocrinologists, and Rheumatologists.
Main Results:
- The guideline offers a comprehensive positional statement on osteoporosis.
- It addresses diagnosis, prevention, and treatment strategies.
- It represents the most current expert recommendations available in Thailand.
Conclusions:
- The updated CPG is essential for managing the increasing burden of osteoporosis and hip fractures in Thailand.
- This guideline aims to improve patient outcomes through evidence-based recommendations.
- It underscores the importance of a collaborative, multidisciplinary approach to osteoporosis care.
Abstract:
The adjusted incidence rate of hip fracture in Thailand has increased more than 31% from 1997 to 2006. Mortality and morbidity after hip fracture are also high. One year mortality after a hip fracture has increased from 18% in 1999 to 21% in 2007. The Thai Osteoporosis Foundation (TOPF) developed the first Clinical Practice Guideline (CPG) in 2002 and keeps updating the CPG since then. This latest version of the CPG is our attempt to provide comprehensive positional statement on the diagnosis, prevention and treatment of osteoporosis in Thailand. The study group who revised this position statement contains experts from the TOPF, Four Royal Colleges of Thailand, includes the Orthopaedic Surgeons, Gynecologists and Obstetricians, Physiatrists, Radiologists and 2 Associations of Endocrinologists and Rheumatologists which have involved in the management of patients with osteoporosis.
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