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.

Osteoporosis and Sarcopenia
|February 19, 2019
PubMed

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.

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