Indian Orthopaedics Association Guidelines for Osteoporosis

Area of Science:

• Orthopedics and Bone Health
• Geriatrics
• Endocrinology

Background:

• Osteoporosis is a major health concern with numerous existing protocols.
• Developing comprehensive and practical guidelines is crucial for effective patient care.

Purpose of the Study:

• To establish a robust clinical practice framework for preventing and managing osteoporosis.
• To provide evidence-based recommendations for healthcare professionals treating patients at risk or diagnosed with osteoporosis.

Main Methods:

• A structured Delphi methodology was employed, involving iterative questionnaires.
• A panel of 62 osteoporosis and bone health experts participated in six rounds of consensus-building.
• Experts included clinicians, researchers, and academicians with recognized expertise in the field.

Main Results:

• Guidelines cover prevention, screening, diagnosis, and management of osteoporosis.
• Specific sections address calcium and vitamin D, microbiome, obesity, postmenopausal and male osteoporosis.
• Topics also include chronic kidney disease, glucocorticoid-induced osteoporosis, therapeutics, monitoring, and osteosarcopenia.

Conclusions:

• The guidelines were developed through expert consensus using the Delphi method.
• They reflect current knowledge and are intended to be updated as new research emerges.
• These guidelines provide a comprehensive framework for healthcare professionals in managing osteoporosis.