Hướng dẫn lâm sàng của Vương quốc Anh về phòng ngừa và điều trị loãng xương
Tóm tắt
Nhóm Hướng dẫn Loãng xương Quốc gia (NOGG) đã sửa đổi hướng dẫn của Vương quốc Anh về việc đánh giá và quản lý loãng xương cũng như phòng ngừa gãy xương do yếu, cho phụ nữ sau mãn kinh và nam giới từ 50 tuổi trở lên. Được công nhận bởi NICE, hướng dẫn này có liên quan tới tất cả các chuyên gia y tế tham gia quản lý loãng xương.
Nhóm Hướng dẫn Loãng xương Quốc gia Vương quốc Anh (NOGG) lần đầu tiên sản xuất một hướng dẫn về phòng ngừa và điều trị loãng xương vào năm 2008, với các cập nhật vào các năm 2013 và 2017. Bài báo này trình bày một bản cập nhật lớn của hướng dẫn, với phạm vi nhằm xem xét việc đánh giá và quản lý loãng xương cũng như phòng ngừa gãy xương ở phụ nữ sau mãn kinh và nam giới từ 50 tuổi trở lên.
Nơi có sẵn, các đánh giá có hệ thống, phân tích tổng hợp và các thử nghiệm ngẫu nhiên có kiểm soát đã được sử dụng để cung cấp cơ sở chứng cứ. Kết luận và khuyến nghị đã được đánh giá một cách có hệ thống theo mức độ mạnh của chứng cứ hiện có.
Đánh giá bằng chứng và khuyến nghị được cung cấp cho việc chẩn đoán loãng xương, đánh giá rủi ro gãy xương và ngưỡng can thiệp, quản lý gãy xương đốt sống, các phương pháp điều trị không dược lý và dược lý, bao gồm thời gian và giám sát liệu pháp kháng tái hấp thu, loãng xương do glucocorticoid, và các mô hình chăm sóc nhằm phòng ngừa gãy xương. Khuyến nghị được đưa ra cho đào tạo; các lãnh đạo dịch vụ và nhà tài trợ dịch vụ y tế; và cho các tiêu chí xem xét nhằm đánh giá và cải thiện chất lượng.
Hướng dẫn, đã được công nhận bởi Viện Quốc gia về Sức khỏe và Chất lượng chăm sóc (NICE), cung cấp một cái nhìn tổng quan toàn diện về việc đánh giá và quản lý loãng xương cho tất cả các chuyên gia y tế tham gia quản lý bệnh này. Bài báo vị trí này đã được Tổ chức Loãng xương Quốc tế và Hội Châu Âu về các Khía cạnh Lâm sàng và Kinh tế của Loãng xương, Viêm khớp và các Bệnh về Cơ xương khớp tán thành.
Từ khóa
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