지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Background: In this study, we aimed to evaluate and compare the treatment indication for patients with glucocorticoid-induced osteoporosis (GIOP) in various clinical practice guidelines. Methods: We searched for potentially relevant studies conducted from January 2000 to March 2020 using online databases, including PubMed, Ovid-EMBASE, Guidelines International Network, National Institute for Health and Clinical Excellence, KoreaMed, KMbase, and KoMGI. We reviewed and analyzed the guidelines that included recommendations on GIOP and fulfilled the inclusion criteria. Results: A total of 94 articles were selected based on review of the title and abstract; 14 guidelines were assessed upon reviewing the full text. The bone mineral density score for therapeutic intervention of GIOP in postmenopausal women was presented in 7 guidelines, among which 3 guidelines set a T-score of ?2.5 or lower and the other 4 guidelines proposed a less stringent cut-off point of ?1.5 or lower. Among the 10 guidelines published since 2012 after the emergence of the fracture risk assessment tool (FRAX), 6 guidelines included FRAX in their criteria for defining intervention thresholds. However, they were further divided into fixed-probability (n=3) and age-dependent (n=3) thresholds based on the country. Conclusions: Recently developed guidelines use FRAX as the criterion for establishing the treatment of patients with GIOP. However, these intervention thresholds need to be adapted for each country.
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참고문헌 (50)
참고문헌 신청
Fardet L / 2011 / Prevalence of long-term oral glucocorticoid prescriptions in the UK over the past 20 years / Rheumatology(Oxford) 50:1982~1990
Robert A. Overman / 2013 / Prevalence of oral glucocorticoid usage in the United States: A general population perspective / Arthritis Care & Research 65(2):294~298
Joo-Hyun Lee / 2016 / The frequency of and risk factors for osteoporosis in Korean patients with rheumatoid arthritis / BMC Musculoskeletal Disorders 17(1)
T. P. Van Staa / 2000 / Use of Oral Corticosteroids and Risk of Fractures / Journal of Bone and Mineral Research 15(6):993~1000
van Staa TP / 2000 / Oral corticosteroids and fracture risk: relationship to daily and cumulative doses / Rheumatology(Oxford) 39:1383~1389
Robert A. Overman / 2013 / Prevalence of oral glucocorticoid usage in the United States: A general population perspective / Arthritis Care & Research 65(2):294~298
Joo-Hyun Lee / 2016 / The frequency of and risk factors for osteoporosis in Korean patients with rheumatoid arthritis / BMC Musculoskeletal Disorders 17(1)
T. P. Van Staa / 2000 / Use of Oral Corticosteroids and Risk of Fractures / Journal of Bone and Mineral Research 15(6):993~1000
van Staa TP / 2000 / Oral corticosteroids and fracture risk: relationship to daily and cumulative doses / Rheumatology(Oxford) 39:1383~1389
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