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KMID : 1120320230090020045
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Osteoporosis and Sarcopenia
2023 Volume.9 No. 2 p.45 ~ p.52
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Summary of the Thai Osteoporosis Foundation (TOPF) Clinical Practice Guideline on the diagnosis and management of osteoporosis 2021
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Natthinee Charatcharoenwitthaya
Unnop Jaisamrarn
Thawee Songpatanasilp
Vilai Kuptniratsaikul
Aasis Unnanuntana
Chanika Sritara
Hataikarn Nimitphong
Lalita Wattanachanya
Pojchong Chotiyarnwong
Tanawat Amphansap
Ong-Art Phruetthiphat
Thanut Valleenukul
Sumapa Chaiamnuay
Kota Okamoto
Varalak Srinonprasert
Sirakarn Tejavanija
Wasuwat Kitisomprayoonkul
Piyapat Dajpratham
Sukanya Chaikittisilpa
Woraluk Somboonporn
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Abstract
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Objectives : The Thai Osteoporosis Foundation (TOPF) is an academic organization that consists of a multidisciplinary group of healthcare professionals managing osteoporosis. The first clinical practice guideline for diagnosing and managing osteoporosis in Thailand was published by the TOPF in 2010, then updated in 2016 and 2021. This paper presents important updates of the guideline for the diagnosis and management of osteoporosis in Thailand.
Methods : A panel of experts in the field of osteoporosis was recruited by the TOPF to review and update the TOPF position statement from 2016. Evidence was searched using the MEDLINE database through PubMed. Primary writers submitted their first drafts, which were reviewed, discussed, and integrated into the final document. Recommendations are based on reviews of the clinical evidence and experts' opinions. The recommendations are classified using the Grading of Recommendations, Assessment, Development, and Evaluation classification system.
Results : The updated guideline comprises 90 recommendations divided into 12 main topics. This paper summarizes the recommendations focused on 4 main topics: the diagnosis and evaluation of osteoporosis, fracture risk assessment and indications for bone mineral density measurement, fracture risk categorization, management according to fracture risk, and pharmacological management of osteoporosis.
Conclusions : This updated clinical practice guideline is a practical tool to assist healthcare professionals in diagnosing, evaluating, and managing osteoporosis in Thailand.
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KEYWORD
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Osteoporosis, Guideline, Thai, Fracture
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