Journal article
Authors list: Pfeil, Alexander; Lange, Uwe
Publication year: 2024
Pages: 401-406
Journal: Zeitschrift für Rheumatologie
Volume number: 83
Issue number: 5
ISSN: 0340-1855
eISSN: 1435-1250
Open access status: Hybrid
DOI Link: https://doi.org/10.1007/s00393-024-01495-x
Publisher: Springer
Abstract:
In October 2023, the organization of the German-speaking scientific osteological societies (DVO) published the revised guideline on the "Prophylaxis, diagnosis and treatment of osteoporosis in postmenopausal women and in men aged over 50." This review article reflects the new features of the guideline and their relevance in the care of patients with inflammatory rheumatic diseases. A key innovation is the change from the 10-year fracture risk to the 3-year fracture risk. Basic diagnostics are currently performed without a defined fracture threshold. Treatment thresholds for specific osteological therapy constitute another key innovation, defined as 3% to < 5%, 5% to < 10%, and from 10% for vertebral body and femoral neck fractures. If the 3-year fracture risk is > 10%, osteoanabolic therapy should primarily be carried out and antiresorptive therapy is initiated following osteoanabolic therapy. In addition, patients with osteoporosis and prolonged glucocorticoid therapy should primarily be treated osteoanabolically with teriparatide. In summary, the changes to the DVO guideline reflect the latest scientific study findings in osteology and lead to detailed differential therapy for osteoporosis.
Citation Styles
Harvard Citation style: Pfeil, A. and Lange, U. (2024) Update on the DVO Guideline 2023 "Prophylaxis, diagnosis and treatment of osteoporosis in postmenopausal women and in men aged over 50"-What's new for rheumatology?, Zeitschrift für Rheumatologie, 83(5), pp. 401-406. https://doi.org/10.1007/s00393-024-01495-x
APA Citation style: Pfeil, A., & Lange, U. (2024). Update on the DVO Guideline 2023 "Prophylaxis, diagnosis and treatment of osteoporosis in postmenopausal women and in men aged over 50"-What's new for rheumatology?. Zeitschrift für Rheumatologie. 83(5), 401-406. https://doi.org/10.1007/s00393-024-01495-x
Keywords
DVO Guideline 2023; Inflammatory rheumatic diseases; Osteospecific therapy
