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Uncertainties in the prevention and treatment of glucocorticoid‐induced osteoporosis
Author(s) -
Hansen Karen E,
Wilson H Alexander,
Zapalowski Carol,
Fink Howard A,
Minisola Salvatore,
Adler Robert A
Publication year - 2011
Publication title -
journal of bone and mineral research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.882
H-Index - 241
eISSN - 1523-4681
pISSN - 0884-0431
DOI - 10.1002/jbmr.362
Subject(s) - grossman , osteoporosis , rheumatology , medicine , glucocorticoid , alternative medicine , intensive care medicine , physical therapy , family medicine , pathology , keynesian economics , economics
Much knowledge has accrued since the 2001 American College of Rheumatology (ACR) guidelines were published to assist clinicians in the prevention and treatment of glucocorticoid‐induced osteoporosis (GIO). Therefore, the ACR undertook a comprehensive effort to review the literature and update the GIO guidelines [Grossman JM, Gordon R, Ranganath VK, et al. American College of Rheumatology 2010 recommendations for the prevention and treatment of glucocorticoid‐induced osteoporosis. Arthritis Care Res (Hoboken). 2010;62:1515–1526]. Herein, we review the new guidelines for JBMR readers, highlighting the changes introduced by the 2010 publication. We discuss several patient scenarios for which the new treatment guidelines do not apply, or for which our committee interprets existing literature differently and suggests an alternative approach. © 2011 American Society for Bone and Mineral Research