中国老年骨质疏松症诊疗指南(2018)
2018 China guideline for diagnosis and treatment of senile osteoporosis
  
DOI:10.3969/j.issn.1006-7108.2018.12.001
中文关键词:  老年骨质疏松  诊断  治疗  指南
英文关键词:senile osteoporosis  diagnosis  therapy  guideline
基金项目:
作者单位
马远征 王以朋 刘强 李春霖 马迅 王拥军 邓廉夫 杨乃龙 陈伯华 贺良 邱贵兴 朱汉民 陶天遵 秦岭 王亮 程晓光 1.解放军第309医院骨科北京 100091 2.中国医学科学院/北京协和医学院/北京协和医院骨科北京 100730 3.山西医学科学院/山西大医院骨科山西 太原 030000 4.解放军总医院内分泌科北京 100039 5.上海中医药大学/上海市中医药研究院脊柱病研究所上海 201203 6.上海伤骨科研究所/上海骨与关节病损重点实验室上海 200025 7.青岛大学附属医院内分泌科山东 青岛 266003 8.青岛大学附属医院骨科山东 青岛 266003 9.北京积水潭医院放射科北京 100035 10.上海华东医院骨质疏松科上海 200040 11.哈尔滨医科大学附属第二医院骨科黑龙江 哈尔滨 150086 12.香港中文大学矫形外科及创伤学系香港 13.解放军第309医院骨内科北京 100091 
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中文摘要:
      根据国内外循证医学指南制定标准化方法与步骤,组建多学科指南制定专家工作组,先后经过指南注册及指南计划书撰写、相关指南评价分析、临床问题遴选和确定、临床证据检索及评价、形成推荐意见等流程,经共识专家组3轮讨论,最终制定中国老年骨质疏松症诊疗指南(2018)。使用GRADE系统对证据体和推荐意见进行分级。同时考虑中国患者的偏好与价值观、干预措施的成本和利弊平衡为老年骨质疏松症的诊疗提供15条推荐意见。该指南涵盖了老年骨质疏松症的筛查、风险评估、诊断、基础措施、多种抗骨质疏松药物、疗效监测和评估等方面。本指南旨在为我国广大临床医生和患者提供科学依据。
英文摘要:
      According to the standard methods and procedures for the development of evidence-based medicine guidelines, a multi-disciplinary guideline development working group was established. Through the process of guideline registration, guideline plan writing, analysis of relevant guidelines, clinical problem screening and determination, clinical evidence retrieval and evaluation, forming of recommendation, etc. and after three rounds of discussions by the consensus expert group, a new evidence-based guideline for diagnosis and treatment of senile osteoporosis in China (2018) was developed. The grading of recommendations assessment, development and evaluation (GRADE) system was used to rate the quality of evidence and the strength of recommendations. Recommendations were derived from body of evidence, and at the same time considered the balance of benefits and harms as well as values and preferences of Chinese patients. The guideline development working group developed 15 recommendations for the diagnosis and treatment of senile osteoporosis. The guideline covered the screening for senile osteoporosis, risk assessment, diagnosis, basic treatment, multiple anti-osteoporosis drugs, therapeutic effect monitoring and evaluation of senile osteoporosis. This guideline aims to provide scientific evidence for clinicians and patients in China.
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