2015 Guidelines for Osteoporosis in Saudi Arabia: Recommendations from the Saudi Osteoporosis Society

BACKGROUND AND OBJECTIVES: To provide guidelines for medical professionals in Saudi Arabia regarding osteoporosis. DESIGN AND SETTINGS: A panel of 14 local experts in osteoporosis assembled to provide consensus based on the strength of evidence and expert opinions on osteoporosis treatment. PATIENTS...

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Main Authors: Yousef Al-Saleh, Riad Sulimani, Shaun Sabico, Hussein Raef, Mona Fouda, Fahad Alshahrani, Mohammad Al Shaker, Basma Al Wahabi, Mir Sadat-Ali, Hanan Al Rayes, Salwa Al Aidarous, Siham Saleh, Fakhr Al Ayoubi, Nasser M. Al-Daghri
Format: Article
Language:English
Published: King Faisal Specialist Hospital and Research Centre 2015-01-01
Series:Annals of Saudi Medicine
Online Access:https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2015.1
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author Yousef Al-Saleh
Riad Sulimani
Shaun Sabico
Hussein Raef
Mona Fouda
Fahad Alshahrani
Mohammad Al Shaker
Basma Al Wahabi
Mir Sadat-Ali
Hanan Al Rayes
Salwa Al Aidarous
Siham Saleh
Fakhr Al Ayoubi
Nasser M. Al-Daghri
author_facet Yousef Al-Saleh
Riad Sulimani
Shaun Sabico
Hussein Raef
Mona Fouda
Fahad Alshahrani
Mohammad Al Shaker
Basma Al Wahabi
Mir Sadat-Ali
Hanan Al Rayes
Salwa Al Aidarous
Siham Saleh
Fakhr Al Ayoubi
Nasser M. Al-Daghri
author_sort Yousef Al-Saleh
collection DOAJ
description BACKGROUND AND OBJECTIVES: To provide guidelines for medical professionals in Saudi Arabia regarding osteoporosis. DESIGN AND SETTINGS: A panel of 14 local experts in osteoporosis assembled to provide consensus based on the strength of evidence and expert opinions on osteoporosis treatment. PATIENTS AND METHODS: The Saudi Osteoporosis Society (SOS) formed a panel of experts who performed an extensive published studies search to formulate recommendations regarding prevention, diagnosis, and treatment of osteoporosis in Saudi Arabia. Both local and international published studies were utilized whenever available. RESULTS: Dual x-ray absorptiometry (DXA) scanning is still the golden standard for assessing bone mineral density (BMD). In the absence of local, country-specific fracture risk assessment tool (FRAX), the SOS recommends using the USA (White) version of the FRAX tool. All women above 60 years of age should be evaluated for BMD. This is because the panel recognized that osteoporosis and osteoporotic fractures occur at a younger age in Saudi Arabia. Hormone replacement therapy (HRT) is not recommended for treating postmenopausal women with osteoporosis. BMD evaluation should be performed 1–2 years after initiating intervention, and the assessment of bone turnover biomarkers should be performed whenever available to determine the efficacy of intervention. CONCLUSION: All Saudi women above the age of 60 years must undergo a BMD assessment using DXA. Therapy decisions should be formulated with the use of the USA (White) version of the FRAX tool.
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spelling doaj.art-444b3b3ff0194ba5a86c1bea70c69a4b2022-12-21T18:53:16ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49470975-44662015-01-0135111210.5144/0256-4947.2015.1asm-1-12015 Guidelines for Osteoporosis in Saudi Arabia: Recommendations from the Saudi Osteoporosis SocietyYousef Al-Saleh0Riad Sulimani1Shaun Sabico2Hussein Raef3Mona Fouda4Fahad Alshahrani5Mohammad Al Shaker6Basma Al Wahabi7Mir Sadat-Ali8Hanan Al Rayes9Salwa Al Aidarous10Siham Saleh11Fakhr Al Ayoubi12Nasser M. Al-Daghri13From the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaFrom the College of Medicine, King Saud University, Riyadh, Saudi ArabiaFrom the Biomarkers Research Program and Prince Mutaib Chair for Biomarkers of Osteoporosis, Biochemistry Department, College of Science, King Saud University, Riyadh, Saudi ArabiaFrom the Department of Medicine, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi ArabiaFrom the College of Medicine, King Saud University, Riyadh, Saudi ArabiaFrom the College of Medicine, King Abdulaziz Medical City, Riyadh, Saudi ArabiaFrom the Department of Surgery, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi ArabiaFrom the Department of Medicine, Prince Sultan Military Medical City, Riyadh, Saudi ArabiaFrom the College of Medicine, Dammam University, Dammam, Saudi ArabiaFrom the Department of Medicine, Prince Sultan Military Medical City, Riyadh, Saudi ArabiaFrom the College of Medicine, King Abdulaziz Medical City, Jeddah, Saudi ArabiaFrom the Department of Pharmacy, Prince Sultan Cardiac Center, Riyadh, Saudi ArabiaFrom the Department of Pharmacy, King Fahad Cardiac Center, King Saud University, Riyadh, Saudi ArabiaFrom the Biomarkers Research Program and Prince Mutaib Chair for Biomarkers of Osteoporosis, Biochemistry Department, College of Science, King Saud University, Riyadh, Saudi ArabiaBACKGROUND AND OBJECTIVES: To provide guidelines for medical professionals in Saudi Arabia regarding osteoporosis. DESIGN AND SETTINGS: A panel of 14 local experts in osteoporosis assembled to provide consensus based on the strength of evidence and expert opinions on osteoporosis treatment. PATIENTS AND METHODS: The Saudi Osteoporosis Society (SOS) formed a panel of experts who performed an extensive published studies search to formulate recommendations regarding prevention, diagnosis, and treatment of osteoporosis in Saudi Arabia. Both local and international published studies were utilized whenever available. RESULTS: Dual x-ray absorptiometry (DXA) scanning is still the golden standard for assessing bone mineral density (BMD). In the absence of local, country-specific fracture risk assessment tool (FRAX), the SOS recommends using the USA (White) version of the FRAX tool. All women above 60 years of age should be evaluated for BMD. This is because the panel recognized that osteoporosis and osteoporotic fractures occur at a younger age in Saudi Arabia. Hormone replacement therapy (HRT) is not recommended for treating postmenopausal women with osteoporosis. BMD evaluation should be performed 1–2 years after initiating intervention, and the assessment of bone turnover biomarkers should be performed whenever available to determine the efficacy of intervention. CONCLUSION: All Saudi women above the age of 60 years must undergo a BMD assessment using DXA. Therapy decisions should be formulated with the use of the USA (White) version of the FRAX tool.https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2015.1
spellingShingle Yousef Al-Saleh
Riad Sulimani
Shaun Sabico
Hussein Raef
Mona Fouda
Fahad Alshahrani
Mohammad Al Shaker
Basma Al Wahabi
Mir Sadat-Ali
Hanan Al Rayes
Salwa Al Aidarous
Siham Saleh
Fakhr Al Ayoubi
Nasser M. Al-Daghri
2015 Guidelines for Osteoporosis in Saudi Arabia: Recommendations from the Saudi Osteoporosis Society
Annals of Saudi Medicine
title 2015 Guidelines for Osteoporosis in Saudi Arabia: Recommendations from the Saudi Osteoporosis Society
title_full 2015 Guidelines for Osteoporosis in Saudi Arabia: Recommendations from the Saudi Osteoporosis Society
title_fullStr 2015 Guidelines for Osteoporosis in Saudi Arabia: Recommendations from the Saudi Osteoporosis Society
title_full_unstemmed 2015 Guidelines for Osteoporosis in Saudi Arabia: Recommendations from the Saudi Osteoporosis Society
title_short 2015 Guidelines for Osteoporosis in Saudi Arabia: Recommendations from the Saudi Osteoporosis Society
title_sort 2015 guidelines for osteoporosis in saudi arabia recommendations from the saudi osteoporosis society
url https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2015.1
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