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。
According to the standard method 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.
作者
《中国老年骨质疏松症诊疗指南》(2018)工作组
中国老年学和老年医学学会骨质疏松分会
马远征
王以朋
刘强
李春霖
马迅
王拥军
邓廉夫
贺良
杨乃龙
陈伯华
邱贵兴
朱汉民
陶天遵
秦岭
王亮
程晓光
Working group on guidelines for diagnosis and treatment of senile osteoporosis in China(2018);Osteoporosis Society of China Association of Gerontology and Geriatrics;MA Yuanzheng;WANG Yipeng;LIU Qiang;LI Chunlin;MA Xun;WANG Yongjun;DENG Lianfu;HE Liang;YANG Nailong;CHEN Bohua;QIU Guixing;ZHU Hanming;TAO Tianzun;QIN Linga;WANG Liang;CHENG Xiaoguang(Orthopedics Department,The Affiliated Hospital of Qingdao University,Qingdao 266003;Osteoprosis Department,Shanghai Huadong Hospital,Shanghai 200040;Orthopedics Department,The 2nd Affiliated Hospital of Harbin Medical University,Harbin 150086;Department of Orthopaedics &Traumatology,The Chinese,University of Hong Kong,Hong Kong;Department of Osteopathic Internal Medicine,The 309th Hospital of PLA,Beijing 100091,China;Department of Radiology,Beijing Jishuitan Hospital,Beijing 100035;Orthopedics Department,The 309th Hospital of PLA,Beijing 100091;Orthopedics Department,Peking Union Medical Hospital,CAMS &PUMC,Beijing 100730;Orthopedics Department,Shanxi Academy of Medical Science,Shanxi Dayi Hospital,Taiyuan 030000;Endocrinology Department,Chinese PLA General Hospital,Beijing 100039;Spine Institute of Shanghai University of Traditional Chinese Medicine,Shanghai 201203;Shanghai Key Laboratory for Bone and Joint disease,Shanghai Institute of Traumatology and Orthopeadics,Shanghai 200025;Orthopedics Department,Beijing Jishuitan Hospital,Beijing 100035;Endocrinology Department,The Affiliated Hospital of Qingdao University,Qingdao 266003)
出处
《中国骨质疏松杂志》
CAS
CSCD
北大核心
2018年第12期1541-1565,共25页
Chinese Journal of Osteoporosis
关键词
老年骨质疏松
诊断
治疗
指南
senile osteoporosis
diagnosis
therapy
guideline
作者简介
马远征,并列第一作者;王以朋,并列第一作者;刘强,并列第一作者;李春霖,并列第一作者;马迅,并列第一作者;王拥军,并列第一作者;邓廉夫,并列第一作者;贺良,并列第一作者;杨乃龙,并列第一作者;陈伯华,并列第一作者;通信作者:邱贵兴,Email:qguixing@126.com;通信作者:朱汉民,Email:13901827773@163.com;通信作者:陶天遵,Email:taotianzun2013@163.com;通信作者:秦岭,Email:qin@ort.cuhk.edu.hk;通信作者:王亮,Email:wangl309@sina.com;通信作者:程晓光,Email:xiao65@263.com
