Glucocorticoids are widely prescribed by rheumatologists, and the effects of daily and cumulative doses of these drugs on bone mineral density (BMD) are important elements of a draft clinical guideline document presented on Nov. 13 at the 2016 ACR/ARHP Annual Meeting in Washington, D.C.
Explore this issueJanuary 2017
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Leaders of the ACR guideline project discussed their recommendations at the session, Glucocorticoid-Induced Osteoporosis Prevention and Treatment: An Updated ACR Clinical Guideline. General osteoporosis treatment recommendations from the National Osteoporosis Foundation were published in 2014, but the ACR has not published a new guideline for this specific patient population since 2010.1 These draft recommendations are presently being reviewed by the ACR for final approval and are anticipated to be published in early 2017.
Fracture Risk Factors
Patients vary greatly in their major osteoporotic fracture risk due to age, sex, race, dosage levels and other factors, said Lenore Buckley, MD, MPH, the project’s principal investigator and clinical chief of rheumatology at Yale University School of Medicine, New Haven, Conn.
“All of these factors are important to take into account as you look at the fracture risk for an individual patient,” she said.