Episódio 102: Osteoporose

Rapha, Raíssa e João conversam sobre Osteoporose! Como diagnosticar? Qual é o manejo correto? Confere com a gente nesse episódio!

Minutagem

(1:40) Divisão do episódio

(2:18) Caso clínico

(3:00)Abordagem inicial

(4:20) Definição - critérios diagnósticos

(9:15) Densitometria óssea

(14:03) FRAX

(20:00) Voltando ao caso

(21:25) Rastreio

(25:40) Caso Clínico 2

(32:40) Avaliação laboratorial

(35:00) Tratamento e suplementação

(39:30) Tratamento farmacológico

(47:15) Reações adversas

(51:00) Contraindicações

(51:55) Relacionando com os casos

(56:00) Terapia anabólico

(59:56) Até quando usar os medicamentos?

(1:03:22) Falha de tratamento

(1:05:43) Salves

(1:07:53) Respost do desafio da semana anterior

(1:08:50) Desafio da semana

Referências:

1- Overview of the management of osteoporosis in postmenopausal women. Uptodate 2021. Harold N Rosen, Marc K Drezner, Clifford J Rosen, Kenneth E Schmader, Jean E Mulder.

2- EASTELL, Richard et al. Pharmacological management of osteoporosis in postmenopausal women: an Endocrine Society clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism, v. 104, n. 5, p. 1595-1622, 2019.

3- CAMACHO, Pauline M. et al. American Association of Clinical Endocrinologists/American College of Endocrinology clinical practice guidelines for the diagnosis and treatment of postmenopausal osteoporosis—2020 update. Endocrine Practice, v. 26, p. 1-46, 2020.

4- KANIS, John A. et al. European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporosis international, v. 30, n. 1, p. 3-44, 2019.

5- BLACK, DM; et al. Postmenopausal Osteoporosis. NEJM, 2016

6- SHANE, E; et al. Atypical Subtrochanteric and Diaphyseal Femoral Fractures: Second Report of a Task Force of the American Society for Bone and Mineral Research, JBMR, Vol. 29, Nº1, 2014

7- PEREZ, AD; et al. Treatment failure in osteoporosis, Osteoporos Int, 2012.

8- ADLER, RA; et al. Managing Osteoporosis in Patients on Long-Term Bisphosphonate Treatment: Report of a Task Force of the American Society for Bone and Mineral Research. JBMR, Vol. 31, Nº 1, 2016. 

9- BLACK, DM; et al. Postmenopausal Osteoporosis. NEJM, 2016 - AACE/ACE Clinical Practice Guidelines for the diagnosis and Treatment of Postmenopausal Osteoporosis - 2020 Update.

10- SHANE, E; et al. Atypical Subtrochanteric and Diaphyseal Femoral Fractures: Second Report of a Task Force of the American Society for Bone and Mineral Research, JBMR, Vol. 29, Nº1, 2014. 11- PEREZ, AD; et al. Treatment failure in osteoporosis, Osteoporos Int, 2012. 12- ADLER, RA; et al. Managing Osteoporosis in Patients on Long-Term Bisphosphonate Treatment: Report of a Task Force of the American Society for Bone and Mineral Research. JBMR, Vol. 31, Nº 1, 2016.