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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.
