Episode Details

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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.