Osteoporose: Episódio 102

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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.