TY  - JOUR
PY  - 2023//
TI  - A Delphi consensus on the management of Spanish patients with osteoporosis at high risk of fracture: OSARIDELPHI study
JO  - Archives of osteoporosis
A1  - Arboleya, Luis
A1  - Cancio-Trujillo, Jose Manuel
A1  - Chaves, Celia
A1  - Duaso-Magaña, Enric
A1  - Mesa-Ramos, Manuel
A1  - Olmos, Jose Manuel
SP  - e110
EP  - e110
VL  - 18
IS  - 1
N2  - The OSARIDELPHI study evaluated the level of agreement between specialists in osteoporosis regarding the management of patients with high-risk fractures in Spain. The results provide expert-based recommendations for prevention, diagnosis, and treatment related to fracture risk. Therefore, the study facilitates clinical decision-making for managing this patient's profile. <br><br>PURPOSE: To evaluate the level of agreement between specialists in osteoporosis regarding the management of patients with high-risk fractures in Spain. <br><br>METHODS: A two-round Delphi study was performed using an online survey. In round 1, panel members rated their level of agreement with assessments on a 9-point Likert scale. Item selection was based on acceptance by ≥ 66.6% of panel experts and the agreement of the scientific committee. In round 2, the same panelists evaluated non-consensus items in round 1. <br><br>RESULTS: A total of 80 panelists participated in round 1; of these, 78 completed the round 2 survey. In round 1, 122 items from 4 dimensions (definition of fracture risk: 11 items, prevention and diagnosis: 38 items, choice of treatment: 24 items, and treatment-associated quality of life: 49 items) were evaluated. The consensus was reached for 90 items (73.8%). Panelists agreed that categorizing high risk, very high risk, or imminent risk determines secondary prevention actions (97.5%). Experts agreed that treatment with bone-forming drugs should be considered in case of a very high risk of fracture, and a sequential change to antiresorptive drugs should be made after 1-2 years (97.5%). Panelists also recommended corrective action plans for non-adherent patients to improve adherence (97.5%). A total of 131 items were finally accepted after round 2. <br><br>CONCLUSION: This Delphi study provides expert-based recommendations on clinical decision-making for managing patients with osteoporosis at high risk of fracture.<p />  <p>Language: en</p>
LA  - en
SN  - 1862-3522
UR  - http://dx.doi.org/10.1007/s11657-023-01318-7
ID  - ref1
ER  -