Indonesian Rheumatology Association (IRA) Recommendations for Diagnosis andManagement of Glucocorticoid-induced Osteoporosis

Abstract

Background: Patients receiving long-term glucocorticoid therapy are at risk
of developing GIOP. However, until today, there is still no guideline that
specifically explains how to diagnose and manage GIOP patients in
Indonesia. Methods: 10 selected rheumatologists from the Indonesian
Rheumatologist Association (IRA) made recommendations based on key
questions formed by a steering committee from IRA. These recommendation materials were taken from several online databases such as Pubmed, Science Direct, and Cochrane. Level of evidence and grades of recommendation were then assigned, and every member of the panelist team will assign a score for the level of agreement. Results: A total of 17 recommendations regarding screening, prevention, diagnosis, therapy, and monitoring for GIOP were
made. Conclusion: These recommendations can be used for adult patients
receiving long-term glucocorticoids with or at risk of developing GIOP. The
prevention measure, diagnostic, therapy, and monitoring algorithm in this
recommendation are all created with the consideration of Indonesia’s clinical setting, facility, and drug availability.