Indonesian Journal of Rheumatology
Vol. 14 No. 2 (2022): Indonesian Journal of Rheumatology

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

Bagus Putu Putra Suryana (Rheumatology Division, Department of Internal Medicine, Universitas Brawijaya, Malang, Indonesia)
Rudy Hidayat (Rheumatology Division, Department of Internal Medicine, Universitas Indonesia, Jakarta, Indonesia)
Laniyati Hamijoyo (Rheumatology Division, Department of Internal Medicine, Universitas Padjadjaran, Bandung, Indonesia)
Radiyati Umi Partan (Rheumatology Division, Department of Internal Medicine, Universitas Sriwijaya, Palembang, Indonesia)
Yulyani Werdiningsih (Rheumatology Division, Department of Internal Medicine, Universitas Sebelas Maret, Surakarta, Indonesia)
Surya Darma (Rheumatology Division, Department of Internal Medicine, Universitas Sriwijaya, Palembang, Indonesia)
RM Suryo Anggoro (Rheumatology Division, Department of Internal Medicine, Universitas Indonesia, Jakarta, Indonesia)
Anna Ariane (Rheumatology Division, Department of Internal Medicine, Universitas Indonesia, Jakarta, Indonesia)
Faisal Parlindungan (Rheumatology Division, Department of Internal Medicine, Universitas Indonesia, Jakarta, Indonesia)
Mirza Zaka Pratama (Rheumatology Division, Department of Internal Medicine, Universitas Brawijaya, Malang, Indonesia)
Harry Isbagio (Rheumatology Division, Department of Internal Medicine, Universitas Indonesia, Jakarta, Indonesia)
Handono Halim (Rheumatology Division, Department of Internal Medicine, Universitas Brawijaya, Malang, Indonesia)
Cesarius Singgih Wahono (Rheumatology Division, Department of Internal Medicine, Universitas Brawijaya, Malang, Indonesia)
Sumariyono (Rheumatology Division, Department of Internal Medicine, Universitas Indonesia, Jakarta, Indonesia)



Article Info

Publish Date
28 Nov 2022

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.

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Journal Info

Abbrev

ijr

Publisher

Subject

Medicine & Pharmacology

Description

Indonesian Journal of Rheumatology is a peer-reviewed open access journal on rheumatic diseases and connective tissue disorders. This is an official journal of Indonesian Rheumatology Associantion (IRA) and published twice a year since 2009. Our mission is to encourage the development of scientific ...