Philippine Clinical Practice Guidelines on Screening, Diagnosis, Management and Prevention of Primary Osteoporosis and Fragility Fractures Among Postmenopausal Women and Older Men
Year: 2025
Type: article
Abstract: Background: This first clinical practice guideline (CPG) on osteoporosis prevention and management in the Philippines is the output of a shared undertaking by a multidisciplinary CPG development team spearheaded by the Osteoporosis Society of the Philippines Foundation, Inc. and joined by the Philippine Academy of Family Physicians; the Philippine College of Endocrinology, Diabetes, and Metabolism; the Philippine Orthopedic Association; the Philippine Obstetrics and Gynecological Society and the Philippine Rheumatology Association. This guideline seeks to augment and update the "Consensus statements on osteoporosis diagnosis, prevention and management in the Philippines," initially published in 2011, incorporating evidence-based practices developed in the last decade. Methodology: The steering committee formulated and prioritized clinical questions based on meetings and stakeholder consultations. A PICO (population, intervention, comparator, outcome) format was used to develop clinical questions and guide the systematic search for evidence. The development of guidelines followed the ADAPTE process. Once completed, panel discussions were done using the Evidence to Decision Framework. After the panel discussions, the final recommendations were revised. Results: Thirty-four recommendations were formulated to address 27 clinical questions related to screening, prevention, diagnosis, pharmacologic and nonpharmacologic treatment, surgical management, follow-up, and continuity of care. With these recommendations, the developers aim to establish a standard of care in the prevention, diagnosis and management of osteoporosis and fragility fractures in both in-patient and out-patient cases that are appropriate to the Philippine context. Specifically, the CPG development group aims to use these recommendations to define the standard of care for osteoporosis as part of universal healthcare services once the program is implemented nationally. Relevant stakeholders may also use the recommendations to inform public and private payor policies for patients with fragility fractures, as well as by local government units or private companies looking to establish orthogeriatric centers with fracture liaison services. Conclusion: This guideline is helpful for physicians and other allied health personnel in screening, diagnosis, management and prevention of primary osteoporosis and fragility fractures among postmenopausal women and older men.
Authors: Julie Li-Yu, Angela Sison-Aguilar, Irewin Tabu, Joy Bautista, Eunice Victoria Co, Seurinane Sean Española, Maria Eizelle Fernandez, Julie Gabat-Tan, Tricia Guison-Bautista, Lenore Lugue-Lizardo, Eva Irene Maglonzo, Edmund Martinez, Daisy Medina, Queenie Ngalob-Samonte, Nathaniel Orillaza, Mary Ruth Padua, Joseph Patricio, Jonathan Ronquillo, Ma. Carissa Abigail Roxas-Panuda, Hannah Urbanozo-Corpuz, Angeli Wyson-Wongangeliwysonmd@gmail. com, Irvin Parada, * *
Institutions: University of Santo Tomas, Philippine General Hospital, University of the Philippines Manila, Ateneo de Manila University, De La Salle Medical and Health Sciences Institute, De La Salle University, De La Salle University – Dasmariñas, Medical Center Manila, Our Lady of Fatima University, Batangas Medical Center, Ilocos Training and Regional Medical Center, Ateneo de Davao University
Language: English
Subfield: Orthopedics and Sports Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4416536787