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Joint Bone Spine
Volume 77, n° S2
pages 139-141 (décembre 2010)
Doi : 10.1016/S1297-319X(10)70010-5
Severe osteoporosis: diagnosis and follow-up. Lessons for clinical practice

Christian Roux a, , Cyrille B. Confavreux b, Bernard Cortet c, Claire David d, Ariane Leboime a, Michel Laroche e, Erick Legrand f, Christian Marcelli g, Nadia Mehsen h, Julien Paccou c, Thierry Thomas i
a Université Paris-Descartes, Service de Rhumatologie B, Hôpital Cochin, Paris, France 
b INSERM U831 et Université de Lyon, Service de Rhumatologie, Hospices Civils de Lyon, Lyon, France 
c Département Universitaire de Rhumatologie, CHU, Hôpital Roger-Salengro, Lille, France 
d Service de Rhumatologie, CHU, Hôpital Sud, 16, boulevard de Bulgarie, Rennes, France 
e Service de Rhumatologie, Hôpital Purpan, Place du Docteur-Baylac, Toulouse, France 
f Université d’Angers, CHU, Service de Rhumatologie, Inserm U922, Angers, France 
g Service de Rhumatologie, CHRU, Avenue de la Côte de Nacre, 14033 Caen cedex 9, France 
h CHU Pellegrin, Service de Rhumatologie, 1, place Amélie-Raba-Léon, Bordeaux, France 
i INSERM U890 et Service de Rhumatologie, CHU de Saint-Étienne, 42055 Saint-Étienne, France 

Corresponding author.

The management of osteoporosis has improved considerably, leading to the development of new goals. A major concern today is the management of patients with severe osteoporosis, in whom the need for pharmacotherapy is clear [1]. Epidemiological data have established that osteoporosis is associated with severe complications [2,3]. Furthermore, osteoporosis is now recognized as a complication of several chronic diseases, whose presence adversely affects the management of osteoporosis. The ODISSEE task force (Osteoporosis DIagnosis and Surveillance of SEvErity) was established to answer practical questions regarding the management of severe osteoporosis, based on evidence in the literature. Several groups conducted an exhaustive literature review, and advice was obtained from a panel of French rheumatologists. The ODISSEE scientific committee then developed the first consensus statement on the diagnosis, follow-up and management of severe osteoporosis. This statement was validated by a panel of 70 French rheumatologists at the first national ODISSEE meeting held on November 13-14, 2009.

The full text of this article is available in PDF format.

Keywords : Severe osteoporosis, Fractures, Clinical practice, Expert opinion. Guidelines

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