Multidisciplinary consensus on the management of patients with osteopenia and fracture risk in Spain.

BACKGROUND: In Spain, over 3.5 million individuals are diagnosed with osteoporosis, while an even greater number are affected by osteopenia, the precursor stage of this severe condition. Unfortunately, osteoporosis and osteopenia frequently remain undetected until a fracture occurs, potentially resu...

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Authors: Baquero Úbeda JL, García Díaz S, Gómez Martínez JC, Martínez Fernández N, Micó Pérez RM, Möller I, Neyro Bilbao JL, Saez López P, Santiñà Vila M, Vergés Milano J
Format: article
Status:Published version
Publication Date:2025
Country:España
Institution:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repository:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p19504
Online Access:https://fisabio.portalinvestigacion.com/publicaciones/19504
Access Level:Open access
Keyword:Delphi consensus
Fragility fractures
Multidisciplinary
Osteopenia
Osteoporosis
Patients
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spelling Multidisciplinary consensus on the management of patients with osteopenia and fracture risk in Spain.Baquero Úbeda JLGarcía Díaz SGómez Martínez JCMartínez Fernández NMicó Pérez RMMöller INeyro Bilbao JLSaez López PSantiñà Vila MVergés Milano JDelphi consensusFragility fracturesMultidisciplinaryOsteopeniaOsteoporosisPatientsBACKGROUND: In Spain, over 3.5 million individuals are diagnosed with osteoporosis, while an even greater number are affected by osteopenia, the precursor stage of this severe condition. Unfortunately, osteoporosis and osteopenia frequently remain undetected until a fracture occurs, potentially resulting in permanent damage or even death. METHODS: To improve the management of osteopenia, a multidisciplinary task force was established, consisting of 45 experts, including patients, doctors, nurses, pharmacists, and managers from 20 scientific organisations related to this pathology. With the scientific endorsement of the Spanish Society of Healthcare Quality (SECA) and using the Delphi qualitative research method. Although there was consistent agreement across the 75 variables analysed, a clear and consolidated consensus was reached on 56 of them (75%) after two rounds of consultation. RESULTS: This agreement encompassed 13 variables related to general considerations, 10 of the 18 concerning diagnosis (55%), and 33 of the 44 regarding treatment (75%). Consistent agreement was reached on all issues consulted, strong consensus (= 80% agreement) was achieved for 50/57 variables (88%). Key recommendations highlight the importance of lifestyle modifications for people with osteopenia, including proper nutrition, fall prevention, regular physical exercise, weight control, smoking cessation, and alcohol consumption control. CONCLUSIONS: The study concludes that the current clinical management focuses excessively on the diagnosis of osteoporosis, neglecting previous stages of low bone mineral density, such as osteopenia, bone quality, and bone tissue structure. There is limited monitoring of risk factors such as previous fractures, despite their severe consequences. Therefore, a set of general recommendations related to diagnosis and treatment is proposed to improve the management of patients with this condition.BMC2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/19504BMC MUSCULOSKELETAL DISORDERSISSN: 14712474reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p195042026-06-11T12:45:17Z
dc.title.none.fl_str_mv Multidisciplinary consensus on the management of patients with osteopenia and fracture risk in Spain.
title Multidisciplinary consensus on the management of patients with osteopenia and fracture risk in Spain.
spellingShingle Multidisciplinary consensus on the management of patients with osteopenia and fracture risk in Spain.
Baquero Úbeda JL
Delphi consensus
Fragility fractures
Multidisciplinary
Osteopenia
Osteoporosis
Patients
title_short Multidisciplinary consensus on the management of patients with osteopenia and fracture risk in Spain.
title_full Multidisciplinary consensus on the management of patients with osteopenia and fracture risk in Spain.
title_fullStr Multidisciplinary consensus on the management of patients with osteopenia and fracture risk in Spain.
title_full_unstemmed Multidisciplinary consensus on the management of patients with osteopenia and fracture risk in Spain.
title_sort Multidisciplinary consensus on the management of patients with osteopenia and fracture risk in Spain.
dc.creator.none.fl_str_mv Baquero Úbeda JL
García Díaz S
Gómez Martínez JC
Martínez Fernández N
Micó Pérez RM
Möller I
Neyro Bilbao JL
Saez López P
Santiñà Vila M
Vergés Milano J
author Baquero Úbeda JL
author_facet Baquero Úbeda JL
García Díaz S
Gómez Martínez JC
Martínez Fernández N
Micó Pérez RM
Möller I
Neyro Bilbao JL
Saez López P
Santiñà Vila M
Vergés Milano J
author_role author
author2 García Díaz S
Gómez Martínez JC
Martínez Fernández N
Micó Pérez RM
Möller I
Neyro Bilbao JL
Saez López P
Santiñà Vila M
Vergés Milano J
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Delphi consensus
Fragility fractures
Multidisciplinary
Osteopenia
Osteoporosis
Patients
topic Delphi consensus
Fragility fractures
Multidisciplinary
Osteopenia
Osteoporosis
Patients
description BACKGROUND: In Spain, over 3.5 million individuals are diagnosed with osteoporosis, while an even greater number are affected by osteopenia, the precursor stage of this severe condition. Unfortunately, osteoporosis and osteopenia frequently remain undetected until a fracture occurs, potentially resulting in permanent damage or even death. METHODS: To improve the management of osteopenia, a multidisciplinary task force was established, consisting of 45 experts, including patients, doctors, nurses, pharmacists, and managers from 20 scientific organisations related to this pathology. With the scientific endorsement of the Spanish Society of Healthcare Quality (SECA) and using the Delphi qualitative research method. Although there was consistent agreement across the 75 variables analysed, a clear and consolidated consensus was reached on 56 of them (75%) after two rounds of consultation. RESULTS: This agreement encompassed 13 variables related to general considerations, 10 of the 18 concerning diagnosis (55%), and 33 of the 44 regarding treatment (75%). Consistent agreement was reached on all issues consulted, strong consensus (= 80% agreement) was achieved for 50/57 variables (88%). Key recommendations highlight the importance of lifestyle modifications for people with osteopenia, including proper nutrition, fall prevention, regular physical exercise, weight control, smoking cessation, and alcohol consumption control. CONCLUSIONS: The study concludes that the current clinical management focuses excessively on the diagnosis of osteoporosis, neglecting previous stages of low bone mineral density, such as osteopenia, bone quality, and bone tissue structure. There is limited monitoring of risk factors such as previous fractures, despite their severe consequences. Therefore, a set of general recommendations related to diagnosis and treatment is proposed to improve the management of patients with this condition.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/19504
url https://fisabio.portalinvestigacion.com/publicaciones/19504
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv BMC MUSCULOSKELETAL DISORDERS
ISSN: 14712474
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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