PT - JOURNAL ARTICLE AU - Sandrine Malochet-Guinamand AU - Céline Lambert AU - Laure Gossec AU - Martin Soubrier AU - Maxime Dougados TI - Evaluation of the Implementation of Guidelines on the Treatment of Osteoporosis in Patients with Rheumatoid Arthritis AID - 10.3899/jrheum.180889 DP - 2019 Mar 15 TA - The Journal of Rheumatology PG - jrheum.180889 4099 - http://www.jrheum.org/content/early/2019/07/23/jrheum.180889.short 4100 - http://www.jrheum.org/content/early/2019/07/23/jrheum.180889.full AB - Objective To assess whether the 2003 and 2014 French guidelines on the prevention and treatment of glucocorticoid-induced osteoporosis (GIOP) and the 2012 update of the French guidelines for the treatment of postmenopausal osteoporosis (PMOP) were applied in patients with rheumatoid arthritis (RA). Methods We conducted a cross-sectional study of 776 patients with RA (19 centers). We collected the data required for the application of the various recommendations (age, sex, prednisone intake, low-energy fracture, history in the immediate family of hip fractures, and bone densitometry), anti-osteoporotic drugs, and the various factors that may be associated with the application of the recommendations. Results Of the patients who should have received antiosteoporosis treatment, there were 22.6% actually treated (according to the 2014 guidelines), 27.3% actually treated according to the 2003 guidelines, and of postmenopausal women, 23.6% (according to the 2012 PMOP guidelines). Applying the 2014 GIOP guidelines increased the theoretical number of patients requiring treatment relative to the 2003 GIOP guidelines (77% vs 53%; p < 0.001). In multivariate analysis, being treated was associated with a spinal T score ≤ –2 SD according to the 2014 guidelines; with not taking part in physical activity for more than 30 min a day according to the 2003 guidelines; and with older age, lower body mass index, and a T score ≤ –2.5 SD in at least 1 site according to the PMOP guidelines. Conclusion Patients with RA had inadequate prevention of GIOP and PMOP. The management of osteoporosis needs to be improved in this population.