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7. Correction: Incidence and geographic characteristics of the population with osteoporotic hip fracture in Egypt— by the Egyptian Academy of Bone Health

Author

El Miedany, Yasser, El Gaafary, Maha, Gadallah, Naglaa, Mahran, Safaa, Fathi, Nihal, Abu-Zaid, Mohammed Hassan, Tabra, Samar abd Alhamed, Shalaby, Radwa H., Abdelrafea, Belal, Hassan, Waleed, Farouk, Osama, Nafady, Mahmoud, Ibrahim, Shereef Ibrahim Mohamed, Ali, Mohamed Abdelfattah, and Elwakil, Walaa

Published
2024
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16. The identification, goals and principles of difficult-to-treat inflammatory arthritis: a consensus statement

Author

El Miedany, Yasser, Abu-Zaid, Mohammed Hassan, El Gaafary, Maha, Mansour, Mona, Elwy, Mohamed, Palmer, Deborah, Fathi, Nihal, Hassan, Waleed, Mortada, Mohamed, Eissa, Mervat, Tabra, Samar Abdelhamed, Galal, Salwa, Fouad, Nermeen, Ibrahim, Rehab Ali, Medhat, Basma, Adel, Yasmin, Ghaleb, Rasha, Saber, Sally, Gadallah, Naglaa, and Elwakil, Walaa

Published
2023
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17. Health economics: direct cost of osteoporotic hip fracture in Egypt—an analysis for the Egyptian healthcare system by the Egyptian Academy of Bone Health

Author

El Miedany, Yasser, El Gaafary, Maha, Gadallah, Naglaa, Mahran, Safaa, Fathi, Nihal, Abu-Zaid, Mohammed Hassan, Tabra, Samar abd Alhamed, Shalaby, Radwa H., Abdelrafea, Belal, Hassan, Waleed, Farouk, Osama, Nafady, Mahmoud, Farghaly, Ahmed Mohamed, Ibrahim, Shereef Ibrahim Mohamed, Ali, Mohamed Abdelfattah, Elmaradny, Karim Mohamed, Eskandar, Sally Eskandar Saber, and Elwakil, Walaa

Published
2023
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18. Standards for structured reporting of dual-energy X-ray absorptiometry scans: best practice recommendations by the Pan Arab Osteoporosis Society

Author

El Miedany, Yasser, El Gaafary, Maha, Gadallah, Naglaa, Sulimani, Riad, AlAli, Nadia S., Alzoubi, Ziad, Azim, Atef Abdel, Abdulateef, Nizar, Adib, Gemma, Elwy, Mohamed, Al Izzi, Mustafa Khalid, El Maghraoui, Abdellah, Mahran, Safaa, Masri, Basel K., Al Emadi, Samar, Abu-Zaid, Mohammed Hassan, Saba, Elias, Hassan, Waleed, El Rakaawi, Manal, Otom, Ali, and Elwakil, Walaa

Published
2023
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26. The spectrum of giant cell arteritis and polymyalgia rheumatica: a longitudinal prospective study to assess for subclinical giant cell arteritis in new onset polymyalgia rheumatica.

Author

El Miedany, Yasser, El Gaafary, Maha, Toth, Mathias, Bahlas, Sami, Hassan, Waleed, Mahran, Safaa, Abu-Zaid, Mohammed Hassan, El Miedany, Ali, and Elwakil, Walaa

Subjects
GIANT cell arteritis diagnosis, POLYMYALGIA rheumatica, ULTRASONIC imaging, LONGITUDINAL method, RESEARCH
Abstract

Background: Polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) frequently overlap, with each disease potentially presenting as a manifestation of the other. The strong relationship between PMR and GCA raises the question of whether it is a "co-occurrence of different diseases" or a "common spectrum of inflammatory diseases." The objectives of the current study were to assess the applicability of using ultrasound (US) and clinical data as a monitoring tool to identify PMR patients with subclinical GCA and determine possible predictors of GCA among PMR patients. Results: One hundred eight PMR patients and 62 GCA patients were included in this study. The study found that 20.4% of the PMR cohort had subclinical GCA, which later progressed to classical GCA, while 31.5% experienced a PMR relapse. The presence of intimal media thickening of the temporal/axillary artery at baseline was a very early predictor of GCA development; the OGUS score was significantly higher in the PMR group who developed GCA than the standard GCA cohort (p < 0.01). Conclusion: The key finding of this study is the incorporation of the concept that vascular inflammation mainly precedes the classical clinical manifestations. Routine screening for subclinical GCA in PMR patients should be considered as part of standard care for PMR patients. Physicians should be attentive to the presence of mural inflammatory changes at the time of diagnosis and monitoring of the ultrasound composite scores in the follow-up course. [ABSTRACT FROM AUTHOR]

Published
2025
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27. Consensus evidence-based clinical practice guide for the diagnosis and management of osteoporosis in childhood and adolescence.

Author

El Miedany, Yasser, Lotfy, Hala, Gaafary, Maha El, Gadallah, Naglaa, Mehanna, Annie Nasr, Mahran, Safaa, Hassan, Waleed, Abu-Zaid, Mohammed Hassan, Tabra, Samar Abdelhamed, Mortada, Mohamed, Radwan, Ahmed R., Mikkawy, Dalia El, Maher, S. Esam, Eldrainy, Ghada, Abdulhady, Hala, Mahgoub, Marwa, Amer, Youmna, and Elwakil, Walaa

Subjects
OSTEOPOROSIS diagnosis, DIAGNOSIS of bone fractures, OSTEOPOROSIS prevention, CONSENSUS (Social sciences), MEDICAL protocols, MEDICAL personnel, DIPHOSPHONATES, BONE density, NUTRITIONAL requirements, TREATMENT effectiveness, SURVEYS, BONE fractures, ALTERNATIVE medicine, EVIDENCE-based medicine, DELPHI method, EXPERTISE, OSTEOPOROSIS, MEDICAL screening, PATIENT satisfaction, ALGORITHMS, DIET, DISEASE risk factors, ADOLESCENCE, CHILDREN
Abstract

Background: The incidence of osteoporosis in children has increased dramatically during the last decade. This has been attributed to better survival rates of children living with chronic disorders, the increased use of medications known to have a negative impact on the children's bones, and the increased preference for indoor activities and sedentary life in healthy children. Recent advances in pediatric osteoporosis definition, along with a lack of management recommendations or national consensus on its diagnosis and treatment, have led to a wide range of approaches being implemented to manage this illness. The aim of this work was to develop an optimal evidence-based consensus, target-oriented, on-steered therapeutic approach for children with osteoporosis. Based on 15 key clinical questions, a qualitative literature evaluation was conducted to provide evidence-based recommendations for the treatment of pediatric osteoporosis. An expert panel of 14 pediatric osteoporosis specialists conducted a Delphi survey. The level of evidence for each element was assessed using the Oxford Centre for Evidence-based Medicine (CEBM) System, when available, and/or based on the expert panel's personal experience. All recommendations with an agreement rate of 75% or higher were included. Results: Thirty-six recommendations, categorized into 13 domains, had evidence 4 or 5 and consequently were included in the Delphi survey. This was assessed online and a response rate of 82.4% was achieved. Delphi 2 round revealed that all the recommendations achieved 75% or more level of agreement and therefore have been accepted and included in this management recommendations. Based on that an algorithm showing an approach to pediatric osteoporosis management and maintenance of therapy has been developed. Conclusion: For the management of children with osteoporosis, consulting a pediatric bone specialist is strongly advised, either by referral or by advice. This is extremely relevant because children are uniquely capable of recovering spontaneously or with the assistance of medication. This includes also vertebral fractures reshaping. Consequently, there is a huge opportunity to improve bone mass accretion and thus musculoskeletal health in children with osteoporosis. [ABSTRACT FROM AUTHOR]

Published
2025
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