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Journal of Nursing ›› 2025, Vol. 32 ›› Issue (1): 44-49.doi: 10.16460/j.issn1008-9969.2025.01.044

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Best evidence summary for prevention and management of osteoporosis after metabolic, bariatric surgery

BI Ya-xin1a, DUAN Ye1b, HE Li-jun1a, XU Miao2, GONG Rong-hua1a   

  1. 1a. Operating Room; 1b. Dept. of Gastroenterology, Northern Jiangsu People' s Hospital, Yangzhou, 225000, China;
    2. Operating Room, the First People' s Hospital of Kunshan, Kunshan, 215300, China
  • Received:2024-04-28 Online:2025-01-10 Published:2025-02-20

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Abstract: Objective To retrieve, evaluate, and summarize the best evidence for the prevention and management for postoperative osteoporosis in patients after metabolic and bariatric surgery. Methods A systematic search was conducted to retrieve domestic and international guideline websites, evidence-based databases, websites of relevant associations, and databases of scholarly literature on the prevention and management of osteoporosis after metabolic and bariatric surgery. The retrieval time spanned from the inception to March 2024. Four researchers with evidence-based training screened literature, extracted information, and graded the quality of the literature using appropriate assessment tools to summarize the best evidence for the prevention and management of postoperative osteoporosis in this population. Results A total of 12 studies were included, including 4 guidelines, 3 expert consensus, 1 clinical decision and 4 systematic reviews, and the overall quality of the included studies was high. Totally, twenty pieces of best evidence were summarized into six aspects of preventive measures, nutritional supplementation, exercise management, pharmacological treatment, regular follow-up and health education. Conclusion Great importance should be attached to postoperative osteoporosis after metabolic and bariatric surgery, and healthcare professionals should use the evidence rationally, taking clinical practice and patients' needs into account. Meanwhile, all-round, multimodal management of this population after surgery should be considered and individualized treatment plans for people with osteoporosis after metabolic and bariatric surgery should be developed.

Key words: metabolic and bariatric surgery, osteoporosis, evidence-based medicine, evidence summary, best evidence

CLC Number: 

  • R473.6
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