Universidade Federal de São Paulo (UNIFESP), Rua Ministro Gastão Mesquita, 250 - apto 307, São Paulo, SP, São Paulo, SP, 05012-010, Brazil.
Associação Brasileira de Avaliação e Osteometabolismo (ABRASSO), São Paulo, SP, Brazil.
Arch Osteoporos. 2021 Feb 2;16(1):23. doi: 10.1007/s11657-021-00892-y.
Latin America and the Caribbean region account for 8% of the world's total population. Experts from 18 countries were invited to contribute to this article to provide the best available data on the number, types, and quality of densitometry, DXA experts, the local/national incidence and prevalence of osteoporosis and fragility fractures, and other uses and information on the challenges and opportunities for quality densitometry with examples of local initiatives. Osteoporosis is the primary reason for densitometry in our region, which is not a priority for public health in most countries. Access and quality are major challenges, and there is a clear trend to concentrate on densitometry services in the largest cities. Urgent action is needed to face the rapidly increasing burden of osteoporosis in our region, including robust and up to date epidemiology, access to health professionals, and quality densitometry. Health professionals require better access to training, courses, and other activities at a more local or regional level.
拉丁美洲和加勒比地区占世界总人口的 8%。邀请了来自 18 个国家的专家撰写本文，提供关于骨密度仪数量、类型和质量、DXA 专家、骨质疏松症和脆性骨折的当地/国家发病率和患病率，以及其他用途和信息的最佳现有数据，以及质量骨密度仪的挑战和机遇，包括当地举措的例子。骨质疏松症是该地区进行骨密度仪检测的主要原因，但在大多数国家，它并不是公共卫生的优先事项。可及性和质量是主要挑战，而且明显的趋势是将骨密度仪服务集中在最大的城市。我们需要采取紧急行动，应对本地区骨质疏松症负担的迅速增加，包括进行强有力和最新的流行病学研究、获得卫生专业人员的支持，以及确保质量骨密度仪的检测。卫生专业人员需要更好地获得培训、课程和其他在更本地或区域层面的活动。
