{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T21:16:05Z","timestamp":1767906965144,"version":"3.49.0"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T00:00:00Z","timestamp":1726704000000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients with inflammatory idiopathic myopathies (IIM) face elevated risks of osteoporosis and fragility fracture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate current practice relating to bone health in adult patients with IIM in the United Kingdom and Hong Kong (HK).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients were identified from IIM patient lists. Demographics, osteoporosis risk factors, DXA scans, and bone protection treatment were recorded. Adherence to regional standards was evaluated for each center. Following this, in the United Kingdom, up\u2010to\u2010date DXA scans were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 136 patients identified, 51 met selection criteria (UK, <jats:italic>n<\/jats:italic>\u2009=\u200920, HK, <jats:italic>n<\/jats:italic>\u2009=\u200931). Mean age in the United Kingdom was 59 (IQR 54\u201366); in Hong Kong, 65 (IQR 52.5\u201370). Most were female (UK 70%; HK 77%), current or previous steroid treatment was common (UK 90%; HK 100%) and some had experienced fragility fracture (UK 15%; HK 9%). The mean daily dose of prednisolone that patients were prescribed during the study was 12.5\u2009mg (UK) and 14.3\u2009mg (HK). Some patients had had a DXA scan (UK 50%; HK 35%) though several were outdated. Among those with BMD measured (UK, <jats:italic>n<\/jats:italic>\u2009=\u200920; HK, <jats:italic>n<\/jats:italic>\u2009=\u200911), osteopenia prevalence was 35% (UK) and 36% (HK) while osteoporosis was 5% (UK) and 36% (HK). Notably, 25% (UK) and 64% (HK) exceeded treatment thresholds. Treatments included anti\u2010osteoporotic agents (UK 55%; HK 15%), Vitamin D\/calcium supplements (UK 95%; HK 52%), or no treatment (UK 5%, HK 15%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Poor compliance with guidelines exists in both centers, particularly around investigation and monitoring of bone health for IIM patients. Integrated care models and increased resource allocation to bone health are imperative to improve management of this aspect of IIM.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.15268","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T12:18:58Z","timestamp":1726748338000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Management of bone health in idiopathic inflammatory myopathies: A two\u2010center audit in the <scp>United Kingdom<\/scp> and Hong Kong"],"prefix":"10.1111","volume":"27","author":[{"given":"Akanksha","family":"Thumbe","sequence":"first","affiliation":[{"name":"Department of Rheumatology Royal Wolverhampton Trust  Wolverhampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aman","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Royal Wolverhampton Trust  Wolverhampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adeola","family":"Ajibade","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Somerset NHS Foundation Trust  Somerset UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hem","family":"Sapkota","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Royal Wolverhampton Trust  Wolverhampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas P","family":"Sheeran","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Royal Wolverhampton Trust  Wolverhampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srinivasan","family":"Venkatachalam","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Royal Wolverhampton Trust  Wolverhampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7113-9390","authenticated-orcid":false,"given":"Ho","family":"So","sequence":"additional","affiliation":[{"name":"Department of Medicine and Therapeutics The Chinese University of Hong Kong  Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2753-2990","authenticated-orcid":false,"given":"Latika","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Royal Wolverhampton Trust  Wolverhampton UK"},{"name":"Department of Rheumatology City Hospital, Sandwell and West Birmingham Hospitals NHS Trust  Birmingham UK"},{"name":"Division of Musculoskeletal and Dermatological Sciences, Centre for Musculoskeletal Research, School of Biological Sciences The University of Manchester  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,19]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11926-021-01016-8"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2021.102782"},{"key":"e_1_2_12_4_1","first-page":"15","article-title":"Reduced bone mineral density in patients with idiopathic inflammatory myopathies: a case\u2010control study","volume":"15","author":"Tang IYK","year":"2023","journal-title":"Ther Adv Musculoskeletal Dis"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.4.387"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-020-05365-0"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-020-0706-y"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keac115"},{"key":"e_1_2_12_9_1","volume-title":"Osteoporosis: assessing the risk of fragility fracture CG146 [Internet]","author":"National Institute for Health and Care Excellence","year":"2017"},{"key":"e_1_2_12_10_1","unstructured":"National Osteoporosis Guideline Group.Clinical guideline for the prevention and treatment of osteoporosis [Internet].2021Cited July 10 2023.https:\/\/www.nogg.org.uk\/full\u2010guideline"},{"issue":"2","key":"e_1_2_12_11_1","first-page":"1","article-title":"Osteoporosis Society of Hong Kong. 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