Consensus document on osteoporosis in males

Abstract Objective To provide practical recommendations to assess and treat osteoporosis in males. Participants Members of the Bone Metabolism Working Group of the Spanish Society of Endocrinology. Methods Recommendations were formulated using the GRADE system (Grading of Recommendations, Assessment, Development, and Evaluation) to describe both the strength of recommendations and the quality of evidence. A systematic search was made in Medline (PubMed) using the following associated terms: “osteoporosis”, “men”, “fractures”, “bone mineral density”, “treatment”, “hypogonadism”, and “prostate cancer”. Papers in English and Spanish with publication date before 30 August 2017 were included. Current evidence for each disease was reviewed by 2 group members. Finally, recommendations were discussed in a meeting of the working group. Conclusions The document provides evidence-based practical recommendations for diagnosis, assessment, and management of osteoporosis in men and special situations such as hypogonadism and prostate cancer.