Moroccan national guidelines for the management of postmenopausal osteoporosis.

This updated Moroccan guideline provides 17 expert recommendations for managing postmenopausal osteoporosis. Developed through a national consensus process, it aligns with international standards and includes a practical algorithm to support clinical decisions. It aims to improve diagnosis, fracture risk assessment, and treatment outcomes for women in routine care. These new recommendations update those published in 2007, in accordance with the most recent international guidelines. The initial framework and key thematic areas were defined by a national steering committee. The recommendations were subsequently elaborated, discussed, and validated by a multidisciplinary panel of experts. An independent reading group was also consulted to review and approve the final document. A structured consensus process using the Delphi method (four iterative rounds) was conducted to formulate 17 recommendations; they incorporate recent advances in the diagnosis, fracture risk stratification, and therapeutic management of osteoporosis. Major updates include the integration of fracture risk assessment tools, the revision of intervention thresholds, clarification of the respective roles of antiresorptive and anabolic therapies, and the updating of prevention and follow-up strategies. A practical algorithm is proposed to guide the management of postmenopausal osteoporosis in routine clinical practice.