• Home
  • MyECTS
  • Become a member
  • Contact us

Ectsoc

Ecstoc.org

MENUMENU
  • About
    • Mission & Vision
    • Governance & Transparency
    • Board of Directors
    • Annual General Meeting
    • Committees and Action Groups
      • Executive Committee
      • Communications Committee
      • Community Engagement Committee
      • ECTS Academy
      • Education Committee
      • Clinical Science Committee
      • Research Committee
      • Scientific Programme Committee 2022
    • ECTS Team
    • Membership
      • Individual Membership
      • Corporate Supporters
      • Join us
      • Affiliated Societies
  • ECTS 2023
  • Events
    • Upcoming Congresses
    • Past Congress
    • ECTS Academy Charity Event
    • ICCBH
    • Events
  • Grants & Awards
  • Education
    • Education Resource Center
    • Clinical Training Course in Metabolic Bone Diseases
    • ECTS-Mellanby Training Course
    • Bone Muscle & Beyond Webinars
    • East-meets-West Online Symposium
    • Rare Bone Diseases Webinars
    • PhD Training Course
    • Calendar ECTS Educational Events
  • ECTS Academy
    • About the ECTS Academy
    • ECTS Academy Members
    • Call for Applications - Basic Scientists
    • Call for Applications - Clinicians
    • ECTS Academy Activities
      • NI Conference Program
      • ECTS Academy Webinar Series
      • ECTS Academy Mentoring Options
      • ECTS Academy Charity Run
    • Visit the ECTS Academy website
  • News
    • ECTS Newsletter
    • News
    • Press Release
    • Image Library
    • Video Library
    • Job Advertisements
You are here: Home / New investigators / Newsletter / #Team ECTS wins the ASBMR/ECTS Clinical debate at the 2021 ASBMR Conference. By Elena Tsourdi

#Team ECTS wins the ASBMR/ECTS Clinical debate at the 2021 ASBMR Conference. By Elena Tsourdi

The traditional Clinical debate between representatives of ECTS and ASBMR took place on Friday, the 1st of October 2021 and was on the motion: This house believes that intermittent drug holidays are mandatory for long-term bisphosphonate treatment of osteoporosis‘. Interestingly, the ASBMR Program Committee modified this year’s debate format to provide mid-career clinician scientists with the opportunity to actively participate. Thus, the format included two teams (ASBMR vs. ECTS) lead by 1 senior fellow and two mid-career investigators each, and timing included a 20 minute presentation for each team, followed by a panel discussion and rebuttals.

#Team ASBMR comprising Drs. McCloskey, Curtis and Wentworth commented on the unique pharmacological properties of bisphosphonates and their long-term retention in the bone, thus avoiding a rebound phenomenon or an immediate decrease in bone mineral density after their discontinuation. They cited data from randomized control trials and large observational studies to determine the short and long-term bisphosphonate benefits (prevention of fracture) and harms (principally atypical femoral fractures [AFF] and osteonecrosis of the jaw [ONJ]), making the argument for the necessity to implement intermittent drug holidays.

#Team ECTS comprising Drs. Papapoulos, Appelman-Dijkstra and Tsourdi took a different approach. They juxtaposed structured drug holidays as seen in clinical trials where patients have high percentages of adherence to treatment, to real world clinical practice where less structured intermissions of treatment and frequent interruptions of treatment occur, thus leading in a significant increase in fracture risk. In addition, they argued that the majority of patients will never reach treatment targets, now advocated by numerous guidelines and expert opinions, with bisphosphonate monotherapy. They highlighted the rarity of AFF and ONJ as well as the scarce data on how these risks develop after discontinuation of bisphosphonates.

In the end, the devil lied in the detail: #Team ECTS argued that the meaning of the word MANDATORY, translated into ‘obligatory, compulsory, inescapable, unavoidable’ was the key to a very clear voting advice AGAINST the motion. And thus, as the hour in this hybrid debate went past 1am CET, #Team ECTS was successful in swinging the initial percentages and clinched the Golden Femur putting an end to a long wait! Teams parted amicably and the drinks are on #Team ECTS in the next Annual ECTS Conference in Helsinki 2022!

 

Join ECTS or Renew your membership today!

Discount on annual congresses, exclusive advantages, training courses and so much more

Join or renew
Tweet
Copyright 2016 ECTS - Disclaimer - Cookies Policy - Privacy Policy - Privacy Centre - Terms of use - Contact us
This website uses cookies to improve user experience. Read about how we use cookies and how you can control them by clicking “Change Cookie Settings” or accept cookies by clicking “Accept Cookies”. Read more
Accept Cookies
Change Cookie Settings
Cookie Box Settings
Cookie Box Settings
Decide which cookies you want to allow. You can change cookie setting at any time. However, this can result in some functions no longer being available. Learn more about the cookies we use.

You can opt in by clicking on the cookie types below:

  • Block all
  • Essential
  • Functionality
  • Analytics
  • Advertising

This website will:

  • Essential: Remember your cookie permission setting
  • Essential: Allow session cookies
  • Essential: Gather information you input into a contact forms, newsletter and other forms across all pages
  • Essential: Authenticate that you are logged into your user account

This website won

  • Functionality: Remember social media settings
  • Functionality: Remember selected region and country
  • Functionality: Remember language version you selected
  • Functionality: Identify device you are using
  • Analytics: Keep track of your visited pages
  • Analytics: Keep track about your location and region based on your IP address
  • Analytics: Keep track on the time spent on each page
  • Analytics: Identify device you are using
  • Advertising: Allow you to connect to social sites
  • Advertising: Gather personally identifiable information
  • Remember your login details

This website will:

  • Essential: Remember your cookie permission setting
  • Essential: Allow session cookies
  • Essential: Gather information you input into a contact forms, newsletter and other forms across all pages
  • Essential: Authenticate that you are logged into your user account
  • Functionality: Remember social media settings
  • Functionality: Remember selected region and country
  • Functionality: Remember language version you selected
  • Functionality: Identify device you are using

This website won

  • Analytics: Keep track of your visited pages
  • Analytics: Keep track about your location and region based on your IP address
  • Analytics: Keep track on the time spent on each page
  • Analytics: Identify device you are using
  • Advertising: Allow you to connect to social sites
  • Remember your login details
  • Advertising: Gather personally identifiable information

This website will:

  • Essential: Remember your cookie permission setting
  • Essential: Allow session cookies
  • Essential: Gather information you input into a contact forms, newsletter and other forms across all pages
  • Essential: Authenticate that you are logged into your user account
  • Functionality: Remember social media settings
  • Functionality: Remember selected region and country
  • Functionality: Remember language version you selected
  • Functionality: Identify device you are using
  • Analytics: Keep track of your visited pages
  • Analytics: Keep track about your location and region based on your IP address
  • Analytics: Keep track on the time spent on each page
  • Analytics: Identify device you are using

This website won

  • Advertising: Allow you to connect to social sites
  • Advertising: Gather personally identifiable information
  • Remember your login details

This website will:

  • Essential: Remember your cookie permission setting
  • Essential: Allow session cookies
  • Essential: Gather information you input into a contact forms, newsletter and other forms across all pages
  • Essential: Authenticate that you are logged into your user account
  • Functionality: Remember social media settings
  • Functionality: Remember selected region and country
  • Functionality: Remember language version you selected
  • Functionality: Identify device you are using
  • Analytics: Keep track of your visited pages
  • Analytics: Keep track about your location and region based on your IP address
  • Analytics: Keep track on the time spent on each page
  • Analytics: Identify device you are using
  • Advertising: Allow you to connect to social sites
  • Advertising: Gather personally identifiable information

This website won

  • Remember your login details
Save & Close