oc_executivesum_0410.pdf

Executive Summary 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteo orosis in Canada Introduction Osteoporosis Canada’s 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteo orosis in Canada focus on: • The clinical impact of fragility fractures • Assessment and management of women and men at high risk for fragility fracture • Integration of ten-year absolute fracture risk prediction into an overall management approach • The guideline authors emphasize that there is currently a large gap between the optimal practices and treatments that they recommend and those that are currently being provided to Canadians with osteoporosis. These guidelines are part of a concerted effort to close this gap • The target readership is meant to be broad, encompassing all healthcare professionals (e.g., physicians, nurses, pharmacists) and healthcare policy makers who have an interest in the management of osteoporosis • Following is a point-form summary of the guidelines’ recommendations. For more information, consult the full guideline document at www.osteoporosis.ca Fragility Fractures and Care Ga s • Definition of fragility fracture: fracture occurring spontaneously or following minor trauma such as a fall from standing height or less • Consequences of fracture: increased risk of subsequent fracture, hospitalization / institutionalization and death; decreased quality of life; increased economic burden on healthcare system Key Changes from the • Fewer than 20% of patients with fragility fracture receive anti-osteoporosis treatment 2002 Guidelines1 post fracture • High proportion of individuals with fragility fractures have bone mineral density • 10-year fracture risk prediction (BMD) in the low bone mass range; a missed opportunity to prevent future fractu