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Practice Guideline
. 2010 Nov 23;182(17):1864-73.
doi: 10.1503/cmaj.100771. Epub 2010 Oct 12.

2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary

Alexandra Papaioannou  1 , Suzanne Morin, Angela M Cheung, Stephanie Atkinson, Jacques P Brown, Sidney Feldman, David A Hanley, Anthony Hodsman, Sophie A Jamal, Stephanie M Kaiser, Brent Kvern, Kerry Siminoski, William D Leslie; Scientific Advisory Council of Osteoporosis Canada
Affiliations
Practice Guideline

2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary

Alexandra Papaioannou et al. CMAJ. .
No abstract available

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Figures

Figure 1
Figure 1
Assessment of basal 10-year risk of fracture with the 2010 tool of the Canadian Association of Radiologists and Osteoporosis Canada. The T-score for the femoral neck should be derived from the National Health and Nutrition Education Survey III reference database for white women. Fragility fracture after age 40 or recent prolonged use of systemic glucocorticoids increases the basal risk by one category (i.e., from low to moderate or moderate to high). This model reflects the theoretical risk for a hypothetical patient who is treatment-naive; it cannot be used to determine risk reduction associated with therapy. Individuals with a fragility fracture of a vertebra or hip and those with more than one fragility fracture are at high risk of an additional fracture.
Figure 2
Figure 2
Integrated approach to management of patients who are at risk for fracture. BMD = bone mineral density. Dashed arrow indicates that evidence for benefit from pharmacotherapy is not as strong in this instance as for other recommendations.
See this image and copyright information in PMC

Comment in

References

    1. Brown JP, Josse RG Scientific Advisory Council of the Osteoporosis Society of Canada. 2002 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada. CMAJ. 2002;167(10 Suppl):S1–34. - PMC - PubMed
    1. Cheung AM, Detsky AS. Osteoporosis and fractures: Missing the bridge? JAMA. 2008;299:1468–70. - PubMed
    1. Bessette L, Ste-Marie LG, Jean S, et al. The care gap in diagnosis and treatment of women with a fragility fracture. Osteoporos Int. 2008;19:79–86. - PubMed
    1. Papaioannou A, Kennedy CC, Ioannidis G, et al. The impact of incident fractures on health-related quality of life: 5 years of data from the Canadian Multicentre Osteoporosis Study. Osteoporos Int. 2009;20:703–14. - PMC - PubMed
    1. Ioannidis G, Papaioannou A, Hopman WM, et al. Relation between fractures and mortality: results from the Canadian Multicentre Osteoporosis Study. CMAJ. 2009;181:265–71. - PMC - PubMed

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