New Canadian guidelines on preventing osteoporosis stress on the need to identify fractures caused by weakened bones. The approach marks a paradigm shift away from low bone mineral density, it has been pointed out.
Despite the high prevalence of fragility fractures, current data indicate that they are not appropriately assessed or treated, Osteoporosis Canada has regretted in its 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis.
Someone who has experienced a fragility fracture is likely to experience another, yet fewer than 20 per cent of women and 10 per cent of men who have sustained fragility fractures receive therapies to prevent their bones from breaking in the future. Fractures can have a devastating impact on a person’s quality of life, leading to chronic pain, further illness or even death.
The appropriate identification of those at high fracture risk is essential; Osteoporosis Canada’s new guidelines help physicians and patients better identify the risk of fracture, resulting in better fracture prevention and better management of osteoporosis overall, it is hoped.
“There have been many advances in the study of osteoporosis since we launched the last guidelines in 2002,” said Dr. Alexandra Papaioannou, lead author and Professor of Medicine, Division of Geriatric Medicine, McMaster University. “We now recognize that BMD is only one of many risk factors for fracture, and so it is important for physicians to take an integrated approach to the assessment of fracture risk and use the new tools available to better manage osteoporosis.”