Osteoporosis Canada 2010 Guidelines for the Assessment of Fracture Risk

Osteoporosis Canada's 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada focus on the clinical impact of fragility fractures, and on the assessment and management of women and men at high risk for fragility fracture. These guidelines now integrate a 10-year absolute fracture risk prediction into an overall management approach by using validated risk assessment tools. There currently is a large gap between optimal practices and those that are now being provided to Canadians with osteoporosis. These guidelines are part of a concerted effort to close this gap. Key changes from the 2002 guidelines of interest and relevance to radiologists are highlighted in this report.

[1]  R. McPherson,et al.  Canadian Cardiovascular Society position statement--recommendations for the diagnosis and treatment of dyslipidemia and prevention of cardiovascular disease. , 2006, The Canadian journal of cardiology.

[2]  David A Hanley,et al.  2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary , 2010, Canadian Medical Association Journal.

[3]  Jacques P. Brown,et al.  Canadian Association of Radiologists Technical Standards for Bone Mineral Densitometry Reporting , 2011, Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes.

[4]  J. Brown,et al.  The care gap in diagnosis and treatment of women with a fragility fracture , 2007, Osteoporosis International.

[5]  Michael Jergas Radiology of Osteoporosis , 2008 .

[6]  L. Lenchik,et al.  What are the criteria by which a densitometric diagnosis of osteoporosis can be made in males and non-Caucasians? , 2002, Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry.

[7]  O. Johnell,et al.  Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures , 1996 .

[8]  Jacques P. Brown,et al.  Vertebral Fracture Status and the World Health Organization Risk Factors for Predicting Osteoporotic Fracture Risk , 2009, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[9]  W. Leslie,et al.  10-year probability of recurrent fractures following wrist and other osteoporotic fractures in a large clinical cohort: an analysis from the Manitoba Bone Density Program. , 2008, Archives of internal medicine.

[10]  J. Kanis,et al.  Vertebral Fracture Assessment (VFA) With a Densitometer Predicts Future Fractures in Elderly Women Unselected for Osteoporosis , 2008, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[11]  O Johnell,et al.  A family history of fracture and fracture risk: a meta-analysis. , 2004, Bone.

[12]  L. Lix,et al.  Construction and validation of a simplified fracture risk assessment tool for Canadian women and men: results from the CaMos and Manitoba cohorts , 2011, Osteoporosis International.

[13]  P Geusens,et al.  Risk of new vertebral fracture in the year following a fracture. , 2001, JAMA.

[14]  L. Fredman,et al.  The contribution of hip fracture to risk of subsequent fractures: data from two longitudinal studies , 2003, Osteoporosis International.

[15]  L. Lix,et al.  Number of Osteoporotic Sites and Fracture Risk Assessment: A Cohort Study From the Manitoba Bone Density Program , 2007, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[16]  Jacques P. Brown,et al.  Recognizing and reporting vertebral fractures: reducing the risk of future osteoporotic fractures. , 2007, Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes.

[17]  L. Lix,et al.  Single-site vs multisite bone density measurement for fracture prediction. , 2007, Archives of internal medicine.

[18]  Olof Johnell,et al.  A Meta‐Analysis of Prior Corticosteroid Use and Fracture Risk , 2004, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[19]  M. Nevitt,et al.  Vertebral fracture assessment using a semiquantitative technique , 1993, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[20]  J. Adams,et al.  Identification of vertebral fractures: An update , 2005, Osteoporosis International.

[21]  R. Goeree,et al.  Mortality, Independence in Living, and Re-fracture, One Year Following Hip Fracture in Canadians , 2000 .

[22]  T. Spector,et al.  Predicting the Risk of Fracture at Any Site in the Skeleton: Are All Bone Mineral Density Measurement Sites Equally Effective? , 2005, Calcified Tissue International.

[23]  A. Tenenhouse,et al.  Estimation of the Prevalence of Low Bone Density in Canadian Women and Men Using a Population-Specific DXA Reference Standard: The Canadian Multicentre Osteoporosis Study (CaMos) , 2000, Osteoporosis International.

[24]  F. Cluzeau,et al.  Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project , 2003 .

[25]  Jacques P. Brown,et al.  Recommendations for bone mineral density reporting in Canada. , 2005, Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes.

[26]  R. Eastell,et al.  Accuracy of height loss during prospective monitoring for detection of incident vertebral fractures , 2005, Osteoporosis International.

[27]  L. Lix,et al.  Simplified System for Absolute Fracture Risk Assessment: Clinical Validation in Canadian Women , 2009, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[28]  K. Baek,et al.  Official Positions of the International Society for Clinical Densitometry. , 2005 .

[29]  O. Johnell,et al.  The Burden of Osteoporotic Fractures: A Method for Setting Intervention Thresholds , 2001, Osteoporosis International.

[30]  W. Leslie,et al.  Using the same bone density reference database for men and women provides a simpler estimation of fracture risk , 2010, Journal of Bone and Mineral Research.

[31]  N. Klazinga,et al.  Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project [AGREE] , 2003 .

[32]  L. Melton,et al.  A reference standard for the description of osteoporosis. , 2008, Bone.

[33]  S. Gehlbach,et al.  Recognition of Vertebral Fracture in a Clinical Setting , 2000, Osteoporosis International.

[34]  N. Watts,et al.  Application of the 1994 WHO classification to populations other than postmenopausal Caucasian women: the 2005 ISCD Official Positions. , 2006, Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry.

[35]  H. Kroger,et al.  The use of multiple sites for the diagnosis of osteoporosis , 2006, Osteoporosis International.

[36]  G. Feder,et al.  Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project , 2003, Quality & safety in health care.

[37]  O Johnell,et al.  A meta-analysis of previous fracture and subsequent fracture risk. , 2004, Bone.

[38]  J. Kanis,et al.  Spine–hip discordance and fracture risk assessment: a physician-friendly FRAX enhancement , 2011, Osteoporosis International.

[39]  Ian Colman,et al.  Incidental vertebral fractures discovered with chest radiography in the emergency department: prevalence, recognition, and osteoporosis management in a cohort of elderly patients. , 2005, Archives of internal medicine.