30 August, 2007

Osteoporotic fractures are a major public health problem. National Prescribing Service Limited (NPS) is introducing a new education program for health professionals which aims to prevent osteoporosis and reduce the risk of fractures in their patients.

One in two women and one in three men aged over 60 in Australia will suffer an osteoporotic fracture. The effects can be devastating, according to the Manager of NPS’ Education and Quality Assurance Program for Health Professionals, Judith Mackson. “Osteoporotic fractures can lead to constant pain, loss of height, spinal deformity and even premature death,” Ms Mackson said.

Trained NPS Facilitators offer advice on the importance of encouraging patients – particularly the young and the elderly – to do adequate physical activity and obtain sufficient calcium and vitamin D. “Early intervention and education about lifestyle factors can have a significant positive impact on bone development,” Ms Mackson explained.

“Osteoporosis is a ‘silent’ disease. Evidence shows that a large proportion of people who have had an osteoporotic fracture have not received treatment.” Specific anti-osteoporotic drugs are recommended for use after osteoporotic fracture in post-menopausal women.

Evidence also shows that compliance with osteoporosis medications is poor. Patients need to fully comply with their medications, in combination with sufficient calcium and vitamin D, to truly reduce their risk of fractures. Strict adherence to the prescribed administration instructions is also essential to minimise gastrointestinal effects.

NPS Facilitators are offering GPs and other health professionals the opportunity to receive a one-to-one visit and/or participate in small group discussions with other health professionals. These interactions will cover lifestyle issues, efficacious use of medicines, as well as osteonecrosis of the jaw – a rare but serious adverse effect of bisphosphonates.

The osteoporosis education program is supported by the August 2007 edition of NPS’ bi-monthly bulletin, NPS News. This edition includes an easy-to-read guide on lifestyle interventions for improving bone health, as well as NPS Case Study No. 49: ‘Reducing risk of osteoporotic fractures’. Health professionals have until 28 September to complete the case study, which is also available online.

All NPS programs and activities are provided free of charge. Health professionals can obtain further information on NPS’ osteoporosis education program by contacting Karin Gurman at NPS on (02) 8217 8700 or via email.

ENDS