- Identify and treat patients with minimal trauma fracture. Many people who sustain a minimal trauma fracture are treated for the fracture and not the underlying osteoporosis.
- Identify patients with other risk-factors for osteoporotic fracture. Consider factors in addition to bone mineral density (BMD) and age.
- Discuss the risks and implications of osteoporotic fractures with these patients and approaches to reduce these risks.
- Use bone densitometry and laboratory tests to assess severity of osteoporosis.
- Medicines for osteoporosis vary markedly: consider effectiveness, tolerability, co-morbidities, and patient preferences when choosing therapy.
- Poor adherence to osteoporosis treatment is a leading cause of fractures and hospitalisations. Review therapies regularly for adherence and treatment response.
MedicineWise News: Recognising those at risk
Osteoporosis is under-recognised and undertreated, even in people who present with minimal trauma fractures.
Australian Prescriber: Bone mineral density: testing for osteoporosis
Angela Sheu and Terry Diamond
Aust Prescr 2016;39:35-91 Apr 2016
A thoracolumbar X-ray is useful in identifying vertebral fractures, and dual energy X-ray absorptiometry is the preferred method of calculating bone mineral density.
Background feature: Why osteoporosis matters
General practice can play an important role in preventing the health burden associated with osteoporosis through timely diagnosis and management to prevent osteoporotic fractures.
Osteoporosis in aged care
Osteoporosis is increasingly prevalent in an aging population and may affect a large proportion of aged care residents. Bone health assessment, falls prevention measures and regular medicine review can go a long way towards avoiding the pain, disability and mortality caused by fractures.
Osteoporosis is not just a women's disease
In men, minimal trauma fractures due to osteoporosis result in higher mortality rates compared with women. Despite this, treatment uptake in men is low, with 90% of men eligible for osteoporosis medicines remaining untreated.
Optimising treatment for osteoporosis
Evaluation: GP survey results for Osteoporosis program
We surveyed GPs who participated in the visiting program 'Preventing fractures: where to start with osteoporosis' to find out what they learned and whether they thought it was worthwhile.
Consolidate your knowledge about COPD, brush up on current guidelines and practices and earn CPD points through our learning activities.