Management of osteoporosis and the prevention of fragility fractures: a national clinical guideline
- Collection:
- Health Policy and Services Research
- Series Title(s):
- SIGN publication
- Contributor(s):
- Healthcare Improvement Scotland, issuing body. National Health Service in Scotland, issuing body. Scottish Intercollegiate Guidelines Network, issuing body.
- Publication:
- Edinburgh, Scotland : Scottish Intercollegiate Guidelines Network (SIGN), January 2021
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Disease Management Osteoporosis -- therapy Osteoporotic Fractures -- prevention & control Scotland
- Genre(s):
- Practice Guideline Technical Report
- Abstract:
- Osteoporosis is a common bone disease characterised by reduced bone mass which is associated with an increased risk of low-trauma fractures. Data collected by NHS Scotland Information and Statistics Division showed the prevalence of osteoporosis in Scotland was 0.14% in 2018/9. Rates of fractures in men and women over the age of 50 are higher in Scotland than other parts of the United Kingdom (UK). Fractures are an important cause of morbidity, and patients who have hip fractures and vertebral fractures have a decreased life expectancy compared with population-based controls. A wide range of treatments that can reduce the risk of fractures occurring in patients with osteoporosis is now available. These have the potential to improve clinical outcomes for patients with osteoporosis and to reduce societal costs of medical care associated with fractures. This guideline provides recommendations based on current evidence for best practice in the management of osteoporosis and prevention of fractures. It addresses risk factors for fracture, commonly-used tools for assessment of fracture risk, approaches to targeting therapy, pharmacological, and non-pharmacological treatments to reduce fracture risk, treatment of painful vertebral fractures and systems of care. The assessment and prevention of falls is excluded as it was covered by a national resource published by NHS Quality Improvement Scotland in 2010, which aimed to prevent fractures in older people by raising the profile of falls, and also in a clinical guideline published by the National Institute for Health and Care Excellence (NICE) in 2013. The guideline also excludes issues surrounding the surgical management of fractures and postoperative care of patients with fractures.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (136 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918334378306676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918334378306676