Osteoporosis update - Ian Reid

Date Published: 
Thursday, March 30, 2017
Duration: 
38:44
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2017: Distinguished Professor Ian Reid talks about Osteoporosis New Zealand's Guidance on Diagnosing and Managing Osteoporosis in New Zealand. Ian is a Professor of Medicine and Endocrinology at the University of Auckland and an international expert and research award winner in osteoporosis.

       

Osteoporosis New Zealand's Guidance on the Diagnosis and Management of Osteoporosis in New Zealand is a user-friendly and highly practical tool providing support to clinicians throughout the health system to deliver evidence-based practice for their patients who are at high risk of sustaining fragility fractures. As an expert panel member involved in the project, Ian shares the primary objectives for developing the guidance.

Topics in podcast:

  • purpose of developing the guidance tool
  • two common presentations
  • recommended lifestyle modifications
  • should we still be prescribing calcium supplements to our patients?
  • clinical risk assessment FRAX (click here)
  • Garvan institute assessment tool (click here)
  • key treatment points
  • guidance on drug holidays
  • oestrogen therapy
  • what second line therapies available and when should they be considered?
  • take home messages.

   

Key Points - Osteoporosis Guidance

Prevention

  • Maintain a healthy weight (BMI > 20) throughout life from a balanced diet
  • Safe, weight-bearing exercise
  • Don’t smoke, moderate alcohol intake 
  • Vitamin D in frail elderly and veiled women, for prevention of osteomalacia

Detection

  • Assess fracture risk in women in their 60s, using BMD and FRAX (or Garvan)
  • Assess fracture risk in all older people with fractures, or other risk factors (e.g. steroid use, family history, falls etc)

Management

  • Offer treatment when 10-year hip fracture risk is >3%
  • Oral or IV bisphosphonates are the first-line
  • Calcium from diet
  • Re-assess need for treatment at 4-5 years

   

Resources

Presenter

Ian Reid
Professor of Medicine and Endocrinology

To contact Ian Click here.

 

   

This episode is kindly supported by Osteoporosis New Zealand

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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.