Dr Laura Smith€¦ · Dr Laura Smith NOGG 2017: Clinical guideline for the prevention and...

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Dr Laura Smith

NOGG 2017: Clinical guideline for the prevention and treatment of osteoporosis

Osteoporosis: assessing the risk of fragility fracture ; NICE Clinical Guideline 2013

http://www.bonedisease.info/wp-content/uploads/2016/06/osteoporosis-pelvis.jpg

£4.4 billion

NOGhttps://www.sheffield.ac.uk/FRAX/G 2017: Clinical guideline for the prevention and treatment of osteoporosis

http://www.bonedisease.info/wp-content/uploads/2016/06/osteoporosis-pelvis.jpg

https://www.guidelinesinpractice.co.uk/musculoskeletal-and-joints-/fragility-fractures-an-integrated-care-network-is-needed/453549.article

https://upload.wikimedia.org/wikipedia/commons/6/6d/Hospital_beds_for_Guantanamo_Captives.JPG https://www.guidelinesinpractice.co.uk/musculoskeletal-and-joints-/fragility-fractures-an-integrated-care-network-is-needed/453549.article

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Dementia Delirium

Do not return to former residence https://www.nspcc.org.uk/globalassets/for-go-live-images/infographic/people-1-in-3-blue-orange.png?width=400&mode=crop&anchor=middlecenter

http://foolishlego.com/wp-content/uploads/2014/10/lego_2_277.jpg

http://beyondspine.com/wp-content/uploads/2015/03/Osteoporosis.jpg

http://articles.padmad.org/health/osteoporosis-symptoms-precaution-cure/2682/

http://www.ammrf.org.au/innerspace/images/display-web/18Q-SEM-ZufuLu-434px.png https://boneresearchsociety.org/media/gallery/Osteoclast_resorption_04.jpg.2000x2000_q85_autocrop.jpg

https://patient.info/doctor/osteoporosis-pro

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https://patient.info/doctor/osteoporosis-risk-assessment-and-primary-prevention

https://www.guidelinesinpractice.co.uk/musculoskeletal-and-joints-/fragility-fractures-an-integrated-care-network-is-needed/453549.article

Bone disease Calcium Phosphate ALP

Osteoporosis N N N

Osteomalacia

1º hyperparathyroidism

/N /N

2º hyperparathyroidism renal failure

/N

2º hyperparathyroidism vit D deficiency

/N

/N

Bone metastases /N

Myeloma /N N

Paget’s N N

NOGG 2017: Clinical guideline for the prevention and treatment of osteoporosis http://www.bonedisease.info/wp-content/uploads/2016/06/Which-organ-effected-by-osteoporosis-the-most-losing-of-bone-mass.jpg

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NOGG 2017: Clinical guideline for the prevention and treatment of osteoporosis NOGG 2017: Clinical guideline for the prevention and treatment of osteoporosis

if T-score ≤ -2.0

or with vertebral fracture

if T-score ≤ -2.5 45

%

55%

OVERALL REDUCTION CONSISTENT AMONG DIFFERENT PATIENT POPULATIONS

Dr Laura Smith€¦ · Dr Laura Smith NOGG 2017: Clinical guideline for the prevention and...

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