Published 4 November 2008, doi:10.1136/bmj.a2397
Cite this as: BMJ 2008;337:a2397

News

NICE publishes osteoporosis guidance after more than six years of consultation

Zosia Kmietowicz

1 London

The first 150 words of the full text of this article appear below.

The UK National Institute for Health and Clinical Excellence (NICE) has published final guidance on the use of drugs to prevent primary and secondary osteoporotic fractures in postmenopausal women.

The guidance recommends a range of treatments, depending on a woman’s age, her bone density, and how many indicators of fragile bones or risk factors for fracture she has.

It recommends alendronic acid as the first line treatment for primary prevention in women aged 70 or over who are given a diagnosis of osteoporosis and who have a clinical risk factor for the condition or an indicator of low bone density.

NICE defines a diagnosis as a T score of –2.5 or below on dual energy x ray absorptiometry scanning, although it says that women aged over 75 with two or more risk factors for fracture or low bone density can be assumed without a scan to have osteoporosis.

Risk factors . . . [Full text of this article]


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Rapid Responses:

Read all Rapid Responses

NICE on osteoporosis is unworkable
Karl A Grindulis
bmj.com, 7 Nov 2008 [Full text]
Conflicts of interest
J. Lennert Veerman, et al.
bmj.com, 10 Nov 2008 [Full text]
Working with the unworkable - time for commonsense
Jon H Tobias, et al.
bmj.com, 16 Nov 2008 [Full text]



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