Podcast
Questions and Answers
What is the purpose of the NOGG 2021 Guideline?
What is the purpose of the NOGG 2021 Guideline?
- To identify a group at low fracture risk
- To ensure equal access to treatment for older patients with and without fracture (correct)
- To provide recommendations for BMD measurement
- To recommend lifestyle changes for older patients
What action is recommended for patients at very high risk of fracture according to the NOGG 2021 Guideline?
What action is recommended for patients at very high risk of fracture according to the NOGG 2021 Guideline?
- Measure Bone Mineral Density (BMD)
- Give lifestyle advice
- Consider specialist referral and treatment (correct)
- Reassess in 5 years
When should lifestyle advice be given to patients under the NOGG 2021 Guideline?
When should lifestyle advice be given to patients under the NOGG 2021 Guideline?
- When new clinical risk factors develop
- When BMD measurement is not practical
- When both the Major Osteoporotic Fracture (MOF) and Hip fracture probabilities fall below the treatment threshold (correct)
- When patients are at intermediate risk of fracture
What is the recommendation for patients at intermediate risk of fracture under the NOGG 2021 Guideline?
What is the recommendation for patients at intermediate risk of fracture under the NOGG 2021 Guideline?
What should be done if BMD measurement is not practical for a patient under the NOGG 2021 Guideline?
What should be done if BMD measurement is not practical for a patient under the NOGG 2021 Guideline?
What is the recommendation for treating glucocorticoid-induced osteoporosis in high-risk patients?
What is the recommendation for treating glucocorticoid-induced osteoporosis in high-risk patients?
Why is it important to assess falls risk in patients with osteoporosis and offer an exercise programme?
Why is it important to assess falls risk in patients with osteoporosis and offer an exercise programme?
What is the purpose of measuring BMD in patients with high fracture risk?
What is the purpose of measuring BMD in patients with high fracture risk?
When is referral to an osteoporosis specialist recommended?
When is referral to an osteoporosis specialist recommended?
What is the significance of hypercalcemia in the context of osteoporosis investigations?
What is the significance of hypercalcemia in the context of osteoporosis investigations?
What is the recommended reference technology for measuring bone mineral density (BMD) according to the WHO and the International Osteoporosis Foundation?
What is the recommended reference technology for measuring bone mineral density (BMD) according to the WHO and the International Osteoporosis Foundation?
In which group of individuals is a FRAX assessment recommended to guide BMD measurement and prompt referral and/or drug treatment?
In which group of individuals is a FRAX assessment recommended to guide BMD measurement and prompt referral and/or drug treatment?
When using FRAX to calculate the probability of fracture, what is needed when clinical risk exceeds those factors able to be entered into FRAX?
When using FRAX to calculate the probability of fracture, what is needed when clinical risk exceeds those factors able to be entered into FRAX?
What is indicated in postmenopausal women, and men age ≥50 years, if there is a history of ≥4cm height loss, kyphosis, recent or current long-term oral glucocorticoid therapy, a BMD T-score ≤-2.5 at either the spine or hip, or in cases of acute onset back pain with risk factors for osteoporosis?
What is indicated in postmenopausal women, and men age ≥50 years, if there is a history of ≥4cm height loss, kyphosis, recent or current long-term oral glucocorticoid therapy, a BMD T-score ≤-2.5 at either the spine or hip, or in cases of acute onset back pain with risk factors for osteoporosis?
Which test should be performed in patients with osteoporosis and/or a fragility fracture to investigate underlying causes?
Which test should be performed in patients with osteoporosis and/or a fragility fracture to investigate underlying causes?
What is the relationship between alcohol intake and fracture risk according to the text?
What is the relationship between alcohol intake and fracture risk according to the text?
Which factor increases the risk of hip and non-vertebral fracture in individuals with type 2 diabetes?
Which factor increases the risk of hip and non-vertebral fracture in individuals with type 2 diabetes?
What is the impact of sex steroids on bone health in transgender individuals based on the information provided?
What is the impact of sex steroids on bone health in transgender individuals based on the information provided?
Which medication is known to increase hip fracture risk for individuals with breast cancer?
Which medication is known to increase hip fracture risk for individuals with breast cancer?
What is the relationship between glucocorticoid therapy and fracture risk?
What is the relationship between glucocorticoid therapy and fracture risk?
What is the recommended reference range for calculating femoral neck and total hip T-scores for men, women, and transgender individuals in the US?
What is the recommended reference range for calculating femoral neck and total hip T-scores for men, women, and transgender individuals in the US?
In which situation can spine BMD measurements be used for diagnosis when hip BMD measurement is not possible?
In which situation can spine BMD measurements be used for diagnosis when hip BMD measurement is not possible?
What has been identified as a significant risk factor for hip fracture, but its value in predicting other fractures diminishes when adjusted for BMD?
What has been identified as a significant risk factor for hip fracture, but its value in predicting other fractures diminishes when adjusted for BMD?
Which organization has published standards for reporting DXA scans to ensure the validity of BMD measurements?
Which organization has published standards for reporting DXA scans to ensure the validity of BMD measurements?
What contributes to fracture risk independently of BMD and can improve the performance characteristics of BMD assessment when considered concurrently with clinical risk factors?
What contributes to fracture risk independently of BMD and can improve the performance characteristics of BMD assessment when considered concurrently with clinical risk factors?
What is the primary purpose of the FRAX tool?
What is the primary purpose of the FRAX tool?
Why can the calculators FRAX and QFracture not be used interchangeably?
Why can the calculators FRAX and QFracture not be used interchangeably?
What clinical risk factors are specifically included in the FRAX assessment of fracture probability?
What clinical risk factors are specifically included in the FRAX assessment of fracture probability?
Why is it not possible to model all scenarios within the FRAX algorithm?
Why is it not possible to model all scenarios within the FRAX algorithm?
What information can be adjusted using relatively simple arithmetic procedures available for conventional FRAX estimates?
What information can be adjusted using relatively simple arithmetic procedures available for conventional FRAX estimates?
What is the suggested increase in FRAX probability when uplifting the original probability of 30% by 10%?
What is the suggested increase in FRAX probability when uplifting the original probability of 30% by 10%?
Under what conditions should downward adjustment to FRAX probabilities be made?
Under what conditions should downward adjustment to FRAX probabilities be made?
What is the assumed minimum requirement for FRAX calculation in terms of daily oral glucocorticoid doses?
What is the assumed minimum requirement for FRAX calculation in terms of daily oral glucocorticoid doses?
How much are major osteoporotic fracture (MOF) probabilities upward revised for high doses (>7.5 mg daily) of oral glucocorticoids?
How much are major osteoporotic fracture (MOF) probabilities upward revised for high doses (>7.5 mg daily) of oral glucocorticoids?
According to the information provided, how much does each rounded T-score difference between lumbar spine (LS) and femoral neck (FN) result in an increase or decrease in MOF probability?
According to the information provided, how much does each rounded T-score difference between lumbar spine (LS) and femoral neck (FN) result in an increase or decrease in MOF probability?
How much does each standard deviation (SD) decrease in Trabecular bone score (TBS) increase MOF probability?
How much does each standard deviation (SD) decrease in Trabecular bone score (TBS) increase MOF probability?
What should be done to hip and non-vertebral fracture probabilities on the FRAX website for individuals with high doses (>7.5 mg daily) of oral glucocorticoids?
What should be done to hip and non-vertebral fracture probabilities on the FRAX website for individuals with high doses (>7.5 mg daily) of oral glucocorticoids?
What is the effect on MOF probability for each standard deviation (SD) decrease in Trabecular bone score (TBS)?
What is the effect on MOF probability for each standard deviation (SD) decrease in Trabecular bone score (TBS)?
What is the approximate adjustment to MOF probability for medium and high dose exposure to oral glucocorticoids as per the information provided?
What is the approximate adjustment to MOF probability for medium and high dose exposure to oral glucocorticoids as per the information provided?
What should be done for each rounded T-score difference between lumbar spine (LS) and femoral neck (FN)?
What should be done for each rounded T-score difference between lumbar spine (LS) and femoral neck (FN)?
