How do the new Canadian Guidelines compare to recent International Guidelines
in the treatment and management of Postmenopausal Osteoporosis?

Speakers

Dr. Angela M. Cheung
Dr. Angela M. Cheung
PhD, MD, FRCPC
Director of Osteoporosis Program,
University Health Network
Dr. Michael R. McClung
Dr. Michael R. McClung
MD, FACP, FACE
Founding Director of the
Oregon Osteoporosis Center
in Portland

Moderator

Dr. David Kendler
Dr. David Kendler
MD
Clinical professor in the Division of Endocrinology
at the University of British Columbia
Director of the Osteoporosis Program at
ProHealth in Vancouver

Learning Objectives

Enhance understanding of clinical strategy needed to manage patients with post-menopausal osteoporosis
Discuss the similarities and differences between the new Osteoporosis Canada Clinical Practice Guidelines and International guidelines in a case-based format
Review 11 clinical cases ranging from screening, diagnosis, treatment, and follow-up will be illustrated

Presentation Slide Deck

Osteoporosis Guidelines

Dr. Kendler introduces the speakers, outlines the guidelines to be compared, learning objectives, and presentation format.

8 min


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A 67 year-old Caucasian female with a family history of osteoporosis wonders why bone density is not screened routinely.

Which patients should be screened?

12 min


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A 56 year-old Caucasian female with low bone density experienced a recent Colles' fracture while skiing.

What is her diagnosis and the treatment plan?

11 min


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A 82 year-old Caucasian female with a vertebral fracture and comorbidities.

What is the best initial therapy?

13 min


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A 46 year-old Asian female with premature menopause but low fracture risk.

Would guidelines recommend treatment?

11 min


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Discussion after the first 4 cases.

22 min


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A 82 year-old Caucasian female with multiple fragility fractures due to a fall but high BMD.

What would guidelines recommend?

11 min


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A 76 year-old Caucasian female with prior wrist fracture and treated with ALN for 6 years. BMD remains stable but low.

Should the patient continue ALN or switch?

12 min


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A 67 year-old Caucasian female has a wrist fracture after 10 years of denosumab therapy.

Should she continue denosumab or switch?

13 min


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A 66 year-old female with chronic low back pain but moderate fracture risk.

What is her diagnosis and what should be done?

9 min


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A 42 year-old Caucasian female with multiple risk factors for osteoporosis but no prior fracture and low FRAX score.

What would guidelines recommend for treatment?

10 min


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A 56 year-old Caucasian female experienced a fracture while on denosumab for 5 years.

Should she continue or switch therapy?

13 min


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A 78 year-old Caucasian female with prior ankle fracture and on ALN for 2 years with stable but low BMD.

Would guidelines recommend a BMD follow-up, continuing or switching therapy?

16 min


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