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“A fracture begets a fracture” – The importance of timely diagnosis and initiation of osteoporosis therapy

Falls lead to injury, and in some cases, fractures.  The cause of the fall needs to be carefully identified and appropriate interventions and investigations initiated to prevent further falls. Falls intervention does reduce falls and hospital admissions. The data on fracture reduction is not yet clear. Though existing literature remains inconsistent regarding the relationship between …

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BMD Reference ranges for the diagnosis of osteoporosis in Asians – Time to rethink?

Use of NHANES III reference range for bone mineral density (BMD) can result in an overdiagnosis of osteoporosis in Asians The diagnosis of osteoporosis is operationally based on a measurement of bone mineral density (BMD), preferably at the femoral neck or total hip. According to WHO’s recommendation, osteoporosis is defined as a BMD T-score of …

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Osteoporosis management and fracture prevention in Australia and the rest of the Asia Pacific

An article written by Asia Pacific Consortium on Osteoporosis (APCO) Executive Committee Chair, Dr Manju Chandran and APCO Executive Committee member and Medical Director of Osteoporosis Australia, Professor Peter Ebeling AO titled ‘Osteoporosis management and fracture prevention’, has just been published in the Medical Journal of Australia’s (MJA) online peer-reviewed publication, MJA Insight, which is amongst …

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Intercontinental Sharing of Principles and Guidelines: How can Europe and the Asia Pacific work together to bring better care for Osteoporosis patients?

As APCO works towards a pan-Asia Pacific Framework for the introduction and implementation of minimum clinical standards for the screening, diagnosis and management of osteoporosis, the key approaches taken for development of a similar guidance in Europe can serve as valuable lessons. National guidelines in Europe, like in the Asia-Pacific, tend to be heterogenous in …

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IQ driving QI: The Asia Pacific Consortium on Osteoporosis (APCO): an innovative and collaborative initiative to improve osteoporosis care in the Asia Pacific

M Chandran , S K Bhadada , P R Ebeling , N L Gilchrist , A H Khan , P Halbout , S Lekamwasam , G Lyubomirsky , P J Mitchell , T V Nguyen , K L Tiu , Asia Pacific Consortium on Osteoporosis. Osteoporos Int. 2020 Jun 19. doi: 10.1007/s00198-020-05495-w. “The journey of a thousand miles starts with one step” (“「千里之行, 始於足下」”). It is a real challenge to address the numerous issues facing osteoporosis management …

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New CTF Partnership will take secondary fracture prevention to a new level

Currently, approximately 80% of individuals who have sustained a fracture due to osteoporosis do not receive the follow-up care they need, increasing the risk of suffering another costly and life-altering fracture. To ensure more patients age 50 and above are screened, diagnosed and treated for osteoporosis following a related fracture, more post-fracture care programmes must …

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Osteoporosis in Developing Countries in Asia Pacific – Challenges and Opportunities

A region of immense physical expanse, the Asia Pacific is characterized by its significant racial, cultural, and topographic diversity. The countries in the region are at different stages of political evolution and economic development. While Australia, Japan, Republic of Korea, New Zealand, and Singapore are categorized as high income countries, Bangladesh, Cambodia, China, India, Pakistan, …

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Bone health across Australia. A perspective from Osteoporosis Australia

Osteoporosis Australia (OA) is a national charity representing over 4 million Australians above the age of 50 years  living with poor bone health. The organisation advocates for early investigation and appropriate management of patients at-risk to reduce overall fracture numbers. Fracture costs account for up to 70% of the overall cost of Osteoporosis in Australia. …

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APCO: Serving the global “hub” of osteoporosis and fragility fractures

Independent expert body stages second annual meeting   In line with what is rapidly becoming the new normal, the second Asia Pacific Consortium of Osteoporosis (APCO) Members’ annual meeting was held ‘virtually’ on Saturday, May 30, 2020 between 4:00 – 6:00pm SG time. The meeting was attended by 21 of APCO’s 39-strong membership spanning 19 …

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East Meets West: Current Practices and Policies in the Management of Musculoskeletal Aging

The recently published paper “East meets West: Current practices and policies in the management of musculoskeletal aging” reflects a new initiative originated by the Chinese Medical Association, the Chinese Society of Osteoporosis and Bone Mineral Research, and the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases. These respected scientific societies jointly …

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