After The Fracture
After The Fracture

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Quality Standards for Fracture Liaison Services in Canada

OC Quality Standards ENG Nov 2014_Page_1At least 1 in 3 women and 1 in 5 men will suffer a fragility fracture in their lifetime caused by osteoporosis. In Canada, 200,000 fractures occur each year, including 30,000 hip fractures. Of the Canadians who break a hip, 28% of women and 37% of men will die within the first year after their fracture. The rest will experience pain and loss of independence.

The acute hospitalization costs for fractures in Canada are $1.2 billion annually. The total costs, when considering outpatient care, prescription drugs and long term care costs for all fracture types is staggering, estimated in 2010 to be $3.9 billion per year in Canada. This does not include personal or financial loss experienced by patients or their caregivers.

It is essential that people presenting with fragility fractures of the hip, spine, wrist and shoulder receive high-quality preventive care. Currently, over 80% of Canadians who suffer a fragility fracture never receive the osteoporosis screening and/or treatment they need to prevent their next fracture.

The good news is that many of the fragility fractures can be prevented and many lives saved with Fracture Liaison Services (FLS). FLS is a model of care which has been proven in Canada and other countries to reduce the incidence of repeat fractures and the related pain and suffering while resulting in cost savings to the healthcare system. Osteoporosis Canada urges all jurisdictions to implement an effective FLS by 2015.

To support ongoing implementation of FLS, Osteoporosis Canada has developed Quality Standards for FLS in Canada. These standards provide very clear guidance to healthcare professionals and administrators on what a world-class FLS can and will deliver. To date (November 25, 2014), these Quality Standards have been endorsed by the Canadian Orthopaedic Association, the Canadian Orthopaedic Nurses Association, Bone and Joint Canada and the Canadian Rheumatology Association.

The Quality Standards for Fracture Liaison Services in Canada are available at . For more information, contact Dr. Diane Thériault at

Osteoporosis Canada Applauds the BC Government for Supporting Falls and Fracture Prevention

Minister Terry Lake, the Minster of Health in BC, has announced a grant for programs to help prevent falls and hip fractures in older adults and enhance mobility through early intervention.

This announcement comes on the tails of an MLA lunch which was hosted by Osteoporosis Canada on October 27th, in Victoria, BC. The session focused on the osteoporosis care gap and the need for FLS programming in BC.

Click here to read the full press release

Osteoporosis Canada Responds to the Swedish Milk Study

On Oct 28, 2014 a study on milk was published by Dr. Michaelsson of Uppsala University in Sweden. This study claims that high milk intake was associated with an increased rate of death. Although this study was published in The BMJ (originally called the British Medical Journal), its study design was not ideal for determining cause and effect between the high intake of milk and the increased risk of death. Osteoporosis Canada still recommends that Canadians over age 50 consume 1200 mg of calcium daily through food and supplement, with food being the preferable source.

November is Osteoporosis Month. Be A Part Of It.

Osteoporosis Awareness Month is a time we can come together to make bone health and osteoporosis a priority in the lives of all Canadians. Join us this November and get involved as we promote the importance of building strong bones for life.

Click here to learn more


Introducing the first in our new rebranded Public Virtual Education Forums: Bone Matters with Dr. Marla Shapiro: Fracture risk assessment, falls prevention, 5 questions to ask yourself, and a Q & A about osteoporosis. Join us Thursday November 13, 2014 3-4pm EST.

Click here to register now

Expanded Coverage of Denosumab (Prolia®) in Alberta

The criteria for coverage of denosumab (Prolia®) under the Alberta Health Services Drug Benefit Program have been expanded. Prolia® belongs to a class of osteoporosis treatment called a RANK ligand inhibitor. It reduces the risk of fractures of the spine, hip and other sites.

As fragility fractures are the most serious consequence of osteoporosis, and effective treatment is necessary to prevent future fractures, this is good news for patients in Alberta. Osteoporosis Canada congratulates the Alberta government.

Click here to read more

Osteoporosis Canada Launches New Exercise Recommendations

New multicomponent exercise recommendations combine muscle strengthening and balance training as a means of reducing falls and resulting fractures for people living with osteoporosis

exercise-recommendations-news-postPeople with osteoporosis, and those at risk of developing it, can prevent bone loss, fractures and falls by combining specific types of exercises, says new recommendations that Osteoporosis Canada released. Osteoporosis Canada is developing tools related to the new guidelines, including a booklet called Too Fit to Fracture: Managing Osteoporosis through Exercise, which covers the importance of exercise; what types of exercise; strength, balance, aerobic and posture training; barriers to exercise and much more.

Click here to learn more