Implementing the NOF Guidelines in Everyday Practice
Release date: February 2009
Expiration date: February 28, 2010
Estimated time to complete activity: 30 minutes
This educational initiative is co-sponsored by Curatio CME Institute and the National Osteoporosis Foundation. Current Medical Evidence™ is a registered trademark of Curatio CME Institute. Content expertise has been provided by the National Osteoporosis Foundation.
Support for this activity has been provided through an educational donation from
Activity Overview
Osteoporosis is characterized by low bone mass and changes in bone architecture that produce bone fragility and increase fracture risk. Bone fracture and its consequences are the most important concerns for patients with osteoporosis, as fracture is associated with significant morbidity and mortality. It is evident that identification of patients who are at risk for osteoporosis and related fractures remains a challenge for clinicians. The National Osteoporosis Foundation (NOF) recently updated its guidelines on osteoporosis in the Clinician's Guide to Prevention and Treatment of Osteoporosis, published in 2008. The updated guidelines present the current thinking on identification of patients who are at risk for osteoporosis, as well as on the practical management of patients who have or are at risk for osteoporosis. The purpose of this newsletter is to provide clinicians with recommendations for implementation of updated guidelines on the management of osteoporosis.
Target Audience
This activity has been designed to meet the educational needs of physicians and other health care professionals in endocrinology, rheumatology, obstetrics/ gynecology, and primary care who manage patients who have or are at risk for osteoporosis.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Implement osteoporosis prevention, screening, treatment, and monitoring recommendations based on NOF's updated 2008 Clinician's Guide to Prevention and Treatment of Osteoporosis
- Evaluate the risk for low bone density, osteoporosis, and osteoporosis-related fractures in their patients, including the assessment for secondary osteoporosis
- Effectively interpret central dual-x-ray absorptiometry (DXA) results to accurately diagnose patients with osteoporosis and low bone density
- Utilize the FRAX" tool appropriately to help determine if pharmacologic treatment is necessary in patients with low bone density
Editors
Jeffrey P. Levine, MD, MPH
Michael J. Maricic, MD
Faculty
Felicia Cosman, MD—Chair
Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
New York, New York
Medical Director, Clinical Research Center
Helen Hayes Hospital
West Haverstraw, New York
David W. Dempster, PhD
Professor of Clinical Pathology
Columbia University College of Physicians and Surgeons
New York, New York
Director, Regional Bone Center
New York State Department of Health
Helen Hayes Hospital
West Haverstraw, New York
Margery L. S. Gass, MD
Professor of Clinical Obstetrics and Gynecology
Director, University Hospital Menopause and Osteoporosis Center
University of Cincinnati College of Medicine
Cincinnati, Ohio
Jeffrey P. Levine, MD, MPH
Associate Professor
Departments of Family Medicine and Obstetrics, Gynecology & Reproductive Sciences
Director of Women's Health Programs, Department of Family Medicine
Master Educators Guild
UMDNJ-Robert Wood Johnson Medical School
New Brunswick, New Jersey
Michael J. Maricic, MD
Clinical Associate Professor of Medicine
University of Arizona School of Medicine
Co-Director, Clinical Research
Catalina Pointe Rheumatology
Tucson, Arizona
Susan Randall, RN, MSN, FNP-BC
Senior Director, Education
National Osteoporosis Foundation
Washington, DC
Accreditation Statement
Curatio CME Institute is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit Designation
Curatio CME Institute designates this educational activity for a maximum of 0.50 AMA PRA Category 1 Credit ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Method of Participation
There are no fees for participating in this CME activity. To receive credit during the period February 2009 to February 28, 2010, participants must (1) read the learning objectives and disclosure statements, (2) study the entire educational activity, (3) complete the presurvey and postsurvey, and (4) complete the activity evaluation form.
The posttest can be accessed at the end of the activity. Please e-mail any questions to cmeinfo@curatiocme.com.
Media
The Internet was selected as the instructional format to accommodate the learning preferences of a significant portion of the target audience.
Disclosure
In accordance with the ACCME Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of everyone in a position to control content of an educational activity. A relevant financial relationship is a relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Relationship information appears below:
Felicia Cosman, MD, has disclosed the following relevant financial relationships:
| Advisory Board | Amgen, Eli Lilly, Merck, Novartis |
| Consultant | Amgen, Merck, Novartis, Pfizer |
| Speaker | Eli Lilly, Merck, Novartis |
Dr. Cosman discusses the unlabeled or investigational use of a commercial product.
David W. Dempster, PhD, has disclosed the following relevant financial relationships:
| Consultant | Amgen, Eli Lilly, Merck |
| Speaker | Eli Lilly, Procter & Gamble, Sanofi Aventis |
Margery L. S. Gass, MD, has disclosed the following relevant financial relationships:
| Consultant | Eli Lilly, Palatin Technologies, Procter & Gamble, Roche, Sciele, Upsher-Smith Laboratories, Wyeth |
| Research | Boehringer-Ingelheim, Organon, Procter & Gamble, Wyeth |
Jeffrey P. Levine, MD, MPH, has disclosed the following relevant financial relationships:
| Consultant | Novartis, Wyeth |
Dr. Levine discusses the unlabeled or investigational use of a commercial product.
Michael Maricic, MD has disclosed the following relevant financial relationships:
| Advisor, Grants, Research, Speaker | Amgen, Eli Lilly, Merck, Novartis, Procter & Gamble, Roche |
National Osteoporosis Foundation
Susan Randall, RN, MSN, FNP-BC, Senior Director, Education, has disclosed no relevant financial relationships.
Curatio CME Institute
Shari Dermer, PhD, Medical Director, has disclosed no relevant financial relationships.
Thomas Finnegan, PhD, Medical Writer, has disclosed no relevant financial relationships.
Jonathan S. Simmons, ELS, Managing Editor, has disclosed no relevant financial relationships.
Derek Warnick, CME Director, has disclosed no relevant financial relationships.
Disclaimer
The information presented in this activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician regarding diagnosis and treatment of a specific patient's medical condition.
Unapproved Product Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the US Food and Drug Administration. Curatio CME Institute, the National Osteoporosis Foundation, and Amgen do not recommend the use of any agent outside the labeled indications.
The opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of Curatio CME Institute, the National Osteoporosis Foundation, or Amgen. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
This educational initiative is co-sponsored by Curatio CME Institute and the National Osteoporosis Foundation. OsteoporosisTX.com is owned and operated by Curatio CME Institute with content expertise provided by the National Osteoporosis Foundation.
Hardware/Software Requirements
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- Active Internet connection
- Adobe Acrobat Reader
- Adobe Flash Player plugin v.8.0+
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