Osteoporosis is a systemic skeletal disease defined by reduced bone mineral density (BMD) and microarchitectural deterioration, increasing the risk of fractures.1,2 It is a major public health issue, affecting millions of Australians over 50 years of age. The condition is largely asymptomatic until a fracture occurs, leading to underdiagnosis and undertreatment.1
Fractures related to osteoporosis, particularly hip and vertebral fractures, are associated with increased mortality and morbidity, loss of independence and quality of life. There is insufficient evidence to recommend population-based systematic screening with BMD measurement for reduction of osteoporotic fractures in Australia, and case-finding is recommended, including with the use of a fracture risk assessment tool, particularly the Fracture Risk Assessment Tool, FRAX®.
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