Summary of 2024 updates

Updated December 2024

  • Clarification that quantitative ultrasound, IBEX bone health, and Radiofrequency Echographic Multi Spectrometry are not recommended for the diagnosis of osteoporosis
  • Advice added on use of FRAX in non-white ethnic groups and those who have migrated to the UK
  • FRAX adjustment added for patients with Parkinson’s disease
  • Additional clinical risk factors for increased fracture risk have been added: lower limb amputation and adult learning disabilities: e.g., Down’s Syndrome

  • Advice added on use of FRAX in non-white ethnic groups and those who have migrated to the UK
  • The definition of very high fracture risk has been clarified
  • The intervention threshold has been defined and the associated graphs updated

  • Vaping with e-cigarettes has been added as a possible risk factor for fragility fracture

  • HRT is now recommended as a first line treatment option in younger postmenopausal women (age ≤ 60 years) with high fracture risk and low baseline risk for adverse malignant and thromboembolic events
  • Recommendations pertaining to the use of abaloparatide have been added
  • Considerations when choosing which anabolic agent to use have been outlined

  • Additional training resources have been added

  • Membership of NOGG has been updated

  • These have been updated in line with the above revisions

  • This has been updated in line with the above revisions