Objective: To revise and expand the 1996 Osteoporosis Society of Canada clinical practice
guidelines for the management of osteoporosis, incorporating recent advances in diagnosis,
prevention and management of osteoporosis, and to identify and assess the evidence
supporting the recommendations. Options: All aspects of osteoporosis care and its fracture
complications—including classification, diagnosis, management and methods for screening,
as well as prevention and reducing fracture risk—were reviewed, revised as required and …

Since the publication of the Osteoporosis Canada guide-lines in 2002, there has been a
paradigm shift in the prevention and treatment of osteoporosis and fractures. 1, 2 The focus
now is on preventing fragility fractures and their negative consequences, rather than on
treating low bone mineral density, which is viewed as only one of several risk factors for
fracture. Given that certain clinical factors increase the risk of fracture independent of bone
mineral density, it is important to take an integrated approach and to base treatment …