Bone Mineral Density Test Requisition Form: Ontario

Currently, in Ontario, and in most other provinces, there is great variation in the way BMD (Bone Mineral Density) test referrals are made. BMD testing measures bone mass, indicating whether someone has osteoporosis or is at risk, and plays an important role in the reduction of morbidity and mortality related to fractures. It is therefore important to standardize BMD requisitions, to ensure appropriate ndividuals get tested for osteoporosis risk.

The Recommended Use Requisition (RUR) for referral for Bone Mineral Density (BMD) testing, a tool developed through the Ontario Osteoporosis Strategy by a team of researchers at Women’s College Hospital, has potential to influence the development and implementation of a standardized requisition for BMD testing.

The RUR has the potential to make the following impacts:

  • Increase BMD testing in those at high risk
  • Decrease BMD testing in those at low risk
  • Increase the accuracy of BMD reports by ensuring that clinical risk factors that modify fracture assessment are included at the time of BMD reporting/fracture risk assessment, by the reading physician.

These impacts will improve the overall quality of osteoporosis and fracture care in Ontario as information gained from a BMD test can guide clinicians and patients in understanding the risk of having an osteoporosis-related fracture, and inform decisions aimed at mitigating these risks.

This RUR has been validated by the Ontario BMD Working Group (a multidisciplinary team of family physicians, radiologists, internists, and scientists) and in relation to the current clinical guidelines for BMD testing, the OHIP Fee Schedule, and recommendations from Choosing Wisely Canada. In recognition of the importance of this initiative, Choosing Wisely Canada has recently partnered with the Ontario Osteoporosis Strategy on the initiative

The RUR form is currently available in PDF format and a version for the PS Suite EMR is under development. The PDF can be downloaded at: www.osteostrategy.on.ca

November 14, 2018 from 9:30am to 1:00pm at the Peterborough Naval Association. Join Dr. Adachi for "Osteoporosis 101"; Sue Bitonte for "The Do's and Don'ts of Yoga and Osteoporosis" and Shannon Burton for "Exercise and Movement in Your Community". A light lunch will be served.  Registration is free but required by November 9th. Call Cathy Pearcy at 705-761-0223 or email cpearcy@osteoporosis.ca. Registration is available online here.

November marks Osteoporosis Awareness Month in Canada and a great opportunity to learn more about osteoporosis and bone health. Attend an osteoporosis community education event being held at the Richmond Hill Central Library on Thursday, November 1 from 7 pm to 8:30 pm to hear from a team of osteoporosis healthcare providers including: a doctor specializing in osteoporosis care, a pharmacist, a dietician, an occupational therapist and a kinesiologist from Southlake Regional Health Centre. Space is limited. Please register for this free event by October 26, 2018 by emailing: jweldon@osteoporosis.ca or calling toll free 1-800-463-6842. ext. 2313 or 416-508-8209.

Osteoporosis & the Older Adult

This reading list includes links to and summaries of a variety of open source resources related to osteoporosis. Topics include:

  • the relationship between Alzheimer's Disease and osteoporosis
  • diabetes and lower bone mineral density
  • falls and fractures
  • exercise interventions
  • frailty and osteoporosis
  • osteoporosis in men
  • osteoporosis in women
  • glucocorticoid-induced osteoporosis
  • nutrition

5 pages. Last reviewed September 2018.

Nov. 3rd, 2018 from 9am - 12pm at the St. George Banquet Hall, Waterloo.  The Centre for Bone Health presents a free education event titled ‘Osteoporosis: Updates & Controversies’ on Saturday, November 3 from 9 am to 12 pm. The event is scheduled to take place at St. George Banquet Hall in Waterloo, Ontario. Limited seats available. Please register for the event by October 19, 2018 at: www.bit.ly/CentreForBoneHealth or call Crystal Hughes @ 519-743-5201 ext. 233

April 2, 2019 from 11:30 AM to 1:00 PM EDT. Join Dr. Jerilynn Prior for this Beyond the Break webinar presentation that is available to Francophone Ontarians to improve knowledge or emerging best practices, screening, diagnosis, treatment and management of osteoporosis. To register click here.

November 28, 2018 from 11:30am - 1:15pm EDT join Dr. Marie-Claude Audet for this inter-professional and continuing education series to health professionals across Ontario.  This webinar is in french and is designed to improve knowledge on emerging best practices, screening, diagnosis, treatment and management of osteoporosis.  To register click here.

Menopause and Indigenous Women in Canada: The State of Current Research

This publication describes a study aimed to identify and summarize the state of research on menopause and Indigenous women in Canada; suggest how existing knowledge can be applied to practice and identify where future research is needed. 32 pages. Last reviewed August 2018.

When, Where and How Osteoporosis-Associated Fractures Occur: An Analysis From the Global Longitudinal Study of Osteoporosis in Women (GLOW)

The authors analyzed data from the Global Longitudinal Study of Osteoporosis in Women (GLOW) to examine when, where and how fractures occur in postmenopausal women. 6 pages. Last reviewed August 2018.

Concise Review: Musculoskeletal Stem Cells to Treat Age-Related Osteoporosis

This article reviews the physiological basis of age-related osteoporosis  and discuss relevant preclinical studies that use exogenous musculoskeletal stem cell transplantation with the aim of treating osteoporosis in murine models. 10 pages. Last reviewed August 2018.

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