Managing Osteoporosis in Adults

The new osteoporosis quality standard (QS149)

A new quality standard for osteoporosis has been published on the NICE website. This quality standard covers managing osteoporosis in adults (aged 18 and over), including assessing risk and preventing fragility fractures (a fragility fracture is one that results from a force that would not normally result in a fracture). It describes high-quality care in priority areas for improvement.

Quality standards help improve the quality of care provided to patients and can be used by healthcare providers to:

The standard has 4 quality statements:

  1. Adults who have had a fragility fracture or use systemic glucocorticoids or have a history of falls have an assessment of their fracture risk.
  2. Adults at high risk of fragility fracture are offered drug treatment to reduce fracture risk.
  3. Adults prescribed drug treatment to reduce fracture risk are asked about adverse effects and adherence to treatment at each medication review.
  4. Adults having long-term bisphosphonate therapy have a review of the need for continuing treatment.

This quality standard is expected to contribute to improvements in the following outcomes:

  • Health-related quality of life for people with osteoporosis
  • Fragility fracture incidence
  • Mortality rates associated with fragility fractures.

You can read more about this quality standard on the NICE website: