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SIGN142 Osteoporosis

Management of Osteoporosis and the prevention of fragility fracturesA national clinical guidelineFirst published March 2015 Revised June 2020 Revised January 2021 SIGN142 Key to evidence statements and recommendationsLevels of evidence1++ High-quality meta-analyses, systematic reviews of RCTs, or RCTs with a very low risk of bias1+ Well-conducted meta-analyses, systematic reviews, or RCTs with a low risk of bias1 Meta-analyses, systematic reviews, or RCTs with a high risk of bias2++ High-quality systematic reviews of case-control or cohort studies High-quality case-control or cohort studies with a very low risk of confounding or bias and a high probability that the relationship is causal2+ Well-conducted case-control or cohort studies with a low risk of confounding or bias and a moderate probability that the relationship is causal2 Case-control or cohort studies with a high risk of confounding or bias and a significa

care of patients with fractures. 1.2.2 Summary of updates to the guideline, by section This guideline was published in 2015. The following sections were updated in 2020: 3.4.6 Human immunodeficiency virus Completely revised 5.1 Targeting treatment: introduction Minor update 5.2 Targeting treatment on the basis of fracture risk Updated

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