Bone Abstracts

Contents

• Plenary Lectures
• • Plenary 1: What’s next for bone health care (Setting the scene)
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    • Continuity of care in osteoporosis: From hospital to community

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  • Hot Topic Plenary 2: NOGG and NICE Guidelines – Convergence, differences and implementation
  • • NOGG updates and key points

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  • Plenary 3: Osteoporosis legends
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  • Plenary 4: Communicating bone health: Bone UP
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  • International Guest Speaker: Losing weight, losing bone? Bariatrics, GLP-1 and osteoporosis
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• Symposia
• • Symposium 1: Beyond the skeleton: Practical management
  • • Frailty, the comprehensive geriatric assessment and hip fractures: Individualising osteoporosis care

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    • Beyond bone: the psychological and social impacts of osteoporosis - a lived experience perspective

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  • Symposium 2: Getting the most out of current and new diagnostics
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  • Symposium 3: Stronger bones for all: From global access to exercise
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    • Exercise and mechanical loading on bone

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  • Symposium 4: Bones, blood and budgets
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  • Symposium 5: Personalising post-fracture care in Wales: Integrating PROMs and PREMs into patient education pathways
  • • Personalising Post-Fracture Care in Wales: Integrating PROMs and PREMs into Patient Education Pathways

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  • Symposium 6: How do diet and dietary patterns affect muscle and bone health?
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  • Symposium 7: Vertebral fractures: Diagnosis, exercise and procedures
  • • Vertebral Deformity or Fracture? A Practical Imaging Guide

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    • Exercise and physiotherapy after vertebral fracture: A practical guide

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  • Symposium 8: What works in osteoporosis? Supplements and technologies under the microscope
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    • Beyond calcium and vitamin D: Other osteoporosis supplements - Evidence, myths and practice

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    • Additional Technologies in Osteoporosis: Promise vs Practice.

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  • Symposium 9: Beyond bone density: Inflammation, diabetes, and AI in osteoporosis care
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• FLS Symposia
• • FLS Symposium 1: From Rhetoric to Reality: Uniting Patients, Clinicians, and Leaders to make Change Happen
  • • From rhetoric to reality: uniting patients, clinicians, and leaders to make change happen

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  • FLS Symposium 2: Patient, Community & Integrated FLS Pathways
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    • Pharmacist led long term management putting bone health at the forefront of medicines optimisation

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  • FLS Symposium 3: Technology & Innovation, Identification, and Inpatient/Enhanced FLS
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    • From competence to capability: how leadership creates motivated professionals in FLS

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• How Do I...? Sessions
• • How do I...? 1
  • • How do I manage pregnancy and lactation associated osteoporosisi

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    • How Do I manage dental health and osteoporosis medication

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  • How do I...? 2
  • • How do I stop denosumabi

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    • How Do I use bone turnover markersi

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  • How do I...? FLS
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• Meet the Expert Sessions
• • Meet the Expert 1: Hormones and bone
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  • Meet the Expert 2: Bone health in CKD in practice: Non-dialysis vs dialysis
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    • Meet the expert 2: Bone health in CKD in practice: Non-dialysis vs dialysis - Practical guide to bone health in dialysis patients

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  • Meet the Expert 3: Genetics of osteoporosis
  • • A practical guide to osteoporosis genetics

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  • Meet the Expert 4: Younger adults and the rare stuff in your osteoporosis clinic
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  • Meet the Expert 5: The future of case identification and screening
  • • The future of case identification and screening in primary care

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• Oral Communications
• • Oral Communications 1: Research 1
  • • Trabecular bone score version 4 reduces abdominal adiposity bias compared with version 3 across type 2 diabetes status: a cross-sectional study

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    • Lifestyle and clinical factors associated with femoral neck bone mineral density in African adults: findings from the fracture-E3 study

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    • Frequent short weight-bearing physical activity yields the greatest bone mineral density increase in premenopausal women: a FITT-based systematic review and meta-regression of RCTs

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    • Does anti-resorptive timing matteri bone mineral density outcomes following parathyroidectomy in primary hyperparathyroidism

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    • Inequalities in health care delivery and outcomes using the example of hip fracture care: The REDUCE record-linkage cohort study in England and Wales

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    • Exploratory meta-regression of loading amplitude on femoral neck bone outcome measures in postmenopausal women

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  • Oral Communications 2: Quality Improvement Projects
  • • BoneMed Online: A digital support programme for patients starting osteoporosis medicines

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    • Can routinely collected clinical data be used to diagnose hypophosphatasiai

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    • Comparative 30-day and 90-day mortality after pelvic and hip/femoral fragility fractures

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    • Mapping indicators for the older patients with falls and fragility fracture in England and Wales

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    • Real-world experience of using patients as partners in fracture liaison services (FLS)

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    • A digitally enabled fracture liaison service: improved case finding and clinical outcomes

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    • Potential increased DXA capacity by reducing repeat DXA scanning: Multisite UK Audit of DXA

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    • Real-world comparison between the HealthVCF and HealthOST AI models for the detection of vertebral fractures (VFs) from existing CT scans

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    • Optimising the identification and initiation of romosozumab treatment for eligible patients within a fracture prevention service

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    • Differential effects of single and recurrent falls on re-fracture and mortality

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    • Age-related differences in the clinical outcomes of a Fracture Liaison Service

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    • Mortality outcomes with advancing chronic kidney disease in fragility fractures patients

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    • Quality initiatives and clinical collaboration: automated digital identification of fragility fractures in radiology reports

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    • Experience of implementation of romosozumab in the metabolic bone unit at a tertiary centre

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  • Oral Communications 3: Research 2
  • • A mixed methods process evaluation exploring the iFraP intervention in Fracture Liaison Services: perceived acceptability, implementation, and mechanisms of impact

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    • NHS emergency admission bed days in 2024/25: femoral and non-femoral fractures compared with other emergency admission diagnoses for adults ≥50 years in England

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    • Lay recommendations for osteoporosis care in UK primary care settings

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    • Multi-disciplinary experiences of delivering evidence-based osteoporosis care in primary care settings: an interview study

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    • Mitigating denosumab-induced hypocalcaemia: a 30 mg bridging strategy in high-risk patients

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    • Androgen associations with bone turnover across reproductive-endocrine disorders reveal endocrine influences beyond oestrogen

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    • Evaluation of romosozumab use in a pharmacist- and nurse-led osteoporosis service at a secondary NHS trust

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• Poster Presentations
• • Case Reports
  • • Pagets disease of bone: A case series highlighting diagnostic challenges and a proposed clinical pathway

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    • Early anabolic therapy in severe osteoporosis with fragility vertebral fractures: navigating intolerance to romosozumab and transition to teriparatide

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    • High risk, few options: osteoporosis management in advanced chronic kidney disease

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    • Spontaneous patella insufficiency fracture following long term bisphosphonate therapy for steroid-induced osteoporosis

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    • Rebound vertebral fractures following delayed denosumab administration

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    • Diffuse sclerosing osteomyelitis of the right mandible: diagnostic and therapeutic challenges in a rare chronic condition

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    • Fracture liaison service and osteoporosis scope as an educational tool for pharmacist independent prescribers

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    • Bilateral atypical femoral changes in long-term bisphosphonate therapy: A case report highlighting early detection and prophylactic management

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  • Clinical Audits and Service Improvements
  • • A look into the incidence of increased fracture risk of patients who have discontinued denosumab

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    • Development and implementation of a dashboard to facilitate the caseload of a new fracture liaison service

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    • Hyperparathyroidism-related osteoporosis: An audit of single centre practice

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    • Developing a new online dietary calcium calculator for patients and clinicians: calcitrack

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    • Developing and empowering a nurse lead Fracture Liaison Service the success of multidisciplinary working in delivering service improvement.

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    • DEXA guideline compliance and predictors of low bone mineral density in adults with coeliac disease

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    • Improving intravenous zoledronic acid prescribing after hip fracture in a district general hospital

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    • Renal safety of repeated zoledronic acid in osteoporosis: a real-world clinical audit

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    • Real-World outcomes of romosozumab in severe postmenopausal osteoporosis

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    • Real-World outcomes and predictors of BMD response to romosozumab in a UK tertiary cohort

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    • Expansion of anabolic therapy eligibility in osteoporosis: A comparative audit of NICE (2018/2022) and NOGG 2024 criteria

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    • Timely switches: an audit of wait times for anti-osteoporosis medication re-initiation among patients referred to the osteoporosis clinic at blackpool victoria hospital, UK

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    • Characterising demand on an osteoporosis advice line to inform service redesign

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    • Missed opportunities for secondary fracture prevention: A retrospective audit of osteoporosis assessment following low-impact rib and wrist fractures in women over 55

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    • Digital transformation of a fracture liaison service: improving case identification and assessment

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    • The use of a specialist Pharmacist to improve the effectiveness of the fracture liaison and osteoporosis services in a district general hospital

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    • Bone turnover markers in untreated and denosumab treated patients with impaired renal function

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    • Beyond the fall: closing the gap in fracture risk assessment for geriatric patients admitted with a fall

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    • Advancing UK training in adult rare bone disease : outcomes from a national deep dive course

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    • Lung Health Check (LHC) CT scans: a missed opportunityi

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    • Vertebral exclusions and DXA interpretation: common pitfalls and real-world solutions

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    • Potential of reducing primary care workload by restricting vitamin D (25OHD) testing in oxfordshire

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    • Implementing a cross-trust rheumatologyrenal MDT: early outcomes from the first 10 complex cases

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    • Gaps in the management of spinal fragility fractures: an audit of practice in a UK NHS trust

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    • Osteoporosis Connect: A mixed-model programme to develop peer-support offers for communities with osteoporosis, including underserved groups

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    • Clinical implementation of opportunistic osteoporosis screening from radiographs using IBEX bone health within a fracture liaison service

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    • Physiotherapy pathways in the oxfordshire fracture prevention service: a review of non-pharmacological outcomes for vertebral fracture patients

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    • Informing secondary fracture prevention for patients from a care home setting

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    • Evaluating clinical activity and referral pathways of a community-led fracture liaison service: A retrospective audit of the enfield FLS interface with north middlesex hospital

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    • Whole body DXA in X-linked hypophosphataemic rickets

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    • The addition of physiotherapy to a nurse-led bone health clinic in a rheumatology out-patient setting: A quality improvement project.

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    • Bone density assessment and bisphosphonate treatment in aromatase inhibitor related bone loss adherence to guidelines

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    • Addressing gaps in bone health management after hip fracture: A quality improvement project in a district general hospital

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    • Improving compliance with osteonecrosis of the jaw prevention guidelines in patients receiving bisphosphonate therapy: A primary care audit

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    • Pelvic fragility fracture profiles and ruralurban differences: A clinical analysis

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    • Baseline characteristics of post-menopausal women starting abaloparatide

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    • Outcomes from a dedicated multiprofessional vertebral fracture clinic in the midlands, UK

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    • Identifying osteoporosis in hospital-attended patients: still the tip of the iceberg

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    • DXA assessment following incident vertebral fracture: age and sex stratification

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    • Partnerships and Collaboration: Transforming Bone Health Through Digital Solutions for Fracture Liaison Services at Ashford and St Peter's Hospitals NHS Foundation Trust

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  • Original Research
  • • Leadership development in specialist nurses: A systematic review of barriers and enablers

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    • Assessment of peak bone mass among young adults in lagos, nigeria

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    • Beyond the T-score threshold: osteoporosis site-pattern classification and fragility fracture burden in a large cross-sectional study

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    • Determinants of bone mineral density response to denosumab: results from the ROSALIA study

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    • Synergistic effect of vitamin K1 and D3 supplementation on bone mineral density in postmenopausal osteoporotic women: A randomized control study

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    • Digital experiences of Fracture Liaison Services (FLS) around the world

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    • Prevalence of hypophosphatasia in rheumatology and osteoporosis care clinics: a systematic literature review

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    • What are the biopsychosocial-spiritual impacts of osteoporosisi: A scoping review

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    • Optimising understanding of bone density scans: results from the INDEX study

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    • Patterns of self-reported stiffness in adults with X-linked hypophosphataemia (XLH) using real-world evidence

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    • Physiotherapy capabilities in the health care of adult patients at increased risk of osteoporotic fractures: A scoping review

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    • Mixed-methods study exploring the impact of pregnancy and lactation-associated osteoporosis on women and their partners

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    • Development and pilot testing of the Fragility Fracture Network (FFN) secondary fragility fracture prevention competency framework.

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    • Staff and patient views of the barriers and facilitators to Fracture Liaison Services (FLSs) in England: a qualitative study

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    • Romosozumab uptake across Trusts and Health Boards in England, Wales and Northern Ireland from 2022 to 2025

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    • Radiofrequency Echographic Multi Spectrometry (REMS) technology beyond the diabetic bone paradox in T2DM patients

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    • Bone mineral density responses to romosozumab in men: A small observational cohort study

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    • Patient awareness, concerns and acceptability of bone-protective strategies during pharmacological weight loss: an exploratory patient and public involvement survey

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    • Uncovering the obesity paradox: waist-to-height ratio as a marker of vertebral fragility independent of bone mineral density

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    • Building understanding of osteoporosis with underserved communities

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    • Clinical effectiveness of a complex intervention (iFraP) designed to improve person-centred care and medicine uptake in Fracture Liaison Services: a randomised controlled trial

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    • Microarchitectural measurements of cortical and trabecular bone from digital tomosynthesis images of the hand: Preliminary results and future potential.

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    • Bone mineral density in adults with hypophosphatasia with or without history of fractures

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    • Low osteoporosis awareness among patients undergoing orthopaedic imaging: findings from the AI-BOX feasibility study

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    • Impact of country-specific FRAX assessment and intervention thresholds on treatment recommendations in South Asian patients in UK

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    • Does Spontaneous menarche matteri bone density in adolescent patients with premature ovarian insufficiency

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    • Population-based study of functional ability and sarcopenia prevalence in Africa: Developing context appropriate thresholds (AFRO-SARC)

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    • Long-term fracture outcomes and postoperative bone density surveillance after parathyroidectomy for primary hyperparathyroidism: A retrospective observational study from a UK NHS Tertiary Care Service

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    • Early skeletal deterioration in a model of postmenopausal osteoporosis alters whole-body metabolic organisation

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    • Identifying a Missing Link: Integrating Bone Health into Nurse-Led Diabetes Care in a Low-Resource Setting

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