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ISO2026: Primary and Secondary Prevention Case Study Reviews: An APP’s perspective
This session presents an advanced practice provider's approach to closing the bone health care gap through a series of primary and secondary prevention cases drawn from clinic practice. It frames the problem at the outset, that bone loss is a silent disease that is often overlooked in preventative care, that guideline variability creates confusion about when to begin screening, and that secondary fracture prevention currently receives more attention than the longer term goal of primary prevention. The session reviews when to initiate densitometry screening using current US Preventive Services Task Force, AACE, ACOG, and BHOF recommendations, including the 2025 USPSTF revisions and the role of a formal clinical assessment tool, and it identifies the populations and risk factors that warrant evaluation. The secondary prevention cases follow patients after a first fracture and emphasize the value of prompting screening questions, looking closely at densitometry reports, adding vertebral fracture assessment, and pursuing a laboratory workup that uncovers contributors such as hyperparathyroidism, vitamin D deficiency, and abnormal calcium. The primary prevention cases illustrate detection before a fracture occurs, the interpretation of baseline densitometry and FRAX, and the collaboration with primary care and patients that supports a management decision. Throughout, the session contrasts non prescriptive and prescriptive management and demonstrates careful review of serial reports, including the interpretation of percent change and the recognition of reporting discrepancies.
Target Audience
This continuing education activity is intended for use by health professionals who participate in the care of patients at risk for or suffering from osteoporosis, in the areas of primary care, endocrinology, geriatrics, gynecology, internal, obstetrics, orthopedics, osteopathy, pediatrics, physiatry, radiology, rheumatology and physical therapy.
This includes physicians, nurse practitioners, registered nurses, pharmacists, physician assistants, technologists, researchers, public health professionals and health educators with an interest in osteoporosis and bone health.
Learning Objectives
Upon completion of this session, participants will be able to:
1. Identify the populations and risk factors that warrant osteoporosis screening, applying current US Preventive Services Task Force, AACE, ACOG, and BHOF recommendations, including the 2025 USPSTF revisions.
2. Formulate the screening questions that prompt earlier detection of low bone density and fracture risk during preventative care visits.
3. Analyze secondary prevention cases to determine the evaluation and management steps that follow a first fragility fracture, including the identification of secondary causes of bone loss.
4. Review serial densitometry reports critically, interpreting T-scores, percent change, and least significant change to detect clinically meaningful change and reporting discrepancies.
5. Distinguish non prescriptive from prescriptive management, and select first line and subsequent agents according to fracture risk, patient preference, and access considerations.
Name of Individual | Individual's Role(s) in Activity | Name of Ineligible Company(s) | Nature of Relationship(s) |
| Tara Knight, DNP, FNP-C | Speaker | N/A | N/A |
| Amy Mitchell, MSN, FNP-C | Planner/Accredited Provider Program Director & Content Expert | Amgen & Radius Health | Speaker’s Bureau, Scientific Advisory Board, Consulting |
Ami Patel | BHOF Staff, Vice President of Science & Education | N/A | N/A |
Andrea Medeiros | BHOF Staff, Vice President of Public Health & Policy | N/A | N/A |
Disclosures:
Independent contractor with Medscape
Accreditation Statement
The Bone Health and Osteoporosis Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Bone Health and Osteoporosis Foundation is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
CME Program Eligibility
Method of Participation in the Learning Process: Clinician learners will view and analyze the subject matter, conduct additional informal research through related internet searches on the subject matter, and complete a post-test assessment of knowledge and skills gained as a result of the activity.
After participating in this activity, the reader has the option of taking an evaluation for this activity. It is estimated it will take 0.75 hour(s) to complete the reading and take the evaluation. Continuing education credit will be available for two years from the date of publication.
Disclosure of Commercial Support
It is the policy of the Bone Health & Osteoporosis Foundation (BHOF) to ensure balance, independence, objectivity, and scientific rigor in all its sponsored publications and programs. BHOF requires the disclosure of the existence of any significant financial interest or any other relationship the sponsor, Editorial Board or Guest Contributors have with the manufacturer(s) of any commercial product(s) discussed in an educational presentation. All authors and contributors to this continuing education activity have disclosed any real or apparent interest that may have direct bearing on the subject matter of this program.
Please be advised that BHOF’s accreditation status with ACCME and ANCC does not imply endorsement by BHOF, ACCME or ANCC of any commercial products displayed in conjunction with this activity or endorsement of any point of view.
Refund Policy
BHOF offers no returns or refunds on online internet CME activities purchased through our store. All sales are final. Meeting and workshop registrations will be refunded in accordance with the cancellation policy of the meeting and/or workshop, as outlined at registration.
Available Credit
- 0.75 AMA PRA Category 1 Credit™The National Osteoporosis Foundation is an approved Accreditation Council for Continuing Medical Education (ACCME) accredited CME provider through March 2023. ACCME accreditation accelerates learning, change and improvement in the field of osteoporosis. The National Osteoporosis Foundation is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The National Osteoporosis Foundation designates educational activities for AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- 0.75 ANCCThe mission of the American Nurses Credentialing Center (ANCC), a subsidiary of the American Nurses Association (ANA), is to promote excellence in nursing and health care globally through credentialing programs. The National Osteoporosis Foundation is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. The National Osteoporosis Foundation designates educational activities for continuing nursing education credit(s).
- 0.75 Participation
- 0.75 Participation/AttendanceA certificate of attendance will be provided to all other attending healthcare professionals. Nurse practitioners and physician assistants may request AMA PRA Category 1 Credit(s)™ certificate of participation. Please refer to your provider to determine whether this program will qualify for other categories of continuing education credits. The American Academy of Physician Assistants (AAPA) also accepts educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the Accreditation Council for Continuing Education (ACCME).