Journal
NATURE CLINICAL PRACTICE RHEUMATOLOGY
Volume 4, Issue 12, Pages 667-674Publisher
NATURE PUBLISHING GROUP
DOI: 10.1038/ncprheum0928
Keywords
BMD; diagnosis; DXA; osteoporosis; pitfalls
Categories
Funding
- NIAMS NIH HHS [R01 AR043052, K24 AR048841] Funding Source: Medline
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Bone mineral density (BMD) testing is used to diagnose osteoporosis, assess fracture risk and monitor changes in BMD over time. A variety of devices and technologies are used to measure BMD or other surrogate markers of bone strength. Measurements obtained with these devices are often reported according to different proprietary standards, and the comparability of values obtained with different instruments is often poor. In addition, there is a high degree of variability in the skills of the technologists performing the tests and the clinicians interpreting the results. Heterogeneity in the guidelines for using BMD measurements together with poor-quality BMD testing and reporting can result in inappropriate clinical decisions, causing unnecessary worry and expense for the patient and possible harm due to unnecessary treatment or treatment being withheld. This Review describes and discusses the mistakes commonly made in BMD testing, and emphasizes the importance of maintaining high-quality standards in order to optimize patient management.
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