Intervention Thresholds and the Diagnosis of Osteoporosis

被引:112
作者
Kanis, John A. [1 ]
McCloskey, Eugene V. [1 ]
Harvey, Nicholas C. [2 ]
Johansson, Helena [1 ]
Leslie, William D. [3 ]
机构
[1] Univ Sheffield, Sch Med, Ctr Metab Bone Dis, Sheffield S10 2RX, S Yorkshire, England
[2] Univ Southampton, Lifecourse Epidemiol Unit, MRC, Southampton, Hants, England
[3] Univ Manitoba, Winnipeg, MB, Canada
基金
英国医学研究理事会;
关键词
OSTEOPOROSIS; DEFINITION; INTERVENTION THRESHOLDS; FRAX; FRACTURE RISK; DIAGNOSIS; HIP FRACTURE; MANAGEMENT; WOMEN; GUIDELINES; MEN; RISK; PROBABILITY; PREVENTION; DENSITY; BURDEN;
D O I
10.1002/jbmr.2531
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A position paper of the National Bone Health Alliance recently recommended that diagnostic criteria for osteoporosis be redefined. We review the merits and demerits of this proposal and argue that the operational bone mineral density (BMD)-based definition be retained while clarity is brought to bear on the distinction between diagnostic and intervention thresholds. (C) 2015 American Society for Bone and Mineral Research.
引用
收藏
页码:1747 / 1753
页数:7
相关论文
共 52 条
[1]  
ALEXEEVA L, 1994, WHO TECH REP SER, V843, P1
[2]  
[Anonymous], 1987, BRIT MED J, V295, P914
[3]  
[Anonymous], Clinician's Guide to Prevention and Treatment of Osteoporosis
[4]  
[Anonymous], CPMPEWP55295REV2 CHM
[5]   Official positions of the International Society for Clinical Densitometry and executive summary of the 2005 Position Development Conference [J].
Binkley, Neil ;
Bilezikian, John P. ;
Kendler, David L. ;
Leib, Edward S. ;
Lewiecki, E. Michael ;
Petak, Steven M. .
JOURNAL OF CLINICAL DENSITOMETRY, 2006, 9 (01) :4-14
[6]   2012 update of French guidelines for the pharmacological treatment of postmenopausal osteoporosis [J].
Briot, Karine ;
Cortet, Bernard ;
Thomas, Thierry ;
Audran, Maurice ;
Blain, Hubert ;
Breuil, Veronique ;
Chapuis, Laure ;
Chapurlat, Roland ;
Fardellone, Patrice ;
Feron, Jean-Marc ;
Gauvain, Jean-Bernard ;
Guggenbuhl, Pascal ;
Kolta, Sami ;
Lespessailles, Eric ;
Letombe, Brigitte ;
Marcelli, Christian ;
Orcel, Philippe ;
Seret, Patrick ;
Tremollieres, Florence ;
Rouxa, Christian .
JOINT BONE SPINE, 2012, 79 (03) :304-313
[7]  
CHRISTIANSEN C, 1991, AM J MED, V90, P107
[8]   Guidelines for the diagnosis and management of osteoporosis in postmenopausal women and men from the age of 50 years in the UK [J].
Compston, J. ;
Cooper, A. ;
Cooper, C. ;
Francis, R. ;
Kanis, J. A. ;
Marsh, D. ;
McCloskey, E. V. ;
Reid, D. M. ;
Selby, P. ;
Wilkins, M. .
MATURITAS, 2009, 62 (02) :105-108
[9]   Value and Limitations of Existing Scores for the Assessment of Cardiovascular Risk A Review for Clinicians [J].
Cooney, Marie Therese ;
Dudina, Alexandra L. ;
Graham, Ian M. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2009, 54 (14) :1209-1227
[10]   Clinician's Guide to Prevention and Treatment of Osteoporosis [J].
Cosman, F. ;
de Beur, S. J. ;
LeBoff, M. S. ;
Lewiecki, E. M. ;
Tanner, B. ;
Randall, S. ;
Lindsay, R. .
OSTEOPOROSIS INTERNATIONAL, 2014, 25 (10) :2359-2381