Journal of Clinical Densitometry
Volume 10, Issue 2 , Pages 120-123 , April 2007

Recommendations for Bone Mineral Density Reporting in Canada: A Shift to Absolute Fracture Risk Assessment

  • Kerry Siminoski

      Affiliations

    • Department of Radiology and Diagnostic Imaging and Division of Endocrinology and Metabolism, Department of Medicine, University of Alberta, Edmonton, Canada
    • Corresponding Author InformationAddress correspondence to: Dr Kerry Siminoski, 6628-123 Street, University of Alberta, Edmonton, Alberta, Canada, T6H 3T6.
    • ,
  • William D. Leslie

      Affiliations

    • Department of Medicine and Department of Radiology, University of Manitoba, Winnipeg, Canada
    • ,
  • Heather Frame

      Affiliations

    • Department of Continuing Medical Education, University of Manitoba, Winnipeg, Canada
    • ,
  • Anthony Hodsman

      Affiliations

    • Department of Medicine, University of Western Ontario, London, Canada
    • ,
  • Robert G. Josse

      Affiliations

    • Department of Medicine, University of Toronto, Toronto, Canada
    • ,
  • Aliya Khan

      Affiliations

    • Department of Medicine, McMaster University, Hamilton, Canada
    • ,
  • Brian C. Lentle

      Affiliations

    • Department of Radiology, University of British Columbia, Vancouver, Canada
    • ,
  • Jacques Levesque

      Affiliations

    • Department of Radiology, Le Centre hospitalier universitaire de Quebec, Sainte-Foy, Canada
    • ,
  • David J. Lyons

      Affiliations

    • Department of Diagnostic Imaging, Renfrew Victoria Hospital, Renfrew, Canada
    • ,
  • Giuseppe Tarulli

      Affiliations

    • Department of Medical Imaging, Humber River Regional Hospital, Toronto, Canada
    • ,
  • Jacques P. Brown

      Affiliations

    • Department of Medicine, Laval University, Sainte-Foy, Canada

Received 6 November 2006 ,Revised 31 December 2006 ,Accepted 2 January 2007.

References 

  1. Kanis JA, Seeman E, Johnell O, Rizzoli R, Delmas P. The perspective of the International Osteoporosis Foundation on the official positions of the International Society for Clinical Densitometry. J Clin Densitom. 2005;8:145–147
  2. National Osteoporosis Foundation . Physician's guide to prevention and treatment of osteoporosis. Washington DC: National Osteoporosis Foundation; 2003;
  3. Hanley DA, Josse RG. Prevention and management of osteoporosis: Consensus statements from the Scientific Advisory Board of the Osteoporosis Society of Canada. Can Med Assoc J. 1996;155:921–923
  4. Brown JP, Josse RG. Clinical practice guidelines for the diagnosis and management of osteoporosis in Canada. Can Med Assoc J. 2002;167:S1–S36
  5. World Health Organization . Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Geneva: World Health Organization; 1994;
  6. Leib ES, Lewiecki EM, Binkley N, Hamdy RC. Official positions of the International Society for Clinical Densitometry. J Clin Densitom. 2004;7:1–5
  7. The Writing Group for the ISCD Position Development Conference . Diagnosis of osteoporosis in men, premenopausal women, and children. J Clin Densitom. 2004;7:17–26
  8. Meunier PJ, Delmas PD, Eastell R, et al. Diagnosis and management of osteoporosis in postmenopausal women: clinical guidelines. Clin Ther. 1999;21:1025–1044
  9. Seeman E, Eisman JA. Treatment of osteoporosis: why, whom, when and how to treat. The single most important consideration is the individual's absolute risk of fracture. Med J Aust. 2004;180:298–303
  10. Hodgson SF, Watts NB, Bilezikian JP, et al. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the prevention and treatment of postmenopausal osteoporosis: 2001 edition, with selected updates for 2003. Endocr Pract. 2003;9:544–564
  11. Siminoski K, Leslie WD, Frame H, et al. Recommendations for bone mineral density reporting in Canada. Can Assoc Radiol J. 2005;56:178–188
  12. Kanis JA, Johnell O, Oden A, Dawson A, De Laet C, Jonsson B. Ten year probabilities of osteoporotic fractures according to BMD and diagnostic thresholds. Osteoporos Int. 2001;12:989–995
  13. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults . Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA. 2001;285:2486–2497
  14. Genest J, Frohlich J, Fodor G, McPherson R. Recommendations for the management of dyslipidemia and the prevention of cardiovascular disease: 2003 update. Can Med Assoc J. 2003;169:921–924
  15. Kanis JA, Johnell O, De Laet C, et al. A meta-analysis of previous fracture and subsequent fracture risk. Bone. 2004;35:375–382
  16. Adachi JD, Olszynski WP, Hanley DA, et al. Management of corticosteroid-induced osteoporosis. Semin Arthritis Rheum. 2000;29:228–251
  17. Kanis JA, Johansson H, Oden A, et al. A meta-analysis of prior corticosteroid use and fracture risk. J Bone Miner Res. 2004;19:893–899
  18. Leslie WD, Siminoski K, Brown JP. Comparative effects of relative and absolute fracture risk classification systems on projected intervention rates in postmenopausal women. J Clin Densitom. 2007;10:124–131

PII: S1094-6950(07)00003-0

doi: 10.1016/j.jocd.2007.01.001

Journal of Clinical Densitometry
Volume 10, Issue 2 , Pages 120-123 , April 2007

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